Trends in integrative medicine and health consults: differences between cancer survivors and patients without cancer
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ORIGINAL ARTICLE
Trends in integrative medicine and health consults: differences between cancer survivors and patients without cancer Noël M. Arring 1,2 Lillian M. Nail 6
&
Denise Millstine 3 & Debra L. Barton 1 & Karen S. Lyons 4 & Marlene Girardo 5 & Amy Hutson 2 &
Received: 25 June 2020 / Accepted: 6 October 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objectives The objectives were to compare patients with and without cancer who sought an integrative health (IH) consult and reasons for seeking a consult. Design Descriptive cross-sectional study that employed a secondary analysis of an integrative health database supplemented by a retrospective medical record review. Setting/location Integrative Medicine and Health program in a Southwestern United States academic medical center. Subjects Eight hundred thirty-nine adults over the age of 18 seeking IH consultation. Results The number of complementary therapies reported prior to consult were not significantly different between groups. The most reported complementary therapies used by cancer survivors were multivitamins, exercise, and turmeric. Patients without cancer reported significantly higher pain levels than cancer survivors. Cancer survivors reported significantly higher energy, sleep levels, overall health, spiritual wellbeing, and significantly better relationships compared to patients without cancer. Cancer survivors reported fatigue and cancer as the top reasons for IH consult. Conclusion Participants without cancer reported higher levels of pain and lower levels of energy, sleep, overall health, spiritual wellbeing, and relationships compared to cancer survivors. However, cancer survivors still reported levels of unmanaged symptoms. Complementary therapy use prior to IMH consult was similar between groups; however, IMH providers recommended more treatments for patients without cancer. Our results highlight that more evidence is needed to guide IMH recommendations, especially for cancer survivors who may still be in treatment. Additionally, our results support evidence-based recommendations that all cancer survivors should be assessed for complementary therapy use and provided counseling by qualified providers on their advantages and limitations. Keywords Integrative health . Complementary and alternative medicine . Symptoms . Physician referrals . Cancer
* Noël M. Arring [email protected] Denise Millstine [email protected] Debra L. Barton [email protected] Karen S. Lyons [email protected]
1
School of Nursing, University of Michigan, 400 North Ingalls St, RM 4320, Ann Arbor, MI 48108, USA
2
Department of Nursing, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA
3
Division of General Internal Medicine, Division of Women’s Health Internal Medicine, Mayo Clinic, 13737 North 92nd Street, Scottsdale, AZ 85260, USA
4
William F. Connell School of Nursing, Boston College, Maloney Hall, 140 Commonwealth Ave, Chestnut Hill, MA 02467, USA
5
Research Biostatistics Division, Mayo Clinic, 13400 E Shea Bl
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