title: Complementary and alternative medicine (CAM) use in advanced cancer: a systematic review.
abstract: This systematic review synthesizes knowledge about the use of complementary and alternative medicine (CAM) among advanced cancer patients. EBSCO and Ovid databases were searched using core concepts, including advanced cancer, CAM, integrative medicine, and decision-making. Articles included in the final review were analyzed using narrative synthesis methods, including thematic analysis, concept mapping, and critical reflection on the synthesis process. Results demonstrate that advanced cancer patients who are younger, female, more educated, have longer duration of disease, and have previously used CAM are more likely to use CAM during this stage of illness. Key themes identified include patterns of and reasons for use; and barriers and facilitators to informed CAM decision-making. Knowledge regarding the use of CAM in advanced cancer remains in its nascent stages. Findings suggest a need for more research on understanding the dynamic process of CAM decision-making in the advanced cancer population from the patients' perspective.
authors.affiliation: Complementary Medicine Education and Outcomes (CAMEO) Research Program, University of British Columbia School of Nursing, Vancouver, British Columbia, Canada. tracy.truant@nursing.ubc.ca
authors.forename: Tracy L
authors.initials: TL
authors.lastname: Truant
authors.affiliation: Complementary Medicine Education and Outcomes (CAMEO) Research Program, University of British Columbia School of Nursing, Vancouver, British Columbia, Canada.
authors.forename: Antony J
authors.initials: AJ
authors.lastname: Porcino
authors.affiliation: British Columbia Cancer Agency, Vancouver, British Columbia, Canada.
authors.forename: Brenda C
authors.initials: BC
authors.lastname: Ross
authors.affiliation: British Columbia Cancer Agency, Vancouver, British Columbia, Canada.
authors.forename: Margurite E
authors.initials: ME
authors.lastname: Wong
authors.affiliation: Complementary Medicine Education and Outcomes (CAMEO) Research Program, University of British Columbia School of Nursing, Vancouver, British Columbia, Canada.
authors.forename: Carla T
authors.initials: CT
authors.lastname: Hilario
mesh_terms: D003142:Communication; D000529:Complementary Therapies / Q000379:methods*; D006282:Health Personnel; D006801:Humans; D009369:Neoplasms / Q000628:therapy*