Cited by 117Complementary and Alternative Medicine StudiesCancer survivorship and careTraditional Chinese Medicine Clinical Research

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Complementary and alternative therapy use before and after breast cancer diagnosis: the Pathways Study

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Greenlee, Heather, Kwan, Marilyn L., Ergas, Isaac Joshua, Sherman, Karen J., Krathwohl, Sarah E., Bonnell, Christine, Lee, Marion M., Kushi, Lawrence H.·2009·Breast Cancer Research and Treatment

DOI 10.1007/s10549-009-0315-3PMC PMC2991094

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Abstract

Many women use complementary and alternative medicine (CAM) to maintain or improve their health. We describe CAM use among the first 1,000 participants enrolled in the Pathways Study, an ongoing prospective cohort study of women diagnosed with breast cancer (BC). Participants, identified by rapid case ascertainment in Kaiser Permanente Northern California, are women > or = 21 years diagnosed with first invasive BC. Comprehensive baseline data are collected on CAM use through in-person interviews. Study participants include 70.9% non-Hispanic whites, 10.2% Hispanics, 9.0% Asians, 6.5% African-Americans, and 3.4% others. Most women (82.2%) were diagnosed with AJCC stage I/II BC at average (+/-SD) age 59.5 (+/-12.0) years and reported prior use of at least one form of CAM (96.5% of participants). In the 5 years before diagnosis, CAM therapies used at least weekly by >20% of women included green tea, glucosamine, omega-3 fatty acids, prayer and religion. CAM use was high (86.1% of participants) in the period immediately following diagnosis; 47.5% used botanical supplements, 47.2% used other natural products, 28.8% used special diets, 64.2% used mind-body healing, and 26.5% used body/energy/other treatments. In multivariable analyses, frequent use of each CAM modality before and after diagnosis was associated with use of other CAM modalities and other health behaviors (i.e., high fruit/vegetable intake, lower BMI). CAM use before and after BC diagnosis is common in this diverse group of women. Our results emphasize the need for clinicians to discuss CAM use with all BC patients.

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Authors: Greenlee, H., Kwan, M. L., Ergas, I. J., Sherman, K. J., Krathwohl, S. E., Bonnell, C., Lee, M. M., & Kushi, L. H.
Affiliations: Columbia University (US)
Kaiser Permanente (US)
Group Health Cooperative (US)
University of California, San Francisco (US)
Corresponding author: Greenlee, Heather
ORCID: Greenlee, Heather
Kwan, Marilyn L.
Ergas, Isaac Joshua
Sherman, Karen J.
Kushi, Lawrence H.
Venue: Breast Cancer Research and Treatment
Publisher: Springer Science and Business Media LLC
Published: 2009-01-31
Volume: 117
Issue: 3
Pages: 653-665
ISSN: 0167-6806 (ISSN-L)
1573-7217
DOI: 10.1007/s10549-009-0315-3
PMC: PMC2991094
OpenAlex: W2043402160
Cited by: 117
References: 13
Citations by year: 2025: 1 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 7 · 2019: 9 · 2018: 5 · 2017: 4 · 2016: 8 · 2015: 10 · 2014: 6 · 2013: 10 · 2012: 16
FWCI: 29.33
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Breast Cancer Research and Treatment (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (2r25ca094061-11)
National Cancer Institute (T32CA094061, R25-CA 094061, R01CA105274, CA105274, CA094061)
Topics: Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Complementary and alternative medicine › Traditional Chinese Medicine Clinical Research
Keywords: complementary and alternative medicine, breast cancer, herbal supplements, mind-body healing, green tea, glucosamine, omega-3 fatty acids, special diets, health behavior, fruit and vegetable intake, body mass index, Pathways Study, Kaiser Permanente
MeSH terms: Aged, Complementary Therapies, Breast Neoplasms, Female, Humans, Middle Aged, Neoplasm Staging, Cohort Studies, Health Behavior

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Complementary and alternative therapy use before and after breast cancer diagnosis: the Pathways Study

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