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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Discrepant views of oncologists and cancer patients on complementary/alternative medicine.
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Discrepant views of oncologists and cancer patients on complementary/alternative medicine.

机译：肿瘤学家和癌症患者对补充/替代医学的观点不一致。

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GOALS: Complementary/ alternative medicine (CAM) is widely used by patients but rarely discussed with oncologists. To understand reasons for the communication gap, this study compares physicians and patients on perceived reasons for CAM use and nondisclosure of use, reactions of physicians to disclosure, and expectations for CAM. PATIENTS AND METHODS: Cross-sectional studies assessed 82 physicians (response 68.3%) and 244 of 374 outpatients (response 65.2%) identified as CAM users at the MD Anderson Cancer Center. Data were summarized by frequency and compared using chi-square tests. MAIN RESULTS: Physicians were more likely (p<0.001) than patients to attribute CAM use to hope (chi2=17.7), control (chi2=17.5), incurable disease (chi2=42.8), or a nontoxic approach (chi2=50.9). Both physicians and patients agreed CAM could relieve symptoms/side effects, but physicians were less likely (p<0.001) than patients to expect that CAM improved immunity (chi2=72.2) or quality of life (chi2=17.1), cured disease (chi2=42.5), or prolonged life (chi2=58.4). Physicians and patients responded differently (p<0.005) on reasons for nondisclosure. Physicians believed patients felt CAM discussions were unimportant (chi2=7.9) and physicians would not understand (chi2 =48.1), discontinue treatment (chi2=26.4), discourage or disapprove of the use (chi2=131.7); patients attributed nondisclosure to their uncertainty of its benefit (chi2=10.4) and never being asked about CAM (chi2=9.9) by physicians. Physicians were more likely (chi2=9.5, p<0.002) to warn of risks and less likely (chi2=23.5, p<0.001) to encourage use than patients perceived. CONCLUSION: Oncologists and cancer patients hold discrepant views on CAM that may contribute to a communication gap. Nevertheless, physicians should ask patients about CAM use, discuss possible benefits, and advise of potential risks.
机译：目标：辅助/替代医学（CAM）在患者中广泛使用，但很少与肿瘤科医生讨论。为了了解沟通鸿沟的原因，本研究比较了医生和患者在使用CAM和未披露使用的感知原因，医生对披露的反应以及对CAM的期望方面。患者与方法：横断面研究评估了MD安德森癌症中心（CAM Anderson Cancer Center）的CAM用户，其中82位医生（占68.3％）和374位门诊患者中的244位（占65.2％）。通过频率汇总数据，并使用卡方检验进行比较。主要结果：与患者相比，医师将CAM使用归因于希望（chi2 = 17.7），对照（chi2 = 17.5），不治之症（chi2 = 42.8）或无毒方法（chi2 = 50.9）的可能性更高（p <0.001） 。医师和患者都同意CAM可以缓解症状/副作用，但是与患者相比，他们认为CAM可以提高免疫力（chi2 = 72.2）或生活质量（chi2 = 17.1），治愈疾病（chi2）的可能性比患者低（p <0.001）。 = 42.5）或寿命延长（chi2 = 58.4）。内科医生和患者对未披露原因的反应不同（p <0.005）。医生认为患者对CAM的讨论不重要（chi2 = 7.9），医生不理解（chi2 = 48.1），中断治疗（chi2 = 26.4），不赞成或不赞成使用（chi2 = 131.7）;患者将不公开归因于其获益的不确定性（chi2 = 10.4），而医生从未询问过CAM（chi2 = 9.9）。与被感知的患者相比，内科医生更有可能（chi2 = 9.5，p <0.002）警告风险，而不太可能（chi2 = 23.5，p <0.001）鼓励使用。结论：肿瘤学家和癌症患者对CAM持不同意见，这可能会导致沟通鸿沟。但是，医生应询问患者有关CAM的使用，讨论可能的益处，并建议潜在的风险。

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