title: Integrative oncology for breast cancer patients: introduction of an expert-based model.
abstract: BACKGROUND
  Malignant breast neoplasms are among the most frequent forms of cancer in the Western world. Conventional treatment of breast cancer may include surgery, hormonal therapy, chemotherapy, radiation and/or immunotherapy, all of which are often accompanied by severe side effects. Complementary and alternative medicine (CAM) treatments have been shown to be effective in alleviating those symptoms. Furthermore, with patient survival rates increasing, oncologists, psychologists and other therapists have to become more sensitive to the needs of cancer survivors that go beyond than the mere alleviation of symptoms. Many CAM methods are geared to treat the patient in a holistic manner and thus are also concerned with the patient's psychological and spiritual needs.
  
  
  CONCLUSIONS
  The use of certain CAM methods may become problematic when, as frequently occurs, patients use them indiscriminately and without informing their oncologists. Herbal medicines and dietary supplements, especially, may interfere with primary cancer treatments or have other detrimental effects. Thus, expertise in this highly specialized field of integrative medicine should be available to patients so that they can be advised about the benefits and negative effects of such preparations and practices.Being a beneficial combination of conventional and CAM care, integrative oncology makes possible the holistic approach to cancer care. The concept of integrative oncology for breast cancer is jointly practiced by the Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, academic teaching hospital of the University of Duisburg-Essen, and the Breast Center at Kliniken Essen-Mitte in Germany. This model is introduced here; its scope is reviewed, and its possible implications for the practice of integrative medicine are discussed.
  
  
  CONCLUSIONS
  Evidence-based integrative care is crucial to the field of oncology in establishing state-of-the-art care for breast cancer patients.
authors.affiliation: Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, academic teaching hospital of the University of Duisburg-Essen, Am Deimelsberg 34 a, 45276 Essen, Germany. g.dobos@kliniken-essen-mitte.de
authors.forename: Gustav J
authors.initials: GJ
authors.lastname: Dobos
authors.forename: Petra
authors.initials: P
authors.lastname: Voiss
authors.forename: Ilka
authors.initials: I
authors.lastname: Schwidde
authors.forename: Kyung-Eun
authors.initials: KE
authors.lastname: Choi
authors.forename: Anna
authors.initials: A
authors.lastname: Paul
authors.forename: Barbara
authors.initials: B
authors.lastname: Kirschbaum
authors.forename: Felix J
authors.initials: FJ
authors.lastname: Saha
authors.forename: Sherko
authors.initials: S
authors.lastname: Kuemmel
mesh_terms: D001943:Breast Neoplasms / Q000628:therapy*; D003131:Combined Modality Therapy / Q000379:methods; D000529:Complementary Therapies; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005260:Female; D006694:Holistic Health; D006801:Humans; D055048:Integrative Medicine / Q000458:organization & administration; D008495:Medical Oncology / Q000458:organization & administration; D017146:Models, Organizational