title: Factors affecting whether or not cancer patients consider using acupuncture.
abstract: OBJECTIVE
  To explore the factors associated with utilisation of an acupuncture service in a tertiary oncology setting in an Australian public hospital.
  
  
  METHODS
  Cancer patients attending oncology clinics at a university teaching hospital were invited to participate in the evaluation of acupuncture services from June 2014 to May 2015. Patients had a prior diagnosis of cancer (albeit at different stages) and were planning to receive, or were already receiving, systemic and/or radiation cancer treatment.
  
  
  RESULTS
  The majority (81%) of participants indicated that they would consider the use of acupuncture during their cancer treatment. The most common reasons given for not considering acupuncture included adequate control of symptoms already with medical treatment, inconvenient clinic timing, and needle phobia. The main reasons given for considering acupuncture use included its perceived capability of reducing fatigue, boosting energy levels, improving immune function, and reducing pain and anxiety. Patients considering acupuncture use also demonstrated significantly higher levels of stress (p<0.001), anxiety and depression (p<0.001), fatigue (p<0.001), and lower global quality of life (p<0.01) compared to those who were not considering acupuncture.
  
  
  CONCLUSIONS
  The findings show that demand for acupuncture by cancer patients is high. A substantial proportion of cancer patients intend to use acupuncture to manage cancer and/or cancer treatment-related symptoms. Discussion with patients about acupuncture and other complementary therapies during the consultation may improve cancer care.
authors.affiliation: Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales, Australia.|Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.|Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Byeongsang
authors.initials: B
authors.lastname: Oh
authors.affiliation: Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales, Australia.|Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Thomas
authors.initials: T
authors.lastname: Eade
authors.affiliation: Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales, Australia.|Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Andrew
authors.initials: A
authors.lastname: Kneebone
authors.affiliation: Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales, Australia.|Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Nick
authors.initials: N
authors.lastname: Pavlakis
authors.affiliation: Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales, Australia.|Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Stephen
authors.initials: S
authors.lastname: Clarke
authors.affiliation: Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Guy
authors.initials: G
authors.lastname: Eslick
authors.affiliation: Sydney Nursing School, University of Sydney, Camperdown, New South Wales, Australia.
authors.forename: Jo
authors.initials: J
authors.lastname: River
authors.affiliation: Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales, Australia.|Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Back
mesh_terms: D015670:Acupuncture Therapy; D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology / Q000628:therapy*; D001315:Australia; D003430:Cross-Sectional Studies; D005221:Fatigue / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000188:drug therapy* / Q000523:psychology / Q000532:radiotherapy*; D010146:Pain / Q000209:etiology; D059408:Pain Management; D011788:Quality of Life; D055815:Young Adult
keywords: ACUPUNCTURE; ONCOLOGY