Complementary and Integrative Medicine to Reduce Adverse Effects of Anticancer Therapy
Background: To address the side effects of anticancer treatments, the Clinic for Complementary Medicine and Diet in Oncology was opened, in collaboration with the oncology department, at the Hospital of Lucca (Italy) in 2013. Aim: To present the results of complementary medicine treatment targeted t...
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| Veröffentlicht in: | The Journal of Alternative and Complementary Medicine 2018-09, Vol.24 (9-10), p.933-941 |
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| container_issue | 9-10 |
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| container_title | The Journal of Alternative and Complementary Medicine |
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| creator | Rossi, Elio Noberasco, Cristina Picchi, Marco Stefano, Mariella Di Rossi, Antonella Nurra, Linda Ventura, Leonardo |
| description | Background:
To address the side effects of anticancer treatments, the Clinic for Complementary Medicine and Diet in Oncology was opened, in collaboration with the oncology department, at the Hospital of Lucca (Italy) in 2013.
Aim:
To present the results of complementary medicine treatment targeted toward reducing the adverse effects of anticancer therapy and cancer symptoms, and improving patient quality of life. Dietary advice was aimed at the reduction of foods that promote inflammation in favor of those with antioxidant and anti-inflammatory properties.
Methods:
This is a retrospective observational study on 357 patients consecutively visited from September 2013 to December 2017. The intensity of symptoms was evaluated according to a grading system from G0 (absent) to G1 (slight), G2 (moderate), and G3 (strong). The severity of radiodermatitis was evaluated with the Radiation Therapy Oncology Group (RTOG) scale. Almost all the patients (91.6%) were receiving or had just finished some form of conventional anticancer therapy.
Results:
The main types of cancer were breast (57.1%), colon (7.3%), lung (5.0%), ovary (3.9%), stomach (2.5%), prostate (2.2%), and uterus (2.5%). Comparison of clinical conditions before and after treatment showed a significant amelioration of nausea, insomnia, depression, anxiety, fatigue, mucositis, hot flashes, joint pain, dysgeusia, neuropathy, and all symptoms. Moreover, in a subgroup of 17 patients in radiotherapy undergoing integrative treatment, the level of toxicities and the severity of radiodermatitis were much lower than in the 13 patients without integrative treatment. Twenty-one cancer patients (6.2%) either refused (18) or discontinued (3) conventional anticancer treatment against the recommendation of their oncologist; after the integrative oncology (IO) visit, 7 (41.2%) out of 17 patients with follow-up decided to accept standard oncologic treatments.
Conclusions:
An IO clinic may contribute to reducing the adverse effects of anticancer therapy and improving the quality of life of cancer patients. |
| doi_str_mv | 10.1089/acm.2018.0143 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2112213432</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2112213432</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-953b5096a6a61cfb00d8e908ec684f4dfec708cf3e2ae5f31904bb5067272a703</originalsourceid><addsrcrecordid>eNqFkMtL7TAQh4Mo6j26dCsBN256nLz6WB4OvkARRN2WNJ1opU2PSSr435ty9C7u5jKLDOHLbyYfIScMlgzK6kKbYcmBlUtgUuyQQ6ZUkRUFlLuph0JlSgl1QP6E8A4AUlZ8nxwI4LKo8vKQvKzHYdPjgC5q_0W1a-mti_jqdew-kd5j25nOIY0jfcR2MkhX7Sf6gPTSWjQx0NHSlYud0c6gp09v6PXm64jsWd0HPP45F-T56vJpfZPdPVzfrld3mRG5ilmlRKOgynUqZmwD0JZYQYkmL6WVbZqQfmKsQK5RWcEqkE16kRe84LoAsSDn29yNHz8mDLEeumCw77XDcQo1Z4xzJqTgCT37B30fJ-_SdjPFOFMycQuSbSnjxxA82nrjuyGpqRnUs_A6Ca9n4fUsPPGnP6lTM2D7l_41nACxBeZr7VzfYYM-_if2G-08i8U</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2111215434</pqid></control><display><type>article</type><title>Complementary and Integrative Medicine to Reduce Adverse Effects of Anticancer Therapy</title><source>Alma/SFX Local Collection</source><creator>Rossi, Elio ; Noberasco, Cristina ; Picchi, Marco ; Stefano, Mariella Di ; Rossi, Antonella ; Nurra, Linda ; Ventura, Leonardo</creator><creatorcontrib>Rossi, Elio ; Noberasco, Cristina ; Picchi, Marco ; Stefano, Mariella Di ; Rossi, Antonella ; Nurra, Linda ; Ventura, Leonardo</creatorcontrib><description>Background:
To address the side effects of anticancer treatments, the Clinic for Complementary Medicine and Diet in Oncology was opened, in collaboration with the oncology department, at the Hospital of Lucca (Italy) in 2013.
Aim:
To present the results of complementary medicine treatment targeted toward reducing the adverse effects of anticancer therapy and cancer symptoms, and improving patient quality of life. Dietary advice was aimed at the reduction of foods that promote inflammation in favor of those with antioxidant and anti-inflammatory properties.
Methods:
This is a retrospective observational study on 357 patients consecutively visited from September 2013 to December 2017. The intensity of symptoms was evaluated according to a grading system from G0 (absent) to G1 (slight), G2 (moderate), and G3 (strong). The severity of radiodermatitis was evaluated with the Radiation Therapy Oncology Group (RTOG) scale. Almost all the patients (91.6%) were receiving or had just finished some form of conventional anticancer therapy.
Results:
The main types of cancer were breast (57.1%), colon (7.3%), lung (5.0%), ovary (3.9%), stomach (2.5%), prostate (2.2%), and uterus (2.5%). Comparison of clinical conditions before and after treatment showed a significant amelioration of nausea, insomnia, depression, anxiety, fatigue, mucositis, hot flashes, joint pain, dysgeusia, neuropathy, and all symptoms. Moreover, in a subgroup of 17 patients in radiotherapy undergoing integrative treatment, the level of toxicities and the severity of radiodermatitis were much lower than in the 13 patients without integrative treatment. Twenty-one cancer patients (6.2%) either refused (18) or discontinued (3) conventional anticancer treatment against the recommendation of their oncologist; after the integrative oncology (IO) visit, 7 (41.2%) out of 17 patients with follow-up decided to accept standard oncologic treatments.
Conclusions:
An IO clinic may contribute to reducing the adverse effects of anticancer therapy and improving the quality of life of cancer patients.</description><identifier>ISSN: 1075-5535</identifier><identifier>ISSN: 2768-3605</identifier><identifier>EISSN: 1557-7708</identifier><identifier>EISSN: 2768-3613</identifier><identifier>DOI: 10.1089/acm.2018.0143</identifier><identifier>PMID: 30247968</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Alternative medicine ; Anti-inflammatory agents ; Antioxidants ; Anxiety ; Arthralgia ; Breast cancer ; Cancer ; Cancer therapies ; Colon ; Fatigue ; Inflammation ; Insomnia ; Lungs ; Mental depression ; Mucositis ; Nausea ; Neuropathy ; Oncology ; Original Research Articles ; Patients ; Prostate ; Quality of life ; Radiation ; Radiation therapy ; Side effects ; Sleep disorders ; Stomach ; Toxicity ; Uterus</subject><ispartof>The Journal of Alternative and Complementary Medicine, 2018-09, Vol.24 (9-10), p.933-941</ispartof><rights>2018, Mary Ann Liebert, Inc., publishers</rights><rights>(©) Copyright 2018, Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-953b5096a6a61cfb00d8e908ec684f4dfec708cf3e2ae5f31904bb5067272a703</citedby><cites>FETCH-LOGICAL-c365t-953b5096a6a61cfb00d8e908ec684f4dfec708cf3e2ae5f31904bb5067272a703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30247968$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rossi, Elio</creatorcontrib><creatorcontrib>Noberasco, Cristina</creatorcontrib><creatorcontrib>Picchi, Marco</creatorcontrib><creatorcontrib>Stefano, Mariella Di</creatorcontrib><creatorcontrib>Rossi, Antonella</creatorcontrib><creatorcontrib>Nurra, Linda</creatorcontrib><creatorcontrib>Ventura, Leonardo</creatorcontrib><title>Complementary and Integrative Medicine to Reduce Adverse Effects of Anticancer Therapy</title><title>The Journal of Alternative and Complementary Medicine</title><addtitle>J Altern Complement Med</addtitle><description>Background:
To address the side effects of anticancer treatments, the Clinic for Complementary Medicine and Diet in Oncology was opened, in collaboration with the oncology department, at the Hospital of Lucca (Italy) in 2013.
Aim:
To present the results of complementary medicine treatment targeted toward reducing the adverse effects of anticancer therapy and cancer symptoms, and improving patient quality of life. Dietary advice was aimed at the reduction of foods that promote inflammation in favor of those with antioxidant and anti-inflammatory properties.
Methods:
This is a retrospective observational study on 357 patients consecutively visited from September 2013 to December 2017. The intensity of symptoms was evaluated according to a grading system from G0 (absent) to G1 (slight), G2 (moderate), and G3 (strong). The severity of radiodermatitis was evaluated with the Radiation Therapy Oncology Group (RTOG) scale. Almost all the patients (91.6%) were receiving or had just finished some form of conventional anticancer therapy.
Results:
The main types of cancer were breast (57.1%), colon (7.3%), lung (5.0%), ovary (3.9%), stomach (2.5%), prostate (2.2%), and uterus (2.5%). Comparison of clinical conditions before and after treatment showed a significant amelioration of nausea, insomnia, depression, anxiety, fatigue, mucositis, hot flashes, joint pain, dysgeusia, neuropathy, and all symptoms. Moreover, in a subgroup of 17 patients in radiotherapy undergoing integrative treatment, the level of toxicities and the severity of radiodermatitis were much lower than in the 13 patients without integrative treatment. Twenty-one cancer patients (6.2%) either refused (18) or discontinued (3) conventional anticancer treatment against the recommendation of their oncologist; after the integrative oncology (IO) visit, 7 (41.2%) out of 17 patients with follow-up decided to accept standard oncologic treatments.
Conclusions:
An IO clinic may contribute to reducing the adverse effects of anticancer therapy and improving the quality of life of cancer patients.</description><subject>Alternative medicine</subject><subject>Anti-inflammatory agents</subject><subject>Antioxidants</subject><subject>Anxiety</subject><subject>Arthralgia</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Colon</subject><subject>Fatigue</subject><subject>Inflammation</subject><subject>Insomnia</subject><subject>Lungs</subject><subject>Mental depression</subject><subject>Mucositis</subject><subject>Nausea</subject><subject>Neuropathy</subject><subject>Oncology</subject><subject>Original Research Articles</subject><subject>Patients</subject><subject>Prostate</subject><subject>Quality of life</subject><subject>Radiation</subject><subject>Radiation therapy</subject><subject>Side effects</subject><subject>Sleep disorders</subject><subject>Stomach</subject><subject>Toxicity</subject><subject>Uterus</subject><issn>1075-5535</issn><issn>2768-3605</issn><issn>1557-7708</issn><issn>2768-3613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkMtL7TAQh4Mo6j26dCsBN256nLz6WB4OvkARRN2WNJ1opU2PSSr435ty9C7u5jKLDOHLbyYfIScMlgzK6kKbYcmBlUtgUuyQQ6ZUkRUFlLuph0JlSgl1QP6E8A4AUlZ8nxwI4LKo8vKQvKzHYdPjgC5q_0W1a-mti_jqdew-kd5j25nOIY0jfcR2MkhX7Sf6gPTSWjQx0NHSlYud0c6gp09v6PXm64jsWd0HPP45F-T56vJpfZPdPVzfrld3mRG5ilmlRKOgynUqZmwD0JZYQYkmL6WVbZqQfmKsQK5RWcEqkE16kRe84LoAsSDn29yNHz8mDLEeumCw77XDcQo1Z4xzJqTgCT37B30fJ-_SdjPFOFMycQuSbSnjxxA82nrjuyGpqRnUs_A6Ca9n4fUsPPGnP6lTM2D7l_41nACxBeZr7VzfYYM-_if2G-08i8U</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Rossi, Elio</creator><creator>Noberasco, Cristina</creator><creator>Picchi, Marco</creator><creator>Stefano, Mariella Di</creator><creator>Rossi, Antonella</creator><creator>Nurra, Linda</creator><creator>Ventura, Leonardo</creator><general>Mary Ann Liebert, Inc., publishers</general><general>Mary Ann Liebert, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20180901</creationdate><title>Complementary and Integrative Medicine to Reduce Adverse Effects of Anticancer Therapy</title><author>Rossi, Elio ; Noberasco, Cristina ; Picchi, Marco ; Stefano, Mariella Di ; Rossi, Antonella ; Nurra, Linda ; Ventura, Leonardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-953b5096a6a61cfb00d8e908ec684f4dfec708cf3e2ae5f31904bb5067272a703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Alternative medicine</topic><topic>Anti-inflammatory agents</topic><topic>Antioxidants</topic><topic>Anxiety</topic><topic>Arthralgia</topic><topic>Breast cancer</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Colon</topic><topic>Fatigue</topic><topic>Inflammation</topic><topic>Insomnia</topic><topic>Lungs</topic><topic>Mental depression</topic><topic>Mucositis</topic><topic>Nausea</topic><topic>Neuropathy</topic><topic>Oncology</topic><topic>Original Research Articles</topic><topic>Patients</topic><topic>Prostate</topic><topic>Quality of life</topic><topic>Radiation</topic><topic>Radiation therapy</topic><topic>Side effects</topic><topic>Sleep disorders</topic><topic>Stomach</topic><topic>Toxicity</topic><topic>Uterus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rossi, Elio</creatorcontrib><creatorcontrib>Noberasco, Cristina</creatorcontrib><creatorcontrib>Picchi, Marco</creatorcontrib><creatorcontrib>Stefano, Mariella Di</creatorcontrib><creatorcontrib>Rossi, Antonella</creatorcontrib><creatorcontrib>Nurra, Linda</creatorcontrib><creatorcontrib>Ventura, Leonardo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of Alternative and Complementary Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rossi, Elio</au><au>Noberasco, Cristina</au><au>Picchi, Marco</au><au>Stefano, Mariella Di</au><au>Rossi, Antonella</au><au>Nurra, Linda</au><au>Ventura, Leonardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complementary and Integrative Medicine to Reduce Adverse Effects of Anticancer Therapy</atitle><jtitle>The Journal of Alternative and Complementary Medicine</jtitle><addtitle>J Altern Complement Med</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>24</volume><issue>9-10</issue><spage>933</spage><epage>941</epage><pages>933-941</pages><issn>1075-5535</issn><issn>2768-3605</issn><eissn>1557-7708</eissn><eissn>2768-3613</eissn><abstract>Background:
To address the side effects of anticancer treatments, the Clinic for Complementary Medicine and Diet in Oncology was opened, in collaboration with the oncology department, at the Hospital of Lucca (Italy) in 2013.
Aim:
To present the results of complementary medicine treatment targeted toward reducing the adverse effects of anticancer therapy and cancer symptoms, and improving patient quality of life. Dietary advice was aimed at the reduction of foods that promote inflammation in favor of those with antioxidant and anti-inflammatory properties.
Methods:
This is a retrospective observational study on 357 patients consecutively visited from September 2013 to December 2017. The intensity of symptoms was evaluated according to a grading system from G0 (absent) to G1 (slight), G2 (moderate), and G3 (strong). The severity of radiodermatitis was evaluated with the Radiation Therapy Oncology Group (RTOG) scale. Almost all the patients (91.6%) were receiving or had just finished some form of conventional anticancer therapy.
Results:
The main types of cancer were breast (57.1%), colon (7.3%), lung (5.0%), ovary (3.9%), stomach (2.5%), prostate (2.2%), and uterus (2.5%). Comparison of clinical conditions before and after treatment showed a significant amelioration of nausea, insomnia, depression, anxiety, fatigue, mucositis, hot flashes, joint pain, dysgeusia, neuropathy, and all symptoms. Moreover, in a subgroup of 17 patients in radiotherapy undergoing integrative treatment, the level of toxicities and the severity of radiodermatitis were much lower than in the 13 patients without integrative treatment. Twenty-one cancer patients (6.2%) either refused (18) or discontinued (3) conventional anticancer treatment against the recommendation of their oncologist; after the integrative oncology (IO) visit, 7 (41.2%) out of 17 patients with follow-up decided to accept standard oncologic treatments.
Conclusions:
An IO clinic may contribute to reducing the adverse effects of anticancer therapy and improving the quality of life of cancer patients.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>30247968</pmid><doi>10.1089/acm.2018.0143</doi><tpages>9</tpages></addata></record> |
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| ispartof | The Journal of Alternative and Complementary Medicine, 2018-09, Vol.24 (9-10), p.933-941 |
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| subjects | Alternative medicine Anti-inflammatory agents Antioxidants Anxiety Arthralgia Breast cancer Cancer Cancer therapies Colon Fatigue Inflammation Insomnia Lungs Mental depression Mucositis Nausea Neuropathy Oncology Original Research Articles Patients Prostate Quality of life Radiation Radiation therapy Side effects Sleep disorders Stomach Toxicity Uterus |
| title | Complementary and Integrative Medicine to Reduce Adverse Effects of Anticancer Therapy |
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