Evidence map›Paper›PMID 41355265›Full record

ArticleKorean journal of medical education2025

Barriers to communication about complementary and alternative medicine between oncology patients and healthcare professionals in Croatia: a cross-sectional study.

Aleksandar Racz, Vanja Vasiljev, Tomislav Rukavina, Andrea Armano, Aneta Perak, Martina Trncevic, Ana Marija Hošnjak, Ljerka Armano

Abstract read
In one paragraph

Article in Korean journal of medical education, 2025. 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. 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

8 authors.

Aleksandar RaczDepartment for Public Health, University of Applied Health Sciences, Zagreb, Croatia.
Vanja VasiljevFaculty of Medicine, University of Rijeka, Rijeka, Croatia.
Tomislav RukavinaFaculty of Medicine, University of Rijeka, Rijeka, Croatia.
Andrea ArmanoStudent Counseling and Career Center, Aspira University of Applied Sciences, Split, Croatia.
Aneta PerakFaculty of Education, University of Zagreb, Zagreb, Croatia.
Martina TrncevicNursing School Vinogradska, Zagreb, Croatia.
Ana Marija HošnjakDepartment for Public Health, University of Applied Health Sciences, Zagreb, Croatia.
Ljerka ArmanoUHC Sisters of Mercy, Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComplementary and alternative medicine (CAM) is increasingly integrated into oncology care, yet significant communication gaps persist between patients and healthcare professionals concerning its use. This study aimed to identify the barriers that hinder the exchange of information between oncology patients and healthcare professionals.

methodsA cross-sectional study was conducted from November 2022 to May 2023. The sample consisted of 832 respondents, comprising 411 oncology patients and 421 healthcare professionals, including 100 physicians and 321 nurses. Data was collected using a survey questionnaire based on modified CAM Health Belief Questionnaire and Integrative Medicine Attitude Questionnaire instruments. Descriptive and inferential statistics methods were applied, including one-way analysis of variance and Tukey's test to identify differences among groups.

resultsOnly 23.5% of respondents reported discussing or planning to discuss CAM with a healthcare professional. Primary communication barriers included a lack of initiative from healthcare professionals (70.2%), perceived insufficient knowledge about CAM (37%), and patients' fear of adverse effects from medical staff (15.1%). Statistically significant differences in attitudes were identified between patients and healthcare professionals regarding information sources, trust in CAM, and willingness to discuss the topic (p<0.05).

conclusionThe findings underscore the need to improve healthcare professionals' education on alternative medicine and promote open communication with patients. Integrating CAM into medical education and development guidelines for its incorporation into clinical practice could enhance patient awareness and safety.

Indexed as

CommunicationCommunication BarriersComplementary TherapiesHealth PersonnelNeoplasmsAdultAgedAttitude of Health PersonnelCroatiaCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMedical OncologyMiddle AgedAlternative therapiesCommunicationComplementary therapiesHealth personnelPatients

Identifiers

PMID41355265
PMCPMC12683262

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LicenceCC BY-NC
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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.