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Chinese Herbal Medicine for Symptom Management in Cancer Palliative Care: Systematic Review And Meta-analysis
Abstract: Use of Chinese herbal medicines (CHM) in symptom management for cancer palliative care is very common in Chinese populations but clinical evidence on their effectiveness is yet to be synthesized.
To conduct a systematic review with meta-analysis to summarize results from CHM randomized controlled trials (RCTs) focusing on symptoms that are undertreated in conventional cancer palliative care.
Five international and 3 Chinese databases were searched. RCTs evaluating CHM, either in combination with conventional treatments or used alone, in managing cancer-related symptoms were considered eligible. Effectiveness wa...
Source: Medicine - February 1, 2016 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research
Risk-Factor Based-Medicine and Its Discontents
By MICHEL ACCAD, MD
If concepts could get awards, then “risk factor” would surely be a Nobel prize winner. Barely over 50 years of age, it enjoys such an important place in medicine that I suspect most of us doctors could hardly imagine practicing without it. Yet, clearly, the concept is not native to our profession nor is its success entirely justified.
A few years ago, on the occasion of the risk factor’s fiftieth anniversary, my colleague Herb Fred and I published an editorial highlighting some of the problem with the use of this concept. I will summarize here some of those points.
The risk factor concept ...
Source: The Health Care Blog - July 12, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Complementary and Alternative Medicine Use and Its Association with Quality of Life among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross-Sectional Study.
Conclusions. This study revealed a high rate of CAM use with very low disclosure rate to their health care providers. Health care providers should be open to discuss the use of CAM with their patients as it will lead to better health outcome.
PMID: 27433182 [PubMed]
Source: Evidence-based Complementary and Alternative Medicine - July 21, 2016 Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Prevalence and Correlates of Complementary and Alternative Medicine Use among Hypertensive Patients in Gondar Town, Ethiopia.
Conclusions. The higher prevalence of CAM use among hypertensive patients coupled with a very low disclosure rate to their health care providers can have a marked potential to cause ineffective hypertensive management and adverse effects due to CAM use. Health care providers should be open to discussing the use of CAM with their patients as it will lead to better health outcome.
PMID: 27843480 [PubMed - in process]
Source: Evidence-based Complementary and Alternative Medicine - November 17, 2016 Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Therapeutic efficacy of Traditional Chinese medicine, "Kuan-Sin-Yin", in patients undergoing chemotherapy for advanced colon cancer - A controlled trial.
CONCLUSIONS: The correlation of positive results reflected in meridian energy and HRV activity confirms the positive role of complementary medicine of Kuan-Sin-Yin in cancer care.
PMID: 27912948 [PubMed - in process]
Source: Complementary Therapies in Medicine - November 30, 2016 Category: Complementary Medicine Authors: Chien TJ, Liu CY, Lu RH, Kuo CW, Lin YC, Hsu CH Tags: Complement Ther Med Source Type: research
Prevalence and Characteristics of CAM Use among People Living with HIV and AIDS in Lebanon: Implications for Patient Care.
This study aimed to assess the prevalence and determinants of Complementary and Alternative Medicine (CAM) use among People Living with HIV and AIDS (PLWHA) in Lebanon and to identify related issues that may affect patient care. A cross-sectional survey design was used to interview 116 PLWHA in Beirut. The questionnaire addressed sociodemographic and disease characteristics as well as CAM use. The main outcome of the study was CAM use since diagnosis. Data analysis included descriptive statistics and logistic regression analyses. Overall, 46.6% of participants reported using one or more CAM therapies, with herbs and herbal...
Source: Evidence-based Complementary and Alternative Medicine - January 6, 2017 Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Complementary and alternative medicine in Brazilian children and adolescents with type 1 diabetes mellitus.
CONCLUSIONS: The construction of the profile revealed a group of patients that deserve a special attention by health professionals because they are more prone to adopt behaviors that impair the success of the treatment, such as not counting carbohydrates and not informing the doctor about the use of CAM.
PMID: 29073288 [PubMed - in process]
Source: Pediatric Endocrinology, Diabetes, and Metabolism - October 28, 2017 Category: Endocrinology Authors: Machado LCB, Alves C Tags: Pediatr Endocrinol Diabetes Metab Source Type: research
Herbal medicine (Bojungikki-tang) for allergic rhinitis: A protocol for a systematic review of controlled trials
AbstractBackground:Bojungikki-tang, a herbal medicine for strengthening the digestive system, has been widely used in East Asian countries since the Yuan Dynasty in China. Moreover, Bojungikki-tang has reportedly exhibited anti-allergy effects in many clinical trials. This systematic review will assess the effectiveness and safety of Bojungikki-tang for allergic rhinitis (AR).Methods and analysis:Eleven databases, including Asian databases, will be searched for studies conducted through October 2017. We will include randomized controlled trials (RCTs) assessing Bojungikki-tang for AR. The risk of bias will be evaluated usi...
Source: Medicine - January 1, 2018 Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
Complementary and alternative medicine practices among Type 2 diabetes patients in Pakistan: A Qualitative insight
ConclusionReligious practices, herbal and household remedies were the main CAM practices observed in this study. Proper understanding of patients’ perspectives towards CAM can help health care professionals adopt a more patient-centred approach, optimize good pharmaceutical care planning and ensure safe practice.
Source: European Journal of Integrative Medicine - September 18, 2018 Category: Complementary Medicine Source Type: research
Herbal medicine for the management of postoperative pain: A protocol for the systematic review of randomized controlled trials
Conclusion:
This systematic review will be published in a peer-reviewed journal and disseminated electronically and in print. The review will be updated to inform and guide health care practices.
Registration number: CRD42018094897
Source: Medicine - January 1, 2019 Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
A Geriatrician Reviews Cicero ’s “On Old Age”
As a geriatrician entering the twilight of my career, I look to the philosophers of my field for guidance on how to navigate my own later years. In addition to contemporary texts and journals I turned toward the ancients and discovered a gem in the writings of Cicero, one of the greatest philosophers of the Roman Empire. The work is entitled De Senectute – Latin for “On Old Age.” Cicero wrote this in 44 BC, the year before he was executed at age 63 by Marc Antony’s henchmen for his alliance with Julius Caesar’s assassins and political opposition to the rulers of Rome.
On Old Age is an optimistic discussion of t...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 25, 2017 Category: Geriatrics Authors: Jeffrey Levine Tags: An Aging World Art & Medicine Featured Medical Articles art and aging art and medicine history medical history medicine and art Source Type: blogs
The Use of Pattern Differentiation in WHO-Registered Traditional Chinese Medicine Trials – a systematic review
ConclusionThe reporting and application of pattern differentiation in TCM trials were inadequate and confusing, which was mainly due to lack of clarity regarding study design, objectives, diagnostic criteria and outcomes.
Source: European Journal of Integrative Medicine - July 22, 2019 Category: Complementary Medicine Source Type: research
Current state of cancer patient care incorporating Thai traditional medicine in Thailand: A qualitative study
ConclusionTTM is an alternative treatment modality for patients with cancer and is supported by a national policy in Thailand. To increase accountability to patients and other practitioners, TTM treatments should be refined to rely on scientific principles and practitioners of TTM should receive academic training. Practical treatment guidelines need to be established and thoroughly disseminated to TTM practitioners.Please cite this article as: Nootim P, Kapol N, Bunchuailua W, Poompruek P, Tungsukruthai P. Current state of cancer patient care incorporating Thai traditional medicine in Thailand: A qualitative study. J Integ...
Source: Journal of Integrative Medicine - December 15, 2019 Category: Complementary Medicine Source Type: research
The use of complementary and alternative medicine in children with atopic eczema at a tertiary care centre in Malaysia.
CONCLUSION: CAM use was prevalent among children with AE. Its use was significantly associated with AE severity from a parental perspective. Healthcare providers may need to enquire parents about CAM use for their child during routine clinic appointment.
PMID: 32147044 [PubMed - in process]
Source: Complementary Therapies in Medicine - February 29, 2020 Category: Complementary Medicine Authors: Koo K, Nagayah R, Begum S, Tuan Mahmood TM, Mohamed Shah N Tags: Complement Ther Med Source Type: research
Integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program
ConclusionsThe study ’s findings support the feasibility of integrating herbal medicine into an academic oncology setting. Patient satisfaction with HOP was high, with limited adverse events. The patterns of herbal prescriptions in HOP suggest future areas for clinical research to strengthen the evidence base around s afe and effective use.
Source: Supportive Care in Cancer - January 21, 2023 Category: Cancer & Oncology Source Type: research
