Cited by 768Complementary and Alternative Medicine StudiesCancer survivorship and careTraditional Chinese Medicine Clinical Research

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Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment

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Greenlee, Heather, DuPont‐Reyes, Melissa J., Balneaves, Lynda G., Carlson, Linda E., Cohen, Misha R., Deng, Gary, Johnson, Jillian A., Mumber, Matthew, Seely, Dugald, Zick, Suzanna M., Boyce, Lindsay M., Tripathy, Debu·2017·CA A Cancer Journal for Clinicians

DOI 10.3322/caac.21397PMC PMC5892208

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Abstract

Answer questions and earn CME/CNE Patients with breast cancer commonly use complementary and integrative therapies as supportive care during cancer treatment and to manage treatment-related side effects. However, evidence supporting the use of such therapies in the oncology setting is limited. This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety/stress, depression/mood disorders, fatigue, quality of life/physical functioning, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep disturbance. Clinical practice guidelines are based on a systematic literature review from 1990 through 2015. Music therapy, meditation, stress management, and yoga are recommended for anxiety/stress reduction. Meditation, relaxation, yoga, massage, and music therapy are recommended for depression/mood disorders. Meditation and yoga are recommended to improve quality of life. Acupressure and acupuncture are recommended for reducing chemotherapy-induced nausea and vomiting. Acetyl-L-carnitine is not recommended to prevent chemotherapy-induced peripheral neuropathy due to a possibility of harm. No strong evidence supports the use of ingested dietary supplements to manage breast cancer treatment-related side effects. In summary, there is a growing body of evidence supporting the use of integrative therapies, especially mind-body therapies, as effective supportive care strategies during breast cancer treatment. Many integrative practices, however, remain understudied, with insufficient evidence to be definitively recommended or avoided. CA Cancer J Clin 2017;67:194-232. © 2017 American Cancer Society.

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Authors: Greenlee, H., DuPont‐Reyes, M. J., Balneaves, L. G., Carlson, L. E., Cohen, M. R., Deng, G., Johnson, J. A., Mumber, M., Seely, D., Zick, S. M., Boyce, L. M., & Tripathy, D.
Affiliations: Herbert Irving Comprehensive Cancer Center (US)
Columbia University (US)
Associate Professor, College of Nursing Rady Faculty of Health Sciences Winnipeg MB Canada
University of Calgary (CA)
California Institute of Integral Studies (US)
Memorial Sloan Kettering Cancer Center (US)
Pennsylvania State University (US)
Harbin Clinic (US)
Canadian College of Naturopathic Medicine (CA)
University of Michigan (US)
The University of Texas MD Anderson Cancer Center (US)
Corresponding author: Greenlee, Heather
ORCID: Greenlee, Heather
DuPont‐Reyes, Melissa J.
Balneaves, Lynda G.
Carlson, Linda E.
Cohen, Misha R.
Deng, Gary
Johnson, Jillian A.
Seely, Dugald
Zick, Suzanna M.
Boyce, Lindsay M.
Tripathy, Debu
Venue: CA A Cancer Journal for Clinicians
Publisher: Wiley
Published: 2017-04-24
Volume: 67
Issue: 3
Pages: 194-232
ISSN: 0007-9235 (ISSN-L)
1542-4863
DOI: 10.3322/caac.21397
PMC: PMC5892208
OpenAlex: W2607992798
Cited by: 768
References: 393
Citations by year: 2026: 53 · 2025: 67 · 2024: 93 · 2023: 102 · 2022: 103 · 2021: 102 · 2020: 101 · 2019: 72 · 2018: 58 · 2017: 14
FWCI: 99.76
Type: journal article
Language: en
Open access: gold
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: CA A Cancer Journal for Clinicians (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Deep Blue (University of Michigan) (submittedVersion)
Funders: University of Southern California
University of Pennsylvania
Emory University
Memorial Sloan-Kettering Cancer Center
University of Texas MD Anderson Cancer Center
University of California, San Francisco
National Cancer Institute (P30CA016672)
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: breast cancer, integrative therapy, complementary therapy, cancer supportive care, treatment side effects, stress and anxiety, fatigue, quality of life, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, sleep disorders, mind-body interventions, music therapy, meditation, yoga, massage, acupressure, acupuncture, acetyl-L-carnitine, dietary supplements
MeSH terms: Complementary Therapies, Anxiety, Breast Neoplasms, Depression, Fatigue, Female, Humans, Lymphedema, Nausea, Peripheral Nervous System Diseases, Quality of Life, Sleep Wake Disorders, Stress, Psychological, Vomiting, Mood Disorders

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