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Naturopathic Oncology Care for Thoracic Cancers: A Practice Survey

Background and Objectives: There is a lack of information on therapies recommended by naturopathic doctors (NDs) for lung and gastroesophageal cancer care. Study objectives were to: (1) identify the most common interventions considered for use by NDs; (2) identify interventions NDs recommend to supp...

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Autores principales: Seely, Dugald, Ennis, Julie K., McDonell, Ellen, Zhao, Linlu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142094/
https://www.ncbi.nlm.nih.gov/pubmed/29558830
http://dx.doi.org/10.1177/1534735418759420
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author Seely, Dugald
Ennis, Julie K.
McDonell, Ellen
Zhao, Linlu
author_facet Seely, Dugald
Ennis, Julie K.
McDonell, Ellen
Zhao, Linlu
author_sort Seely, Dugald
collection PubMed
description Background and Objectives: There is a lack of information on therapies recommended by naturopathic doctors (NDs) for lung and gastroesophageal cancer care. Study objectives were to: (1) identify the most common interventions considered for use by NDs; (2) identify interventions NDs recommend to support key therapeutic goals; and (3) identify potential contraindications between integrative and conventional therapies. Methods: Oncology Association of Naturopathic Physicians (OncANP) members (n = 351) were invited to complete an electronic survey. Respondents provided information on interventions considered for thoracic cancer pre- and postoperatively across 4 therapeutic domains (supplemental natural health products, physical, mental/emotional, and nutritional), therapeutic goals, and contraindications. This survey was part of the development of the Thoracic Perioperative Integrative Surgical Evaluation trial. Results: Forty-four NDs completed the survey (12.5% response rate), all of whom were trained at accredited colleges in North America and the majority of whom were Fellows of the American Board of Naturopathic Oncology (FABNO) (56.8%). NDs identified significantly more interventions in the postoperative compared to preoperative setting. The most frequently identified interventions included modified citrus pectin, arnica, omega-3 fatty acids, vitamin D, probiotics, exercise, acupuncture, meditation, stress reduction, low glycemic index diet, and Mediterranean diet. Potential contraindications with conventional treatment (surgery, chemotherapy, radiotherapy) differed across natural health products. Conclusions: These findings highlight naturopathic interventions with a high level of use in thoracic cancer care, describe and characterize therapeutic goals and the interventions used to achieve these goals, and provide insight on how practice changes relative to conventional cancer treatment phase.
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spelling pubmed-61420942018-09-20 Naturopathic Oncology Care for Thoracic Cancers: A Practice Survey Seely, Dugald Ennis, Julie K. McDonell, Ellen Zhao, Linlu Integr Cancer Ther Research Articles Background and Objectives: There is a lack of information on therapies recommended by naturopathic doctors (NDs) for lung and gastroesophageal cancer care. Study objectives were to: (1) identify the most common interventions considered for use by NDs; (2) identify interventions NDs recommend to support key therapeutic goals; and (3) identify potential contraindications between integrative and conventional therapies. Methods: Oncology Association of Naturopathic Physicians (OncANP) members (n = 351) were invited to complete an electronic survey. Respondents provided information on interventions considered for thoracic cancer pre- and postoperatively across 4 therapeutic domains (supplemental natural health products, physical, mental/emotional, and nutritional), therapeutic goals, and contraindications. This survey was part of the development of the Thoracic Perioperative Integrative Surgical Evaluation trial. Results: Forty-four NDs completed the survey (12.5% response rate), all of whom were trained at accredited colleges in North America and the majority of whom were Fellows of the American Board of Naturopathic Oncology (FABNO) (56.8%). NDs identified significantly more interventions in the postoperative compared to preoperative setting. The most frequently identified interventions included modified citrus pectin, arnica, omega-3 fatty acids, vitamin D, probiotics, exercise, acupuncture, meditation, stress reduction, low glycemic index diet, and Mediterranean diet. Potential contraindications with conventional treatment (surgery, chemotherapy, radiotherapy) differed across natural health products. Conclusions: These findings highlight naturopathic interventions with a high level of use in thoracic cancer care, describe and characterize therapeutic goals and the interventions used to achieve these goals, and provide insight on how practice changes relative to conventional cancer treatment phase. SAGE Publications 2018-03-21 /pmc/articles/PMC6142094/ /pubmed/29558830 http://dx.doi.org/10.1177/1534735418759420 Text en © The Author(s) 2018 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Research Articles
Seely, Dugald
Ennis, Julie K.
McDonell, Ellen
Zhao, Linlu
Naturopathic Oncology Care for Thoracic Cancers: A Practice Survey
title Naturopathic Oncology Care for Thoracic Cancers: A Practice Survey
title_full Naturopathic Oncology Care for Thoracic Cancers: A Practice Survey
title_fullStr Naturopathic Oncology Care for Thoracic Cancers: A Practice Survey
title_full_unstemmed Naturopathic Oncology Care for Thoracic Cancers: A Practice Survey
title_short Naturopathic Oncology Care for Thoracic Cancers: A Practice Survey
title_sort naturopathic oncology care for thoracic cancers: a practice survey
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142094/
https://www.ncbi.nlm.nih.gov/pubmed/29558830
http://dx.doi.org/10.1177/1534735418759420
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