Medicine and Alternative Therapies J. Rebecca Liu, M.D. University - - PowerPoint PPT Presentation

Complementary Medicine and Alternative Therapies

• J. Rebecca Liu, M.D.

University of Michigan

VERBAL DISCLOSURE

• Nothing to disclose

Overview

• CAM and cancer
• Diet
• Acupuncture
• Stress/Meditation
• Patient perspective

Interest in complementary and alternative medicine is growing

• Office of Alternative Medicine

– FY 1992: $2.0 million – FY 1998: $19.5 million

• National Center for Complementary and

Integrative Health (formerly National Center for Complementary and Alternative Medicine)

– FY 1999: $50.0 million – FY 2015: $124.1 million

National Center for Complementary and Integrative Health

Office of Cancer Complementary and Alternative Medicine (OCCAM)—within NCI

• Established 1998
• FY 1998 $28 million
• FY 2010 $105 million

Office of Cancer Complementary and Alternative Medicine (OCCAM) Research Sponsored by NCI (Extramural)

Treatment

• Shark Cartilage Extract Does Not Improve Lung

Cancer Survival

• UCLA: Low-fat, Fish Oil Diet Slows Growth of

Prostate Cancer Cells

• Jefferson University-led Team Studies High Dose

Vitamin C for Advanced Pancreatic Cancer

Office of Cancer Complementary and Alternative Medicine (OCCAM) Research Sponsored by NCI (Extramural)

• Supportive Care

– Ginger Helps Reduce Nausea From Chemotherapy – New research suggests yoga may help with fatigue-related symptoms in breast cancer survivors – Acupuncture Reduces Joint Pain in Some Women With Breast Cancer

Office of Cancer Complementary and Alternative Medicine (OCCAM) Research Sponsored by NCI (Extramural

Prevention

• Low-Fat Diet May Reduce Risk of Breast Cancer

Relapse

• Vitamin E Supplements Ties to Increased Risk of

Prostate Cancer

• Harvard Study Finds Coffee Consumption

Associated With Decreased Risk for Basal Cell Carcinoma

• Natural Compounds Studied for Prevention of

Colon Cancer

CAM use among GYO patients

• January 2003 - January 2014
• 2508 women, response rate 21%
• Demographics: white (93.5%), age > 50 years (76%)
• 87% of participants used at least 1 CAM therapy during

the previous 12 months.

• biologically based approaches (83.5%)
• mind and body interventions (30.6%),
• body-based therapies (18.8%)
• individual CAM therapies: vitamins and minerals (78%),

herbal supplements (27.9%), spiritual healing and prayer (15.1%), and deep breathing relaxation exercises (13.1%).

Int J Gynecol Cancer. 2015 Nov;25(9):1724-30.

CAM use among cancer patients

• 17,639 patients
• 87% of participants acknowledged CAM therapy use

within the previous 12 months

• Most common CAM modalities
• biologically based approaches [83.67%]
• mind-body interventions [26.45%]
• manipulative and body-based therapies [22.56%]
• alternative medical systems [2.69%]
• energy therapies [1.7%]
• CAM use was more prevalent among women, non-Hispanics,

Caucasians, patients 60 to 69 years of age, and those who are married, have a higher level of education, and are employed (P < .005).

Integr Cancer Ther. 2016 Jul 21

CAM use among cancer patients

• CAM use: demographics
• more prevalent among women
• non-Hispanics, Caucasians,
• Aged 60 to 69 years of age
• Married
• higher level of education
• employed

Integr Cancer Ther. 2016 Jul 21

Attit itudes towards CAM: : GYO care providers

• Survey: Society of Gynecologic Oncologists and the

Michigan Oncology Group.

• Response rates: 58% SGO, 34.8% MOG
• Positive attitude towards CAM
• Female physicians
• Gynecologic oncologists as compared to medical
• ncologists
• Neither ethnicity nor age was a significant predictor of

attitude toward CAM.

Int J Gynaecol Obstet. 2008 Nov;103(2):111-5.

Attit itudes towards CAM: : GYO care providers

• CAM modalities that were most often rated as

highly or moderately effective by all physicians

• massage (59.3%) and acupuncture (57.4%)
• CAM modalities most frequently rated as harmful
• special diets
• herbal remedies
• chiropractic medicine
• homeopathy
• nutritional supplements

Int J Gynaecol Obstet. 2008 Nov;103(2):111-5.