Header

UZH-Logo

Maintenance Infos

Complementary and alternative medicine use in glioma patients in France


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 (2019). Complementary and alternative medicine use in glioma patients in France. Journal of Neuro-Oncology, 145(3):487-499.

Abstract

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.

Abstract

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.

Statistics

Citations

Dimensions.ai Metrics
4 citations in Web of Science®
4 citations in Scopus®
Google Scholar™

Altmetrics

Downloads

26 downloads since deposited on 30 Oct 2019
25 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurology
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Oncology
Life Sciences > Neurology
Health Sciences > Neurology (clinical)
Life Sciences > Cancer Research
Language:English
Date:1 December 2019
Deposited On:30 Oct 2019 15:36
Last Modified:21 Oct 2020 00:00
Publisher:Springer
ISSN:0167-594X
OA Status:Green
Publisher DOI:https://doi.org/10.1007/s11060-019-03315-8
PubMed ID:31637628

Download

Green Open Access

Download PDF  'Complementary and alternative medicine use in glioma patients in France'.
Preview
Content: Accepted Version
Filetype: PDF
Size: 773kB
View at publisher