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Complementary Medicine and Adherence to Effective Therapy

2 years 1 week ago #55635 by Jack R
Sara Anne,

An interesting article, but one that, from my experience, misidentifies the study population.

Beginning early on in my cancer journey, I and others at clinics where I have been seen have practically been pushed into accepting some form of Complementary Medicine. Cancer navigators offered relaxation and focused thinking tapes and print materials, discounted massage and acupuncture services, nutrition based programs, etc.

Once I began Chemo, chair massage was considered part of the long (6 hour) sessions; the infusion center had a staff masseuse make the rounds. Declining massage resulted in a call to my referring doctor.

Given my experience, but unaware of the experiences of others, it is hard to estimate how pervasive the CM add-ons to "conventional medicine" may be.

Bottom line, I wonder who is served by this article.

I saw many people RECEIVE CM, but who had not sought out the CM that was offered as clinic standard practice. I cannot imagine that such people are at greater risk of death than those at the same clinic who declined CM.

I cite two portions of the study:

"Patients who received complementary medicine were more likely to refuse other conventional cancer treatment, and had a higher risk of death than no complementary medicine; however, this survival difference could be mediated by adherence to all recommended conventional cancer therapies."

" Past research has shown that CM therapies such as massage, acupuncture, yoga, and meditation can improve quality of life.6 Thus, it is estimated that between 48% and 88% of patients with cancer have reported the use of CAM as part of their therapy.5,7-10"

Just my thoughts, as a critical reader of journal abstracts and summaries.

Best,
Jack

What's with this Bleeding ? 6/2015
DX: HG Papillary & CIS
3 Years and 30 BCG/BCG+Inf
Tis CIS comes back.
BC clear as of 5/17 !
RCC found in my one & only kidney 10/17
Begin Chemo; Cisplatin and Gemzar
8/18 begin Chemo# 3
Begin year 4 with cis
2/19 Chemo #4
9/19 NED again :)
1/2020 CIS is back...

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2 years 2 weeks ago #55623 by sara.anne
https://jamanetwork.com/journals/jamaoncology/fullarticle/2687972

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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