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首页> 外文期刊>Patient Preference and Adherence >Use of complementary and alternative medicine before and after organ removal due to urologic cancer
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Use of complementary and alternative medicine before and after organ removal due to urologic cancer

机译：由于泌尿系统癌症而在器官切除之前和之后使用补充和替代药物

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Objective: Many patients use complementary and alternative medicine (CAM) as primary treatment or symptom relief for a variety of illnesses. This study was designed to investigate the influence of surgical removal of a tumor-bearing urogenital organ on CAM use.Methods: From 2007 to 2011, 350 patients underwent major urological surgery for kidney, prostate, or bladder cancer at the Goethe-University Hospital, Frankfurt, Germany. Data from 172 patients (49%), who returned a questionnaire, were retrospectively evaluated using the hospital information system along with the questionnaire to objectify CAM use 2 years before and after surgery.Results: From the 172 patients returning questionnaires, 56 (33%) used CAM before and/or after surgery and 116 (67%) never used CAM. Of the 56 CAM users, 30 (54%) used CAM presurgery and 53 (95%) used CAM postsurgery, indicating a significant change of mind about CAM use. Patients of German nationality used CAM significantly more than patients of other nationalities. Higher educational status (high-school diploma or higher) was a significant factor in favor of CAM use. The most common type of CAM used before/after surgery was an alternative medical system (63/49%), a manipulative and body-based method (50/19%), and a biological-based therapy (37/32%). Information about CAM, either provided by medical professionals or by other sources, was the main reason determining whether patients used CAM or not.Conclusion: The number of patients using CAM almost doubled after surgical removal of a cancer-bearing organ. Better awareness and understanding of CAM use by medical professionals could improve patient counseling.
机译：目的：许多患者使用辅助和替代药物（CAM）作为多种疾病的主要治疗或症状缓解。这项研究旨在调查外科切除携带肿瘤的泌尿生殖器官对CAM使用的影响。方法：从2007年到2011年，歌德大学医院对350名接受了肾脏，前列腺癌或膀胱癌的重大泌尿外科手术的患者进行了研究，德国法兰克福。使用医院信息系统以及问卷调查表回顾性评估了172例返回问卷的患者（49％）的数据，以明确手术前后2年的CAM使用情况。结果：在172例返回问卷的患者中，有56例（33％） ）在手术之前和/或之后使用过CAM，而116例（67％）从未使用过CAM。在56位CAM用户中，有30位（54％）使用了CAM术前手术，有53位（95％）使用了CAM后术，这表明对CAM使用的看法发生了重大变化。德国国籍的患者使用CAM的比例明显高于其他国籍的患者。较高的学历（高中文凭或更高学历）是支持使用CAM的重要因素。术前/术后最常用的CAM类型为替代医疗系统（63/49％），基于身体的手法（50/19％）和基于生物的疗法（37/32％）。由医学专业人士或其他来源提供的有关CAM的信息是确定患者是否使用CAM的主要原因。结论：在手术切除含癌器官后，使用CAM的患者人数几乎增加了一倍。医疗专业人员对CAM使用的认识和了解可以改善患者咨询。

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