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02-02-2018 | Supportive care | Article

Integrative medicine and the oncology patient: options and benefits

Journal: Supportive Care in Cancer

Authors: Karen Armstrong, Thomas Lanni Jr., Maureen M. Anderson, Gail Elliott Patricolo

Publisher: Springer Berlin Heidelberg

Abstract

Cancer is a major public health problem, and cancer patients and survivors face many physical and emotional challenges after the initial diagnosis, through treatment, and in the post-treatment period. Different integrative medicine (IM) modalities can be used to mitigate some of the physical issues that originate from the cancer itself or the treatment and to promote well-being and emotional health. Here, we discuss how an IM Department can function in a hospital system, particularly with regard to oncology patients, the modalities appropriate for oncology patients, how these modalities can benefit this patient population, and the role of IM in cancer survivorship. A dedicated IM Department that works with oncologists provides support and care for the whole person. These different modalities work together to reduce pain, anxiety, and chemotherapy-induced nausea and peripheral neuropathy, while promoting immune function and improving sleep, range of motion, and an overall sense of well-being. However, each modality has different contraindications for the oncology patient, and proper training is required for safe and effective care. We illustrate how IM can be a valuable component of the care of the oncology patient.
Literature
1.
Siegel RL, Miller KD, Jemal A (2016) Cancer statistics, 2016. CA Cancer J Clin 66(1):7–30. https://​doi.​org/​10.​3322/​caac.​21332 CrossRefPubMed
2.
Institute NC (2014) Taking time: support for people with cancer, vol 14-2059. US Department of Health and Human Services, Washington DC
3.
Barnes PM, Bloom B, Nahin RL (2008) Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Rep (12):1–23
4.
Mao JJ, Palmer CS, Healy KE, Desai K, Amsterdam J (2011) Complementary and alternative medicine use among cancer survivors: a population-based study. J Cancer Surviv: Res Pract 5(1):8–17. https://​doi.​org/​10.​1007/​s11764-010-0153-7 CrossRef
5.
Lanni T, Patricolo GE (2014) The business of integrative medicine in a large hospital system. J Hosp Adm 3(3):52–60. https://​doi.​org/​10.​5430/​jha.​v3n3p52 CrossRef
6.
Anderson M, Armstrong K, Janosz K, Tocco M, DeVore N, Stachura G, Styczynski L, Stachura K, Armstrong H, Patricolo G (2016) A unique partnership between a health system’s insurance plan and the Integrative Medicine Department benefits patients and helps control costs. J Hosp Adm 5(4):61–67
7.
Massage Therapy for Health Purposes. (2017) National center for complementary and integrative health. https://​nccihnihgov/​health/​massage/​massageintroduct​ionhtm Accessed 19 Oct 2017
8.
Collinge W, MacDonald G, Walton T (2012) Massage in supportive cancer care. Semin Oncol Nurs 28(1):45–54. https://​doi.​org/​10.​1016/​j.​soncn.​2011.​11.​005 CrossRefPubMed
9.
Billhult A, Lindholm C, Gunnarsson R, Stener-Victorin E (2009) The effect of massage on immune function and stress in women with breast cancer—a randomized controlled trial. Auton Neurosci: Basic Clin 150(1–2):111–115. https://​doi.​org/​10.​1016/​j.​autneu.​2009.​03.​010 CrossRef
10.
Post-White J, Kinney ME, Savik K, Gau JB, Wilcox C, Lerner I (2003) Therapeutic massage and healing touch improve symptoms in cancer. Integr Cancer Ther 2(4):332–344. https://​doi.​org/​10.​1177/​1534735403259064​ CrossRefPubMed
11.
Cunningham JE, Kelechi T, Sterba K, Barthelemy N, Falkowski P, Chin SH (2011) Case report of a patient with chemotherapy-induced peripheral neuropathy treated with manual therapy (massage). Support Care Cancer 19(9):1473–1476. https://​doi.​org/​10.​1007/​s00520-011-1231-8 CrossRefPubMed
12.
Wilk I, Kurpas D, Mroczek B, Andrzejewski W, Okreglicka-Forysiak E, Krawiecka-Jaworska E, Kassolik K (2015) Application of tensegrity massage to relive complications after mastectomy—case report. Rehabil Nurs 40(5):294–304. https://​doi.​org/​10.​1002/​rnj.​142 CrossRefPubMed
13.
Shin TM, Bordeaux JS (2012) The role of massage in scar management: a literature review. Dermatol Surg 38(3):414–423. https://​doi.​org/​10.​1111/​j.​1524-4725.​2011.​02201.​x CrossRefPubMed
14.
Patricolo GE, Armstrong K, Riutta J, Lanni T (2014) Lymphedema care for the breast cancer patient: an integrative approach. Breast 24(1):82–85. https://​doi.​org/​10.​1016/​j.​breast.​2014.​10.​004 CrossRefPubMed
15.
Walton T (2006) Cancer and massage: contraindications and cancer treatment. Massage Ther J 45:119–135
16.
Services UDoHaH (2013) Traditional Chinese medicine: in depth https://​nccih.​nih.​gov/​health/​whatiscam/​chinesemed.​htm Accessed Nov 9 2017
17.
Hu C, Zhang H, Wu W, Yu W, Li Y, Bai J, Luo B, Li S (2016) Acupuncture for pain management in cancer: a systematic review and meta-analysis. Evid Based Complement Alternat Med 2016(13):1720239. https://​doi.​org/​10.​1155/​2016/​1720239 PubMedPubMedCentralCrossRef
18.
Lu W, Rosenthal DS (2013) Acupuncture for cancer pain and related symptoms. Curr Pain Headache Rep 17(3):321. https://​doi.​org/​10.​1007/​s11916-013-0321-3 CrossRefPubMedPubMedCentral
19.
Running A, Seright T (2012) Integrative oncology: managing cancer pain with complementary and alternative therapies. Curr Pain Headache Rep 16(4):325–331. https://​doi.​org/​10.​1007/​s11916-012-0275-x CrossRefPubMed
20.
Garcia MK, McQuade J, Haddad R, Patel S, Lee R, Yang P, Palmer JL, Cohen L (2013) Systematic review of acupuncture in cancer care: a synthesis of the evidence. J Clin Oncol 31(7):952–960. https://​doi.​org/​10.​1200/​JCO.​2012.​43.​5818 CrossRefPubMedPubMedCentral
21.
Schroeder S, Meyer-Hamme G, Epplee S (2012) Acupuncture for chemotherapy-induced peripheral neuropathy (CIPN): a pilot study using neurography. Acupunct Med 30(1):4–7. https://​doi.​org/​10.​1136/​acupmed-2011-010034 CrossRefPubMed
22.
Zhuang L, Yang Z, Zeng X, Zhua X, Chen Z, Liu L, Meng Z (2013) The preventive and therapeutic effect of acupuncture for radiation-induced xerostomia in patients with head and neck cancer: a systematic review. Integr Cancer Ther 12(3):197–205. https://​doi.​org/​10.​1177/​1534735412451321​ CrossRefPubMed
23.
Braga FP, Lemos Junior CA, Alves FA, Migliari DA (2011) Acupuncture for the prevention of radiation-induced xerostomia in patients with head and neck cancer. Braz Oral Res 25(2):180–185. https://​doi.​org/​10.​1590/​S1806-8324201100020001​4 CrossRefPubMed
24.
Meng Z, Garcia MK, Hu C, Chiang J, Chambers M, Rosenthal DI, Peng H, Zhang Y, Zhao Q, Zhao G, Liu L, Spelman A, Palmer JL, Wei Q, Cohen L (2012) Randomized controlled trial of acupuncture for prevention of radiation-induced xerostomia among patients with nasopharyngeal carcinoma. Cancer 118(13):3337–3344. https://​doi.​org/​10.​1002/​cncr.​26550 CrossRefPubMed
25.
Lanni T, Anderson M, Armstrong H, Patricolo G (2016) Incorporating naturopathic medicine into a hospital setting: one institution’s experience. Alternat Complement Ther 22(4):1–6. https://​doi.​org/​10.​1089/​act.​2016.​29064.​tla CrossRef
26.
Demir M, Can G, Celek E (2013) Effect of Reiki on symptom management in oncology. Asian Pac J Cancer Prev 14(8):4931–4933. https://​doi.​org/​10.​7314/​APJCP.​2013.​14.​8.​4931 CrossRefPubMed
27.
Thrane S, Cohen SM (2014) Effect of Reiki therapy on pain and anxiety in adults: an in-depth literature review of randomized trials with effect size calculations. Pain Manag Nurs 15(4):897–908. https://​doi.​org/​10.​1016/​j.​pmn.​2013.​07.​008 CrossRefPubMedPubMedCentral
28.
Matourypour P, Vanaki Z, Zare Z, Mehrzad V, Dehghan M, Ranjbaran M (2016) Investigating the effect of therapeutic touch on the intensity of acute chemotherapy-induced vomiting in breast cancer women under chemotherapy. Iran J Nurs Midwifery Res 21(3):255–260. https://​doi.​org/​10.​4103/​1735-9066.​180373 CrossRefPubMedPubMedCentral
29.
Wood D, Patricolo GE (2013) Using guided imagery in a hospital setting. Alternat Complement Ther 19(6):301–305. https://​doi.​org/​10.​1089/​act.​2013.​19604 CrossRef
30.
Carlson LE, Bultz BD (2008) Mind-body interventions in oncology. Curr Treat Options in Oncol 9(2–3):127–134. https://​doi.​org/​10.​1007/​s11864-008-0064-2 CrossRef
31.
Richardson MA, Sanders T, Palmer JL, Greisinger A, Singletary SE (2000) Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology. J Clin Oncol 18(13):2505–2514. https://​doi.​org/​10.​1200/​JCO.​2000.​18.​13.​2505 CrossRefPubMed
32.
Patricolo GE, LaVoie A, Slavin B, Richards NL, Jagow D, Armstrong K (2017) Beneficial effects of guided imagery or clinical massage on the status of patients in a progressive care unit. Crit Care Nurse 37(1):62–69. https://​doi.​org/​10.​4037/​ccn2017282 CrossRefPubMed
33.
Carrico DJ, Peters KM, Diokno AC (2008) Guided imagery for women with interstitial cystitis: results of a prospective, randomized controlled pilot study. J Altern Complement Med 14(1):53–60. https://​doi.​org/​10.​1089/​acm.​2007.​7070 CrossRefPubMed
34.
Wyatt G, Sikorskii A, Rahbar MH, Victorson D, You M (2012) Health-related quality-of-life outcomes: a reflexology trial with patients with advanced-stage breast cancer. Oncol Nurs Forum 39(6):568–577. https://​doi.​org/​10.​1188/​12.​ONF.​568-577 CrossRefPubMedPubMedCentral
35.
Chaoul A, Milbury K, Sood AK, Prinsloo S, Cohen L (2014) Mind-body practices in cancer care. Curr Oncol Rep 16(12):417. https://​doi.​org/​10.​1007/​s11912-014-0417-x CrossRefPubMedPubMedCentral
36.
Sprod LK, Fernandez ID, Janelsins MC, Peppone LJ, Atkins JN, Giguere J, Block R, Mustian KM (2015) Effects of yoga on cancer-related fatigue and global side-effect burden in older cancer survivors. J Geriatr Oncol 6(1):8–14. https://​doi.​org/​10.​1016/​j.​jgo.​2014.​09.​184 CrossRefPubMed
37.
Sadja J, Mills PJ (2013) Effects of yoga interventions on fatigue in cancer patients and survivors: a systematic review of randomized controlled trials. Explore 9(4):232–243. https://​doi.​org/​10.​1016/​j.​explore.​2013.​04.​005 CrossRefPubMedPubMedCentral
38.
Buffart LM, van Uffelen JG, Riphagen II, Brug J, van Mechelen W, Brown WJ, Chinapaw MJ (2012) Physical and psychosocial benefits of yoga in cancer patients and survivors, a systematic review and meta-analysis of randomized controlled trials. BMC Cancer 12(1):559. https://​doi.​org/​10.​1186/​1471-2407-12-559 CrossRefPubMedPubMedCentral
39.
Peppone LJ, Janelsins MC, Kamen C, Mohile SG, Sprod LK, Gewandter JS, Kirshner JJ, Gaur R, Ruzich J, Esparaz BT, Mustian KM (2015) The effect of YOCAS(c)(R) yoga for musculoskeletal symptoms among breast cancer survivors on hormonal therapy. Breast Cancer Res Treat 150(3):597–604. https://​doi.​org/​10.​1007/​s10549-015-3351-1 CrossRefPubMedPubMedCentral
40.
Milbury K, Chaoul A, Engle R, Liao Z, Yang C, Carmack C, Shannon V, Spelman A, Wangyal T, Cohen L (2015) Couple-based Tibetan yoga program for lung cancer patients and their caregivers. Psycho-Oncology 24(1):117–120. https://​doi.​org/​10.​1002/​pon.​3588 CrossRefPubMed
41.
Cramer H, Lange S, Klose P, Paul A, Dobos G (2012) Yoga for breast cancer patients and survivors: a systematic review and meta-analysis. BMC Cancer 12(1):412. https://​doi.​org/​10.​1186/​1471-2407-12-412 CrossRefPubMedPubMedCentral
42.
Rao RM, Raghuram N, Nagendra HR, Usharani MR, Gopinath KS, Diwakar RB, Patil S, Bilimagga RS, Rao N (2015) Effects of an integrated yoga program on self-reported depression scores in breast cancer patients undergoing conventional treatment: a randomized controlled trial. Indian J Palliat Care 21(2):174–181. https://​doi.​org/​10.​4103/​0973-1075.​156486 CrossRefPubMedPubMedCentral
43.
Derry HM, Jaremka LM, Bennett JM, Peng J, Andridge R, Shapiro C, Malarkey WB, Emery CF, Layman R, Mrozek E, Glaser R, Kiecolt-Glaser JK (2015) Yoga and self-reported cognitive problems in breast cancer survivors: a randomized controlled trial. Psycho-Oncology 24(8):958–966. https://​doi.​org/​10.​1002/​pon.​3707 CrossRefPubMed
44.
Gusani NJ, Schubart JR, Wise J, Farace E, Green MJ, Jiang Y, Kimchi ET, Staveley-O’Carroll KF (2009) Cancer survivorship: a new challenge for surgical and medical oncologists. J Gen Intern Med 24(Suppl 2):S456–S458. https://​doi.​org/​10.​1007/​s11606-009-1010-0 CrossRefPubMed
45.
Arthur K, Belliard JC, Hardin SB, Knecht K, Chen CS, Montgomery S (2013) Reasons to use and disclose use of complementary medicine use—an insight from cancer patients. Cancer Clin Oncol 2(2):81–92. https://​doi.​org/​10.​5539/​cco.​v2n2p81 PubMedPubMedCentralCrossRef