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CAM and CancerA survey that assessed both the prevalence and predictors of CAM use in a comprehensive cancer center population where all were using conventional therapies found that 63 percent had used at least one CAM approach other than a spiritual practice. Women with cancer were more likely to use CAM than men with cancer, and those patients who had surgery, chemotherapy, or both were more likely to use CAM than cancer patients who had neither. Another survey of almost 2,000 tumor registry patients selected at random found that 75 percent had used at least one CAM modality. The most frequently used therapies among this group of cancer patients were nutritional approaches (63 percent), massage (53 percent), and herbs (44 percent). The most common reason patients gave for using CAM was to "stimulate an immune response" (73 percent). Breast cancer patients were significantly more likely to be consistent users of CAM therapies compared to patients with tumors in other areas of the body (84 percent versus 66 percent, respectively). The majority of cancer patients (63 percent) enrolled in clinical trials at the National Institutes of Health used at least one CAM therapy, with an average use of two therapies per person. This same study found that the most frequently utilized therapies were spiritual approaches, relaxation, imagery, exercise, lifestyle, diet (e.g., macrobiotic, vegetarian), and nutritional supplementation therapies. Patients unanimously believed that these CAM treatments helped to improve their quality of life by helping them cope more effectively with stress, decreasing their discomforts related to treatment and the illness itself, and giving them a better sense of control. A similar pattern of CAM usage has been found among men with prostate cancer, with 42 percent of those surveyed using vitamins, prayer or religious practices, and herbs to treat their condition. Most of the men in this survey did not report their use of CAM to their physicians. Most of these surveys included prayer and spirituality under CAM. Many people that attend churches, synagogues, or mosques or other religious entities do not believe that this is essential information for their physician and would not feel compelled to share this information with their physician. On the other hand, the use of botanicals and other dietary supplements during cancer treatment would be a concern if the physician were unaware that their patient was using these products. |