Complementary and alternative therapy use before and after breast cancer diagnosis: the Pathways Study
- 31 January 2009
- journal article
- research article
- Published by Springer Science and Business Media LLC in Breast Cancer Research and Treatment
- Vol. 117 (3), 653-665
- https://doi.org/10.1007/s10549-009-0315-3
Abstract
Many women use complementary and alternative medicine (CAM) to maintain or improve their health. We describe CAM use among the first 1,000 participants enrolled in the Pathways Study, an ongoing prospective cohort study of women diagnosed with breast cancer (BC). Participants, identified by rapid case ascertainment in Kaiser Permanente Northern California, are women ≥ 21 years diagnosed with first invasive BC. Comprehensive baseline data are collected on CAM use through in-person interviews. Study participants include 70.9% non-Hispanic whites, 10.2% Hispanics, 9.0% Asians, 6.5% African–Americans, and 3.4% others. Most women (82.2%) were diagnosed with AJCC stage I/II BC at average (±SD) age 59.5 (±12.0) years and reported prior use of at least one form of CAM (96.5% of participants). In the 5 years before diagnosis, CAM therapies used at least weekly by >20% of women included green tea, glucosamine, omega-3 fatty acids, prayer and religion. CAM use was high (86.1% of participants) in the period immediately following diagnosis; 47.5% used botanical supplements, 47.2% used other natural products, 28.8% used special diets, 64.2% used mind-body healing, and 26.5% used body/energy/other treatments. In multivariable analyses, frequent use of each CAM modality before and after diagnosis was associated with use of other CAM modalities and other health behaviors (i.e., high fruit/vegetable intake, lower BMI). CAM use before and after BC diagnosis is common in this diverse group of women. Our results emphasize the need for clinicians to discuss CAM use with all BC patients.Keywords
This publication has 14 references indexed in Scilit:
- A population‐based study of prevalence of complementary methods use by cancer survivorsCancer, 2008
- Should Supplemental Antioxidant Administration Be Avoided During Chemotherapy and Radiation Therapy?JNCI Journal of the National Cancer Institute, 2008
- The Pathways Study: a prospective study of breast cancer survivorship within Kaiser Permanente Northern CaliforniaCancer Causes & Control, 2008
- Lesson From Comparison of CAM Use by Women With Female-Specific Cancers to Others: It's Time to Focus on Interaction Risks With CAM TherapiesIntegrative Cancer Therapies, 2007
- Addressing the Soy and Breast Cancer Relationship: Review, Commentary, and Workshop ProceedingsJNCI Journal of the National Cancer Institute, 2006
- Correlates of use of different types of complementary and alternative medicine by breast cancer survivors in the nurses’ health studyBreast Cancer Research and Treatment, 2006
- Complementary and alternative medicine use among adults: United States, 2002Seminars in Integrative Medicine, 2004
- Complementary and alternative medicine use among adults: United States, 2002.2004
- Ethnic Differences in Use of Complementary and Alternative Medicine at Midlife: Longitudinal Results From SWAN ParticipantsAmerican Journal of Public Health, 2002
- The Long Island Breast Cancer Study Project: Description of a Multi-Institutional Collaboration to Identify Environmental Risk Factors for Breast CancerBreast Cancer Research and Treatment, 2002