Evidence map›Paper›PMID 34670415›Full record

ArticleIntegrative cancer therapies

A Model of an Integrative Approach to Breast Cancer Patients.

Cristina Rossi, Claudia Maggiore, Maria Maddalena Rossi, Alessio Filippone, Donatella Guarino, Annalisa Di Micco, Luana Forcina, Stefano Magno

Abstract read
In one paragraph

Article in Integrative cancer therapies. 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
–field-weighted citation impact
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.

  1. Trial
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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

8 authors.

Cristina RossiCenter for Integrative Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.ORCID 0000-0001-5157-6681
Claudia MaggioreCenter for Integrative Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Maria Maddalena RossiCenter for Integrative Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Alessio FilipponeCenter for Integrative Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Donatella GuarinoCenter for Integrative Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Annalisa Di MiccoCenter for Integrative Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Luana ForcinaCenter for Integrative Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Stefano MagnoCenter for Integrative Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer (BC) survivors have physical and psychological needs that require convincing responses by health care providers. The quality of life issue and clinical unmet needs are among the main reasons pushing a number of patients toward "natural" therapies that are often misleading and alternative to mainstream cancer care. Integrative Oncology (IO) tries to respond to many of those needs, by combining lifestyle counseling, body-mind activities, and complementary evidence-informed therapies with anticancer standard treatments.

methodsIn our model at Fondazione Policlinico Gemelli (FPG), every woman diagnosed with a BC waiting for surgery or candidate to neoadjuvant chemotherapy undergoes a preliminary psycho-oncological distress evaluation and a brief lifestyle interview. Anthropometric measurements, body composition analysis, and individual levels of physical activity are recorded. Patients are given evidence based recommendations about the advisable diet and physical activity in a prehabilitation setting. A physician provides patients with information about integrative care plans to treat symptoms related to the disease or its treatments. Therapeutic approaches include acupuncture, mindfulness-based protocols, qigong, massage therapy, and classes of music/art therapy.

resultsBetween September 2018 and February 2020, the Center for Integrative Oncology at FPG has carried out 1249 lifestyle counseling sessions, 1780 acupuncture treatments, 1340 physiotherapy sessions, 3261 psycho-oncological consultations, 218 herbal medicine counseling sessions. Moreover, 90 BC patients completed the mindfulness based stress reduction (MBSR) protocol and 970 patients participated in qigong, art therapy, and music therapy classes.

conclusionsOur integrative approach aims to achieve a person-centered medicine by improving symptoms management, adherence to oncological protocols, and eventually overall quality of life.

Indexed as

Breast NeoplasmsComplementary TherapiesIntegrative OncologyFemaleHumansMedical OncologyQuality of Lifebreast cancerintegrative oncologylifestylespersonalized medicineunmet needs

Identifiers

PMID34670415
PMCPMC8543635

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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.