TY - JOUR
T1 - Open dialogue about complementary and alternative medicine (CAM) integrated in conventional oncology care, characteristics and impact
T2 - A systematic review
AU - Stie, Mette
AU - Jensen, Lars Henrik
AU - Delmar, Charlotte
AU - Nørgaard, Birgitte
PY - 2020/11
Y1 - 2020/11
N2 - Objective: To systematically review evidence on the characteristics, experiences and impact of an open dialogue about complementary and alternative medicine (CAM) integrated in oncology care. Methods: We searched MEDLINE, EMBASE, AMED, Scopus, ProQuest Dissertations and Thesis, Cochrane Central Register, clinicaltrials.gov, forskningsdatabase.dk and PROSPERO. Two reviewers screened title, abstract and full-text articles. Each study was appraised using the Critical Appraisal Skills Programme (CASP) and synthesized narratively. PROSPERO registration CRD42019112242. Results: We retrieved 4736 articles and included 5; 3 received 9 ½, 1 received 9, and 1 received 5 points on the CASP score. Predominately, the open dialogue was one or two individual, patient-centered, face-to-face consultations led by oncology physicians. In one study, it was a tele-phone consultation and in another it was structured counseling led by pharmacists. Integrated information and recommendations about CAM contributed to high level of satisfaction and improvement in concerns, quality of life and well-being. Conclusion: Integration of open dialogue about CAM in oncology care including acknowledging patients’ preferences, values, wishes and knowledge, and providing information about CAM expands the opportunities for improving patients’ health, quality of life and well-being. Practice Implications: Open dialogue about CAM has potentials, but research on how it specifically helps patients, is needed.
AB - Objective: To systematically review evidence on the characteristics, experiences and impact of an open dialogue about complementary and alternative medicine (CAM) integrated in oncology care. Methods: We searched MEDLINE, EMBASE, AMED, Scopus, ProQuest Dissertations and Thesis, Cochrane Central Register, clinicaltrials.gov, forskningsdatabase.dk and PROSPERO. Two reviewers screened title, abstract and full-text articles. Each study was appraised using the Critical Appraisal Skills Programme (CASP) and synthesized narratively. PROSPERO registration CRD42019112242. Results: We retrieved 4736 articles and included 5; 3 received 9 ½, 1 received 9, and 1 received 5 points on the CASP score. Predominately, the open dialogue was one or two individual, patient-centered, face-to-face consultations led by oncology physicians. In one study, it was a tele-phone consultation and in another it was structured counseling led by pharmacists. Integrated information and recommendations about CAM contributed to high level of satisfaction and improvement in concerns, quality of life and well-being. Conclusion: Integration of open dialogue about CAM in oncology care including acknowledging patients’ preferences, values, wishes and knowledge, and providing information about CAM expands the opportunities for improving patients’ health, quality of life and well-being. Practice Implications: Open dialogue about CAM has potentials, but research on how it specifically helps patients, is needed.
KW - Alternative medicine
KW - Cancer communication
KW - Complementary medicine
KW - Dialogue
KW - Integrative
KW - Oncology
KW - Systematic review
U2 - 10.1016/j.pec.2020.06.003
DO - 10.1016/j.pec.2020.06.003
M3 - Journal article
C2 - 32563705
AN - SCOPUS:85086513033
VL - 103
SP - 2224
EP - 2234
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 11
ER -