CAM and Long-term Survivors

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CAM and Long-term Survivors

Posted 6/20/2009

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This is a very interesting article about the use of CAM (complementary and alternative methods) treatments by long-term breast cancer survivors. Most attentions paid to CAM use and breast cancer is among newly diagnosed women, women currently in adjuvant treatment, or women living with Stage IV disease. Carpenter, Ganz, and Bernstein at UCLA looked at 374 women who were ten years post diagnosis.

Here is the abstract:

Abstract Breast cancer patients may have differentcomplementary and alternative medicine (CAM) usage rates and may turn to CAM for different reasons than healthy adults. CAM has mostly been studied in recently diagnosed women; no studies have included survivors 10 years post-diagnosis. We examined very long-term breast cancer survivors to determine whether CAM users had dissimilar patterns of association with survivorship factors. Interviews of 374 breast cancer case patients from a population-based case-control breast cancer study of young women from Los Angeles County, California, during the 1980s occurred at follow-up; 371 patients with complete information were included. CAM represented 28 herbal remedies. Quality-of-life originated from the Medical Outcomes Study Short Form 36 questionnaire (SF-36).

Higher rates of CAM (59%) usage occurred compared to nationwide estimates. CAM users resembled non-users on follow-up age, exercise, original disease, treatment, smoking, body-mass index, alcohol, and fear of recurrence. CAM users had a higher prevalence of medical co-morbidities (P = 0.0005), and scored significantly lower on the SF-36 emotional well-being subscale than non-CAM users.