Evidence map›Paper›PMID 33312762›Full record

ArticleGlobal advances in health and medicine2020

A 4-Month Whole-Systems Ayurvedic Medicine Nutrition and Lifestyle Intervention Is Feasible and Acceptable for Breast Cancer Survivors: Results of a Single-Arm Pilot Clinical Trial.

Anand Dhruva, Cairn Wu, Christine Miaskowski, Wendy Hartogensis, Hope S Rugo, Shelley R Adler, Ted J Kaptchuk, Rucha Kelkar, Sangeeta Agarawal, Amisha Vadodaria and 2 more

Open access · goldAbstract read
In one paragraph

Article in Global advances in health and medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Implementation and evaluation of an integrated ayurveda-yoga education program for lifestyle modifications among people with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  5. Review
  6. Can integrative oncology increase adherence to chemotherapy in advanced gynecologic cancer?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Anand DhruvaOsher Center for Integrative Medicine, University of California San Francisco, San Francisco, California.ORCID https://orcid.org/0000-0001-5552-7131
Cairn WuOsher Center for Integrative Medicine, University of California San Francisco, San Francisco, California.ORCID https://orcid.org/0000-0002-7635-6973
Christine MiaskowskiSchool of Nursing, Department of Physiologic Nursing, University of California San Francisco, San Francisco, California.
Wendy HartogensisOsher Center for Integrative Medicine, University of California San Francisco, San Francisco, California.
Hope S RugoHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Shelley R AdlerOsher Center for Integrative Medicine, University of California San Francisco, San Francisco, California.
Ted J KaptchukDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California.
Rucha KelkarOsher Center for Integrative Medicine, University of California San Francisco, San Francisco, California.
Sangeeta AgarawalOsher Center for Integrative Medicine, University of California San Francisco, San Francisco, California.
Amisha VadodariaOsher Center for Integrative Medicine, University of California San Francisco, San Francisco, California.
Ellen GarrisOsher Center for Integrative Medicine, University of California San Francisco, San Francisco, California.
Frederick M HechtOsher Center for Integrative Medicine, University of California San Francisco, San Francisco, California.
University of California, San Francisco · USHarvard University · US

Funding

ZIDOVUDINE &LAMIVUDINE &NEVIRAPINE COMBINATION THERAPY IN HIV 1 INFM01RR001271 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KESSLER, DAVID A · 1985 to 2006
$22.7M
UCSF Nutrition Obesity Research CenterP30DK098722 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTIAN VAISSE · 2015 to 2026
$14.6M
Mentoring and Research in Integrative MedicineK24AT007827 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HECHT, FREDERICK M · 2013 to 2022
$1.8M
A Whole Systems Approach to the Study of Ayurveda for Cancer SurvivorshipK23AT005340 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DHRUVA, ANAND · 2009 to 2013
$635k
NCCIH NIH HHS K23 AT005340NCCIH NIH HHS K24 AT007827NCRR NIH HHS M01 RR001271NIDDK NIH HHS P30 DK098722
6 · The paper itself

Abstract

purposeOngoing symptoms and impairments in quality of life (QOL) among breast cancer survivors remain a significant problem. We tested the feasibility and acceptability of a manualized Ayurvedic nutrition and lifestyle intervention for breast cancer survivors.

methodsEligible participants had Stage I-III breast cancer, underwent treatment within the past year that included chemotherapy, and were without active disease. The 4-month individualized Ayurvedic intervention included counseling on nutrition, lifestyle, yoga, and marma (like acupressure) during 8 one-on-one visits with an Ayurvedic practitioner. Feasibility and acceptability were the primary outcomes. QOL (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire [EORTC QLQ C30]) and symptoms-sleep disturbance (General Sleep Disturbance Scale [GSDS]), fatigue (Lee Fatigue Scale [LFS]), depressive symptoms (Center for Epidemiological Studies-Depression Scale [CES-D]), anxiety (Spielberger State-Trait Anxiety Inventory [STAI-S, STAI-T]), and stress (Perceived Stress Scale [PSS])-were measured prior to, at midpoint, and at the end of the 4-month intervention. Effect sizes (Cohen's

resultsParticipants (

conclusionThis 4-month Ayurvedic whole-systems multimodal nutrition and lifestyle intervention was feasible and acceptable for breast cancer survivors. Promise of clinical benefit was seen in terms of improvements in symptoms and QOL that warrants further investigation.

Indexed as

Ayurvedic Medicinebreast cancercancer survivorshipcomplementary therapiesintegrative medicinenutritional therapyyoga

Identifiers

PMID33312762
PMCPMC7716077
OpenAlexW3109679369

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.