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The Effects of Complementary Therapies on Patient-Reported Outcomes: An Overview of Recent Systematic Reviews in Oncology
Nivel (Netherlands Institute of Health Services Research), Otterstraat 118, 3512 CR Utrecht, The Netherlands;Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Geert Grooteplein Zuid 21, 6525 EZ Nijmegen, The Netherlands.ORCID iD: 0000-0002-1278-9665
Praktijk Integratieve Oncologie, Heesterpoort 18, 9713 KZ Groningen, The Netherlands.
Nivel (Netherlands Institute of Health Services Research), Otterstraat 118, 3512 CR Utrecht, The Netherlands.
Department of Medical Oncology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, The Netherlands.
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2023 (English)In: Cancers, E-ISSN 2072-6694, Vol. 15, no 18, article id 4513Article, review/survey (Refereed) Published
Abstract [en]

Many patients with cancer make use of complementary medicine alongside conventional medicine, but clinicians in oncology often lack the knowledge to adequately advise patients on the evidence base for complementary therapies. This study aims to provide an overview of recently published systematic reviews that assess the effects of complementary therapies on patient-reported health outcomes in patients with cancer. Systematic reviews, including a meta-analysis of at least two randomized controlled trials, were identified from the PubMed, Embase, Cochrane Library, CINAHL and PsycINFO databases. The methodological quality was assessed with AMSTAR 2. One hundred systematic reviews were included. The results suggest that several complementary therapies can improve health outcomes reported by patients with cancer, such as acupuncture to relieve pain, music interventions to reduce anxiety and yoga to improve cancer-related fatigue. The side effects related to complementary therapy use are generally mild. The results remain inconclusive for some intervention–outcome combinations. Many of the included systematic reviews insufficiently assessed the causes and impact of bias in their interpretation of the results. This overview of systematic reviews can support clinicians in counselling their patients on this topic and provide directions for future research and clinical practice guidelines in the field of complementary medicine.

Place, publisher, year, edition, pages
MDPI, 2023. Vol. 15, no 18, article id 4513
Keywords [en]
complementary medicine, oncology, patient-reported outcomes (PROMS), overview of systematic reviews, meta-analysis
National Category
Cancer and Oncology
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-30503DOI: 10.3390/cancers15184513ISI: 001071261000001Scopus ID: 2-s2.0-85172805320OAI: oai:DiVA.org:hb-30503DiVA, id: diva2:1797292
Available from: 2023-09-14 Created: 2023-09-14 Last updated: 2024-02-01Bibliographically approved

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van Dulmen, Sandra

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