title: Complementary or alternative medicine in cancer care-myths and realities.
abstract: Complementary therapies are adjuncts to mainstream care, used primarily for symptom control and to enhance physical and emotional strength during and after mainstream cancer treatment. These therapies are rational, noninvasive and evidence-based that have been subjected to study to determine their value, document the problems they aim to ameliorate and define the circumstances under which they are beneficial. By contrast, 'alternative' therapies are generally promoted as such-for use as actual antitumour treatments. Typically they lack biological plausibility and scientific evidence of safety and efficacy, and many are outright fraudulent. Combining the helpful complementary therapies with mainstream oncology care to address patients' physical, psychological and spiritual needs constitutes the practice of integrative oncology. By providing patients' nonpharmacological treatment modalities that reduce symptom burden and improve quality of life, physicians enable patients to have an active role in their care, which in turn improves the physician-patient relationship, the quality of cancer care and the well-being of patients and their families.
authors.affiliation: Integrative Medicine Service, Memorial Sloan-Kettering Cancer Center, 1429 First Avenue, New York, NY 10021, USA.
authors.forename: Gary
authors.initials: G
authors.lastname: Deng
authors.forename: Barrie
authors.initials: B
authors.lastname: Cassileth
mesh_terms: D000529:Complementary Therapies; D006801:Humans; D055048:Integrative Medicine / Q000379:methods*; D009369:Neoplasms / Q000628:therapy*; D010348:Patient Care Team; D011787:Quality of Health Care
references.citation: Cancer J. 2006 Nov-Dec;12(6):467-74
references.pmid: 17207316
references.citation: J Natl Cancer Inst. 2002 Aug 21;94(16):1247-9
references.pmid: 12189228
references.citation: J Soc Integr Oncol. 2007 Winter;5(1):18-24
references.pmid: 17309810
references.citation: Natl Health Stat Report. 2009 Jul 30;(18):1-14
references.pmid: 19771719
references.citation: Psychooncology. 2013 Jul;22(7):1457-65
references.pmid: 22961994
references.citation: Am J Med. 2005 Dec 19;118 Suppl 12B:109-17
references.pmid: 16414335
references.citation: Can J Cardiol. 2009 Sep;25(9):e329-31
references.pmid: 19746253
references.citation: Psychooncology. 2011 Jul;20(7):681-97
references.pmid: 20690112
references.citation: Integr Cancer Ther. 2007 Jun;6(2):174-84
references.pmid: 17548796
references.citation: Int J Radiat Oncol Biol Phys. 2013 Jan 1;85(1):40-6
references.pmid: 22658441
references.citation: Psychooncology. 2009 May;18(5):465-75
references.pmid: 18821529
references.citation: PLoS One. 2012;7(4):e32960
references.pmid: 22496739
references.citation: Cancer. 2013 Jan 15;119(2):363-70
references.pmid: 22760587
references.citation: Arch Intern Med. 2004 Jan 12;164(1):104-5
references.pmid: 14718331
references.citation: Psychooncology. 2002 May-Jun;11(3):212-20
references.pmid: 12112481
references.citation: Rheumatology (Oxford). 2003 Sep;42(9):1101-6
references.pmid: 12777645
references.citation: Cancer. 1983 Jun 1;51(11):2126-33
references.pmid: 6301673
references.citation: Ann Oncol. 2005 Apr;16(4):655-63
references.pmid: 15699021
references.citation: Br J Cancer. 2009 Dec 15;101(12):1978-85
references.pmid: 19920822
references.citation: J Clin Oncol. 2005 Aug 20;23(24):5805-13
references.pmid: 16027437
references.citation: Cochrane Database Syst Rev. 2006 Apr 19;(2):CD002285
references.pmid: 16625560
references.citation: Anat Rec. 2002 Dec 15;269(6):257-65
references.pmid: 12467083
references.citation: Climacteric. 2009 Feb;12(1):16-25
references.pmid: 19116803
references.citation: Virtual Mentor. 2011 Jun 01;13(6):379-83
references.pmid: 23131407
references.citation: Arch Phys Med Rehabil. 2006 Jul;87(7):885-96
references.pmid: 16813773
references.citation: J Adv Nurs. 2008 Sep;63(5):430-9
references.pmid: 18727744
references.citation: N Engl J Med. 1982 Jun 17;306(24):1482-4
references.pmid: 6281643
references.citation: Chest. 2013 May;143(5 Suppl):e420S-e436S
references.pmid: 23649450
references.citation: Cancer. 2013 Jul 1;119(13):2455-61
references.pmid: 23576267
references.citation: Complement Ther Med. 2004 Jun-Sep;12(2-3):90-8
references.pmid: 15561518
references.citation: N Engl J Med. 2002 Jan 31;346(5):383-4
references.pmid: 11821526
references.citation: J Soc Integr Oncol. 2010 Winter;8(1):20-30
references.pmid: 20205986
references.citation: Am J Clin Nutr. 2010 May;91(5):1185-94
references.pmid: 20335550
references.citation: Cancer Epidemiol Biomarkers Prev. 2008 Feb;17(2):379-86
references.pmid: 18250341
references.citation: Chest. 2007 Sep;132(3 Suppl):340S-354S
references.pmid: 17873179
references.citation: Curr Oncol. 2008 Aug;15 Suppl 2:s101-6
references.pmid: 18769571
references.citation: Nat Neurosci. 2012 Apr 15;15(5):689-95
references.pmid: 22534579
references.citation: Am Fam Physician. 2008 Jun 1;77(11):1573-8
references.pmid: 18581838
references.citation: JAMA. 2005 May 25;293(20):2479-86
references.pmid: 15914748
references.citation: Cochrane Database Syst Rev. 2011 Nov 09;(11):CD005476
references.pmid: 22071824
references.citation: Chin J Integr Med. 2011 Mar;17(3):187-9
references.pmid: 21359919
references.citation: Support Care Cancer. 2004 Nov;12(11):797-804
references.pmid: 15378417
references.citation: Integr Cancer Ther. 2005 Dec;4(4):274-86
references.pmid: 16282504
references.citation: J Altern Complement Med. 2005;11 Suppl 1:S57-65
references.pmid: 16332188
references.citation: Curr Treat Options Oncol. 2010 Dec;11(3-4):118-27
references.pmid: 21108052
references.citation: Ann Intern Med. 1997 Jul 1;127(1):61-9
references.pmid: 9214254
references.citation: Patient Educ Couns. 2010 May;79(2):143-51
references.pmid: 19783116
references.citation: JAMA. 2009 Jan 7;301(1):39-51
references.pmid: 19066370
references.citation: Ann Intern Med. 2002 Dec 3;137(11):889-903
references.pmid: 12458989
references.citation: N Engl J Med. 2010 Aug 19;363(8):733-42
references.pmid: 20818875
references.citation: CA Cancer J Clin. 2006 Nov-Dec;56(6):323-53
references.pmid: 17135691
references.citation: Bioelectromagnetics. 2008 May;29(4):245-56
references.pmid: 18240287
references.citation: Support Care Cancer. 2007 Jun;15(6):583-595
references.pmid: 17106659
references.citation: Arch Intern Med. 2012 Oct 22;172(19):1444-53
references.pmid: 22965186
references.citation: Psychooncology. 2009 Jun;18(6):571-9
references.pmid: 19023879
references.citation: Support Care Cancer. 2009 Apr;17(4):333-7
references.pmid: 19148685
references.citation: Nat Rev Cancer. 2002 Feb;2(2):143-8
references.pmid: 12635177
references.citation: Pain. 2011 Mar;152(3 Suppl):S41-S48
references.pmid: 21078546
references.citation: Asian J Psychiatr. 2013 Feb;6(1):74-7
references.pmid: 23380323
references.citation: Curr Treat Options Oncol. 2010 Dec;11(3-4):128-40
references.pmid: 21116746
references.citation: Support Care Cancer. 2012 Jun;20(6):1121-33
references.pmid: 22258414
references.citation: PLoS One. 2012;7(5):e36197
references.pmid: 22563484
references.citation: BMC Complement Altern Med. 2006 Jul 07;6:25
references.pmid: 16824230
references.citation: Natl Health Stat Report. 2008 Dec 10;(12):1-23
references.pmid: 19361005
references.citation: Fortschr Neurol Psychiatr. 2000 Mar;68(3):137-44
references.pmid: 10758845
references.citation: Nature. 2010 Jun 3;465(7298):562-4
references.pmid: 20520704
references.citation: Evid Based Complement Alternat Med. 2011;2011:659876
references.pmid: 21437197
references.citation: Integr Cancer Ther. 2008 Sep;7(3):122-9
references.pmid: 18956493
references.citation: Int J Cancer. 2008 Apr 1;122(7):1679-83
references.pmid: 18059031
references.citation: J Clin Oncol. 2013 Mar 1;31(7):952-60
references.pmid: 23341529
references.citation: Acupunct Med. 2007 Jun;25(1-2):1-10
references.pmid: 17641561
references.citation: Eur Arch Otorhinolaryngol. 2010 Aug;267(8):1291-7
references.pmid: 20229270
references.citation: Anesth Analg. 2001 Feb;92(2):548-53
references.pmid: 11159266
references.citation: J Clin Oncol. 2005 Apr 20;23(12):2645-54
references.pmid: 15728227
references.citation: J Altern Complement Med. 2009 Nov;15(11):1171-86
references.pmid: 19922248
references.citation: Med Oncol. 2013 Jun;30(2):511
references.pmid: 23435989
references.citation: JAMA. 2011 Oct 12;306(14):1549-56
references.pmid: 21990298
references.citation: PLoS One. 2013 May 01;8(5):e62817
references.pmid: 23650531
references.citation: Drugs. 2009;69(13):1777-98
references.pmid: 19719333
references.citation: Acta Psychiatr Scand. 2011 Aug;124(2):102-19
references.pmid: 21534932
references.citation: J Consult Clin Psychol. 2012 Dec;80(6):1007-20
references.pmid: 22563637
references.citation: Cancer. 2008 Sep 1;113(5):1048-57
references.pmid: 18680170
references.citation: Curr Oncol. 2012 Oct;19(5):e343-52
references.pmid: 23144582
references.citation: J Clin Oncol. 2010 May 20;28(15):2565-70
references.pmid: 20406930
references.citation: J Clin Oncol. 2004 Feb 15;22(4):671-7
references.pmid: 14966090
references.citation: Phys Ther. 2006 Sep;86(9):1189-201
references.pmid: 16959668
references.citation: Complement Ther Med. 2010 Oct;18(5):206-14
references.pmid: 21056844
references.citation: J Soc Integr Oncol. 2009 Summer;7(3):85-120
references.pmid: 19706235
references.citation: Cancer Prev Res (Phila). 2012 Sep;5(9):1144-54
references.pmid: 22827973
references.citation: J Clin Oncol. 2011 Feb 20;29(6):755-60
references.pmid: 21263086
references.citation: Am J Hematol. 2012 May;87(5):455-60
references.pmid: 22473809
references.citation: J Clin Oncol. 2007 Dec 10;25(35):5584-90
references.pmid: 18065731
references.citation: Cancer Control. 2005 Jul;12(3):158-64
references.pmid: 16062163
references.citation: Ann Intern Med. 2002 Mar 5;136(5):374-83
references.pmid: 11874310