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Integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program
OBJECTIVE: To evaluate the feasibility of a novel program facilitating patient-provider communication about appropriate use of herbal medicine at a large academic cancer center and its impact on patient wellbeing. METHODS: In the Herbal Oncology Program (HOP), integrative medicine providers counsele...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860233/ https://www.ncbi.nlm.nih.gov/pubmed/36680628 http://dx.doi.org/10.1007/s00520-023-07577-x |
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author | Hou, Yen-Nien Chimonas, Susan Gubili, Jyothirmai Deng, Gary Mao, Jun J. |
author_facet | Hou, Yen-Nien Chimonas, Susan Gubili, Jyothirmai Deng, Gary Mao, Jun J. |
author_sort | Hou, Yen-Nien |
collection | PubMed |
description | OBJECTIVE: To evaluate the feasibility of a novel program facilitating patient-provider communication about appropriate use of herbal medicine at a large academic cancer center and its impact on patient wellbeing. METHODS: In the Herbal Oncology Program (HOP), integrative medicine providers counseled patients about unmet symptom needs and prescribed traditional Chinese medicine (TCM) herbs when indicated, taking into consideration the clinical context, patient preference, and research evidence. To evaluate the feasibility and outcomes, we performed a retrospective analysis using medical record data (symptoms and other concerns that motivated patients to seek herbal products, types and numbers of dispensed TCM herbs, and demographic characteristics). We also conducted a survey to assess patient experience and satisfaction. RESULTS: All 851 participants were outpatients, with 712 (84%) in active treatment. HOP dispensed 1266 herbal prescriptions for a range of symptoms, most commonly GI symptoms (467, 37%); pain (353, 28%); and treatment-related fatigue, sleep, and mood disorders (346, 27%). Of 269 patients invited to the survey, 107 (40%) completed it. A majority of respondents 70.9% (73/103) were satisfied with the effectiveness of dispensed herbs in relieving their symptoms, and few 6.7% (7/104) had experienced mild adverse events that resolved after discontinuing herbal use. CONCLUSIONS: The 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 safe and effective use. |
format | Online Article Text |
id | pubmed-9860233 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-98602332023-01-23 Integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program Hou, Yen-Nien Chimonas, Susan Gubili, Jyothirmai Deng, Gary Mao, Jun J. Support Care Cancer Research OBJECTIVE: To evaluate the feasibility of a novel program facilitating patient-provider communication about appropriate use of herbal medicine at a large academic cancer center and its impact on patient wellbeing. METHODS: In the Herbal Oncology Program (HOP), integrative medicine providers counseled patients about unmet symptom needs and prescribed traditional Chinese medicine (TCM) herbs when indicated, taking into consideration the clinical context, patient preference, and research evidence. To evaluate the feasibility and outcomes, we performed a retrospective analysis using medical record data (symptoms and other concerns that motivated patients to seek herbal products, types and numbers of dispensed TCM herbs, and demographic characteristics). We also conducted a survey to assess patient experience and satisfaction. RESULTS: All 851 participants were outpatients, with 712 (84%) in active treatment. HOP dispensed 1266 herbal prescriptions for a range of symptoms, most commonly GI symptoms (467, 37%); pain (353, 28%); and treatment-related fatigue, sleep, and mood disorders (346, 27%). Of 269 patients invited to the survey, 107 (40%) completed it. A majority of respondents 70.9% (73/103) were satisfied with the effectiveness of dispensed herbs in relieving their symptoms, and few 6.7% (7/104) had experienced mild adverse events that resolved after discontinuing herbal use. CONCLUSIONS: The 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 safe and effective use. Springer Berlin Heidelberg 2023-01-21 2023 /pmc/articles/PMC9860233/ /pubmed/36680628 http://dx.doi.org/10.1007/s00520-023-07577-x Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Research Hou, Yen-Nien Chimonas, Susan Gubili, Jyothirmai Deng, Gary Mao, Jun J. Integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program |
title | Integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program |
title_full | Integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program |
title_fullStr | Integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program |
title_full_unstemmed | Integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program |
title_short | Integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program |
title_sort | integrating herbal medicine into oncology care delivery: development, implementation, and evaluation of a novel program |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9860233/ https://www.ncbi.nlm.nih.gov/pubmed/36680628 http://dx.doi.org/10.1007/s00520-023-07577-x |
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