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Complementary and alternative therapy use before and after breast cancer diagnosis: the Pathways Study
Open accessAbstract
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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“To help cope with the distress associated with the diagnosis, disease symptoms, and treatment, individuals affected by cancer are increasingly turning to complementary and integrative medicine [27–30], including mindfulness practices.”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [29]
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Metadata
- 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
- Venue
- Breast Cancer Research and Treatment
- Published
- 2009-01-31
- Volume
- 117
- Issue
- 3
- Pages
- 653-665
- ISSN
- 0167-6806 (ISSN-L)
- 1573-7217
- 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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