Characteristics of cancer patients using homeopathy compared with those in conventional care: a cross-sectional study.
BACKGROUND
There are only few studies on cancer patients who are treated in complementary and alternative medicine clinics and comparing them with patients in conventional care. We will present the comparison of characteristics of two patient cohorts: one was treated in a homeopathic cancer care clinic and one was treated in a conventional oncology care (CC) outpatient clinic.


METHODS
Six-hundred and forty-seven patients were included in this cross-sectional cohort study and had to fill in questionnaires [health-related quality of life (QoL) (Functional Assessment of Cancer Therapy-General Scale), depression and anxiety (Hospital Anxiety and Depression Scale), fatigue (Multidimensional Fatigue Inventory) and expectancies toward treatment]. Clinical data were extracted from medical records. This study presents the comparison of both cohorts.


RESULTS
Patients in the homeopathy cohort are younger, better educated and more often employed than patients in the CC cohort. The most pronounced differences indicate longer disease histories and different diagnostic and clinical pretreatment variables. Despite the clinical differences, QoL as well as anxiety, depression and fatigue was similar in both the groups.


CONCLUSIONS
Homeopathic treatment is sought by cancer patients at a different phase during the course of the disease, which has particular implications for research. However, expectancies toward the benefit of the treatment as well as QoL data are similar.
Institute for General Practice, Johann-Wolfgang Goethe-University, Frankfurt/Main, Germany. guethlin@allgemeinmedizin.uni-frankfurt.de
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C
Guethlin
H
H
Walach
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J
Naumann
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HH
Bartsch
M
M
Rostock
D000342:Affective Symptoms / Q000209:etiology / Q000628:therapy; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D015331:Cohort Studies; D003131:Combined Modality Therapy; D003430:Cross-Sectional Studies; D005260:Female; D006705:Homeopathy; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000628:therapy*; D010045:Outpatients / Q000706:statistics & numerical data; D010146:Pain / Q000209:etiology; D059408:Pain Management; D017060:Patient Satisfaction; D010818:Practice Patterns, Physicians'; D011788:Quality of Life; D011879:Radiotherapy Dosage; D011795:Surveys and Questionnaires; D015996:Survival Rate; D016896:Treatment Outcome