Evidence map›Paper›PMID 40290037›Full record

Observational studyNutrients2025

Multidisciplinary Integrative Medicine Approach for Cancer Patients: A Multicenter Retrospective Study.

Massimiliano Berretta, Vincenzo Quagliariello, Alessandro Ottaiano, Mariachiara Santorsola, Raffaele Di Francia, Patrizia Carroccio, Nicola Maurea, Oreste Claudio Buonomo, Gaetano Facchini, Giordana Di Mauro and 10 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

20 authors.

Massimiliano BerrettaDepartment of Clinical and Experimental Medicine, University of Messina, 98125 Messina, Italy.ORCID 0000-0002-9837-9148
Vincenzo QuagliarielloDivision of Cardiology, Istituto Nazionale Tumori, Fondazione "G. Pascale", 80131 Naples, Italy.
Alessandro OttaianoSSD-Innovative Therapies for Abdominal Metastases, IRCCS "G. Pascale", Istituto Nazionale Tumori di Napoli, Via M. Semmola, 80131 Naples, Italy.ORCID 0000-0002-2901-3855
Mariachiara SantorsolaSSD-Innovative Therapies for Abdominal Metastases, IRCCS "G. Pascale", Istituto Nazionale Tumori di Napoli, Via M. Semmola, 80131 Naples, Italy.
Raffaele Di FranciaGruppo Oncologico Ricercatori Italiani (GORI-Onlus), 33170 Pordenone, Italy.ORCID 0000-0002-8910-1857
Patrizia CarroccioSchool of Specialization in Medical Oncology, Department of Human Pathology "G. Barresi", University of Messina, 98125 Messina, Italy.ORCID 0009-0008-0529-0816
Nicola MaureaDivision of Cardiology, Istituto Nazionale Tumori, Fondazione "G. Pascale", 80131 Naples, Italy.ORCID 0000-0003-3704-0092
Oreste Claudio BuonomoBreast Unit, Department of Surgical Science, PTV Policlinico Tor Vergata University, 00133 Rome, Italy.
Gaetano FacchiniDivision of Medical Oncology, "Santa Maria delle Grazie" Hospital, ASL Napoli 2 Nord, 80078 Pozzuoli, Italy.
Giordana Di MauroSchool of Specialization in Medical Oncology, Department of Human Pathology "G. Barresi", University of Messina, 98125 Messina, Italy.
Monica MontopoliIntegrative Medicine Research Group (IMRG), Noceto, 43015 Parma, Italy.ORCID 0000-0001-6182-4132
Enrica ToscanoSchool of Specialization in Medical Oncology, Department of Human Pathology "G. Barresi", University of Messina, 98125 Messina, Italy.ORCID 0009-0003-2362-764X
Claudia GelsominoSchool of Specialization in Medical Oncology, Department of Human Pathology "G. Barresi", University of Messina, 98125 Messina, Italy.
Antonio PiconeDivision of Medical Oncology, Policlinico "G. Martino" Hospital, University of Messina, 98125 Messina, Italy.
Tindara FranchinaDivision of Medical Oncology, Policlinico "G. Martino" Hospital, University of Messina, 98125 Messina, Italy.
Paola MuscolinoSchool of Specialization in Medical Oncology, Department of Human Pathology "G. Barresi", University of Messina, 98125 Messina, Italy.
Alessia BignucoloDepartment of Clinical and Experimental Medicine, University of Messina, 98125 Messina, Italy.ORCID 0000-0003-4379-291X
Gianluca VanniBreast Unit, Department of Surgical Science, PTV Policlinico Tor Vergata University, 00133 Rome, Italy.ORCID 0000-0002-3006-5855
Giuliana CiappinaDivision of Medical Oncology, Policlinico "G. Martino" Hospital, University of Messina, 98125 Messina, Italy.
Liliana MontellaDivision of Medical Oncology, "Santa Maria delle Grazie" Hospital, ASL Napoli 2 Nord, 80078 Pozzuoli, Italy.ORCID 0000-0002-6397-086X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of complementary integrative medicine (CIM) by cancer patients is currently very common. The main reasons why patients turn to CIM are to improve quality of life (QoL) and support the immune system. Unfortunately, many patients rely on CIM self-prescription, neglecting the risk of interactions with anticancer treatments (ACTs). The primary objective is to demonstrate the feasibility of combining CIM and ACT in a multidisciplinary approach to improve the QoL of cancer patients and to reduce ACT's adverse events.

methodsCancer patients were treated with CIM by expert physicians. CIM mainly consisted of vitamins C and D, the medicinal mushrooms blend U-CARE, and probiotics administered alone or in combination. The patients were followed-up by physicians and data were recorded in a detailed shared file.

resultsA total of 54 cancer patients were treated with an integrative approach, especially during ACTs. The combination showed a good safety profile. No adverse events occurred in 92.6% of patients, whereas only 7.4% of patients experienced gastrointestinal or liver toxicity from the CIM approach. The main benefit of the CIM approach was improved fatigue and QoL, and this was mainly achieved by the concomitant use of polytherapy-based complementary medicine (PCM) and U-CARE. The toxicity improvement was mainly associated with the use of solely U-CARE.

conclusionsThese results highlight the feasibility of the CIM approach in cancer patients addressed by a multidisciplinary team of experts in the field. The patient-centered and evidence-based approach of CIM is an example of the comprehensive and coordinated strategy pursued by the EU in its programmatic document against cancer aiming to focus on the QoL of patients and to avoid potentially harmful CIM self-prescription.

Indexed as

Complementary TherapiesIntegrative MedicineNeoplasmsAdultAgedAntineoplastic AgentsAscorbic AcidFeasibility StudiesFemaleHumansMaleMiddle AgedProbioticsQuality of LifeRetrospective StudiesAntineoplastic AgentsAscorbic Acidcancer patientscancer-related fatiguecomplementary integrative medicinemultidisciplinary approachesquality of lifesurvival

Identifiers

PMID40290037
PMCPMC11945461

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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.