Complementary and alternative medicine use in glioma patients in France

Purpose Complementary and alternative medicine (CAM) use increases in cancer patients, including adult patients with diffuse gliomas. Methods Questionnaires addressing CAM use were distributed to adult patients with gliomas of WHO grades II-IV and ECOG performance score of 0–2 during hospital visits...

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Veröffentlicht in:Journal of neuro-oncology 2019-12, Vol.145 (3), p.487-499
Hauptverfasser: Le Rhun, Emilie, Devos, Patrick, Bourg, Véronique, Darlix, Amélie, Lorgis, Véronique, Ahle, Guido, Boone, Mathieu, Taillandier, Luc, Curtit, Elsa, Gras, Louis, Lebrun Frenay, Christine, Gramatzki, Dorothee, Ramirez, Carole, Simon, Nicolas, Weller, Michael
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container_end_page 499
container_issue 3
container_start_page 487
container_title Journal of neuro-oncology
container_volume 145
creator Le Rhun, Emilie
Devos, Patrick
Bourg, Véronique
Darlix, Amélie
Lorgis, Véronique
Ahle, Guido
Boone, Mathieu
Taillandier, Luc
Curtit, Elsa
Gras, Louis
Lebrun Frenay, Christine
Gramatzki, Dorothee
Ramirez, Carole
Simon, Nicolas
Weller, Michael
description Purpose Complementary and alternative medicine (CAM) use increases in cancer patients, including adult patients with diffuse gliomas. Methods Questionnaires addressing CAM use were distributed to adult patients with gliomas of WHO grades II-IV and ECOG performance score of 0–2 during hospital visits and filled in anonymously. The study was conducted in nine centers in France from May 2017 to May 2018. Descriptive cohort analyses and comparative analyses according to gender, age, WHO grade, and recurrent versus newly diagnosed disease were conducted. Results Two hundred twenty-seven questionnaires were collected; 135 patients (59%) were male. Median age was 48 years, 105 patients (46%) declared having glioblastoma, 99 patients (43%) declared having recurrent disease. Hundred-three patients (45%) had modified their alimentary habits after the glioma diagnosis. At the time of the questionnaire, 100 patients (44%) were on complementary treatment, mainly vitamins and food supplements, and 73 patients (32%) used alternative medicine approaches, mainly magnetism and acupuncture. In total, 154 patients (68%) declared using at least one of these approaches. Expenditures exceeding 100 € per month were reported by users in 14% for modification of alimentary habits, in 25% for complementary treatment, and in 18% for alternative medicines. All approaches were commonly considered as improving quality of life and experienced as efficient, notably those associated with more expenditures. Conclusions CAM are frequently used by glioma patients in France. Underlying needs and expectations, as well as potential interactions with tumor-specific treatments, and financial and quality of life burden, should be discussed with patients and caregivers.
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Methods Questionnaires addressing CAM use were distributed to adult patients with gliomas of WHO grades II-IV and ECOG performance score of 0–2 during hospital visits and filled in anonymously. The study was conducted in nine centers in France from May 2017 to May 2018. Descriptive cohort analyses and comparative analyses according to gender, age, WHO grade, and recurrent versus newly diagnosed disease were conducted. Results Two hundred twenty-seven questionnaires were collected; 135 patients (59%) were male. Median age was 48 years, 105 patients (46%) declared having glioblastoma, 99 patients (43%) declared having recurrent disease. Hundred-three patients (45%) had modified their alimentary habits after the glioma diagnosis. At the time of the questionnaire, 100 patients (44%) were on complementary treatment, mainly vitamins and food supplements, and 73 patients (32%) used alternative medicine approaches, mainly magnetism and acupuncture. In total, 154 patients (68%) declared using at least one of these approaches. Expenditures exceeding 100 € per month were reported by users in 14% for modification of alimentary habits, in 25% for complementary treatment, and in 18% for alternative medicines. All approaches were commonly considered as improving quality of life and experienced as efficient, notably those associated with more expenditures. Conclusions CAM are frequently used by glioma patients in France. Underlying needs and expectations, as well as potential interactions with tumor-specific treatments, and financial and quality of life burden, should be discussed with patients and caregivers.</description><identifier>ISSN: 0167-594X</identifier><identifier>EISSN: 1573-7373</identifier><identifier>DOI: 10.1007/s11060-019-03315-8</identifier><identifier>PMID: 31637628</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acupuncture ; Adult ; Alternative medicine ; Automatic ; Brain Neoplasms - therapy ; Cancer ; Clinical Study ; Complementary Therapies - economics ; Complementary Therapies - methods ; Complementary Therapies - statistics &amp; numerical data ; Dietary supplements ; Engineering Sciences ; Expenditures ; Female ; France ; Glioblastoma ; Glioma ; Glioma - therapy ; Humans ; Life Sciences ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neurology ; Oncology ; Patients ; Quality of life ; Questionnaires ; Surveys and Questionnaires ; Vitamins</subject><ispartof>Journal of neuro-oncology, 2019-12, Vol.145 (3), p.487-499</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Journal of Neuro-Oncology is a copyright of Springer, (2019). All Rights Reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-f9ff28ce83c44a222cf2a9e20e2ef2b5df5c10aa65c1f18dab34b4c5883bf4403</citedby><cites>FETCH-LOGICAL-c453t-f9ff28ce83c44a222cf2a9e20e2ef2b5df5c10aa65c1f18dab34b4c5883bf4403</cites><orcidid>0000-0002-9408-3278 ; 0000-0002-9422-793X ; 0000-0001-5257-440X ; 0009-0006-7248-7753 ; 0000-0002-1748-174X ; 0000-0003-1384-1709</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11060-019-03315-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11060-019-03315-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31637628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03033555$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Le Rhun, Emilie</creatorcontrib><creatorcontrib>Devos, Patrick</creatorcontrib><creatorcontrib>Bourg, Véronique</creatorcontrib><creatorcontrib>Darlix, Amélie</creatorcontrib><creatorcontrib>Lorgis, Véronique</creatorcontrib><creatorcontrib>Ahle, Guido</creatorcontrib><creatorcontrib>Boone, Mathieu</creatorcontrib><creatorcontrib>Taillandier, Luc</creatorcontrib><creatorcontrib>Curtit, Elsa</creatorcontrib><creatorcontrib>Gras, Louis</creatorcontrib><creatorcontrib>Lebrun Frenay, Christine</creatorcontrib><creatorcontrib>Gramatzki, Dorothee</creatorcontrib><creatorcontrib>Ramirez, Carole</creatorcontrib><creatorcontrib>Simon, Nicolas</creatorcontrib><creatorcontrib>Weller, Michael</creatorcontrib><title>Complementary and alternative medicine use in glioma patients in France</title><title>Journal of neuro-oncology</title><addtitle>J Neurooncol</addtitle><addtitle>J Neurooncol</addtitle><description>Purpose Complementary and alternative medicine (CAM) use increases in cancer patients, including adult patients with diffuse gliomas. Methods Questionnaires addressing CAM use were distributed to adult patients with gliomas of WHO grades II-IV and ECOG performance score of 0–2 during hospital visits and filled in anonymously. The study was conducted in nine centers in France from May 2017 to May 2018. Descriptive cohort analyses and comparative analyses according to gender, age, WHO grade, and recurrent versus newly diagnosed disease were conducted. Results Two hundred twenty-seven questionnaires were collected; 135 patients (59%) were male. Median age was 48 years, 105 patients (46%) declared having glioblastoma, 99 patients (43%) declared having recurrent disease. Hundred-three patients (45%) had modified their alimentary habits after the glioma diagnosis. At the time of the questionnaire, 100 patients (44%) were on complementary treatment, mainly vitamins and food supplements, and 73 patients (32%) used alternative medicine approaches, mainly magnetism and acupuncture. In total, 154 patients (68%) declared using at least one of these approaches. Expenditures exceeding 100 € per month were reported by users in 14% for modification of alimentary habits, in 25% for complementary treatment, and in 18% for alternative medicines. All approaches were commonly considered as improving quality of life and experienced as efficient, notably those associated with more expenditures. Conclusions CAM are frequently used by glioma patients in France. 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Methods Questionnaires addressing CAM use were distributed to adult patients with gliomas of WHO grades II-IV and ECOG performance score of 0–2 during hospital visits and filled in anonymously. The study was conducted in nine centers in France from May 2017 to May 2018. Descriptive cohort analyses and comparative analyses according to gender, age, WHO grade, and recurrent versus newly diagnosed disease were conducted. Results Two hundred twenty-seven questionnaires were collected; 135 patients (59%) were male. Median age was 48 years, 105 patients (46%) declared having glioblastoma, 99 patients (43%) declared having recurrent disease. Hundred-three patients (45%) had modified their alimentary habits after the glioma diagnosis. At the time of the questionnaire, 100 patients (44%) were on complementary treatment, mainly vitamins and food supplements, and 73 patients (32%) used alternative medicine approaches, mainly magnetism and acupuncture. In total, 154 patients (68%) declared using at least one of these approaches. Expenditures exceeding 100 € per month were reported by users in 14% for modification of alimentary habits, in 25% for complementary treatment, and in 18% for alternative medicines. All approaches were commonly considered as improving quality of life and experienced as efficient, notably those associated with more expenditures. Conclusions CAM are frequently used by glioma patients in France. Underlying needs and expectations, as well as potential interactions with tumor-specific treatments, and financial and quality of life burden, should be discussed with patients and caregivers.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31637628</pmid><doi>10.1007/s11060-019-03315-8</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-9408-3278</orcidid><orcidid>https://orcid.org/0000-0002-9422-793X</orcidid><orcidid>https://orcid.org/0000-0001-5257-440X</orcidid><orcidid>https://orcid.org/0009-0006-7248-7753</orcidid><orcidid>https://orcid.org/0000-0002-1748-174X</orcidid><orcidid>https://orcid.org/0000-0003-1384-1709</orcidid><oa>free_for_read</oa></addata></record>
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subjects Acupuncture
Adult
Alternative medicine
Automatic
Brain Neoplasms - therapy
Cancer
Clinical Study
Complementary Therapies - economics
Complementary Therapies - methods
Complementary Therapies - statistics & numerical data
Dietary supplements
Engineering Sciences
Expenditures
Female
France
Glioblastoma
Glioma
Glioma - therapy
Humans
Life Sciences
Male
Medicine
Medicine & Public Health
Middle Aged
Neurology
Oncology
Patients
Quality of life
Questionnaires
Surveys and Questionnaires
Vitamins
title Complementary and alternative medicine use in glioma patients in France
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