Evidence map›Paper›PMID 36653538›Full record

ArticleJournal of cancer research and clinical oncology2023

Lay etiology concepts of cancer patients do not correlate with their usage of complementary and/or alternative medicine.

J Huebner, R Muecke, O Micke, F-J Prott, L Josfeld, J Büntzel, J Büntzel, Working Group Prevention, Integrative Oncology of the German Cancer Society

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

J HuebnerKlinik Für Innere Medizin II, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Germany. jutta.huebner@med.uni-jena.de.
R MueckeStrahlentherapie RheinMain, Rüsselsheim, Germany.
O MickeKlinik für Strahlentherapie und Radioonkologie, Franziskus Hospital, Bielefeld, Germany.
F-J ProttRNS Praxisgemeinschaft, Radiologie und Strahlentherapie, Wiesbaden, Germany.
L JosfeldKlinik Für Innere Medizin II, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Germany.
J BüntzelKlinik für HNO-Erkrankungen, Kopf-Hals-ChirurgieInterdisziplinäre Palliativstation, Südharz Klinikum Nordhausen, Nordhausen, Germany.
J BüntzelKlinik für Hämatologie und Onkologie, Universitätsklinikum Göttingen, Göttingen, Germany.
Working Group Prevention, Integrative Oncology of the German Cancer Society

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe usage of complementary and alternative medicine (CAM) is widespread among cancer patients. While reasons for and aims of using CAM have been evaluated in many studies, less is known about whether patients' concepts of how and why cancer develops has an influence on the choice of the CAM method.

methodsWe pooled the data from all studies of our working group containing questions on lay etiological concepts and CAM usage and reanalyzed them with respect to the associations between these parameters.

resultsThe pooled dataset from 12 studies included 4792 patients. A third (1645 patients) reported using CAM. Most often used were supplements (55.9%), relaxation techniques (43.6%), and homeopathy (37.9%). Regarding perceived causes, patients most often marked stress (35.4%) followed by genes (31.9%). While all lay etiological beliefs were highly significantly associated with usage of CAM in general, there was no association between single lay etiological concepts and types of CAM used. Yet, in a network analysis, we found two associations: one comprising trauma, mistletoe, genes, and nutritional supplements, the other yoga, vitamin C, nutritional supplements, and TCM herbs. In the correlation heatmap, one cluster comprises etiological concepts of personality, immune system and trauma, and two clusters of CAM methods emerged: one comprising praying, yoga, meditation, and relaxation procedures, the other nutritional supplements, selenium, vitamins A and C.

conclusionWhile physicians are trained to derive treatment strategies from etiological concepts, lay people choosing CAM do not follow these rules, which may point to other needs of patients addressed by CAM.

Indexed as

Complementary TherapiesNeoplasmsPhysiciansDietary SupplementsHumansMind-Body TherapiesSurveys and QuestionnairesVitaminsVitaminsAlternative medicineCancer patientsCarcinogenesisComplementary medicineLay etiologyNeoplasm

Identifiers

PMID36653538
PMCPMC10356643

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Registered trials

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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.