The Use of Herbal Medicine and Dietary Supplements in Cancer Patients Receiving Immune Checkpoint Inhibitors: A Multicenter Cross-Sectional Study.

IF 2.9 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE
Fatih Kus, Deniz Can Guven, Hasan Cagri Yildirim, Baran Akagunduz, Serdar Karakaya, Osman Sutcuoglu, Elvin Chalabiyev, Arif Akyildiz, Baris Koksal, Yigit Berk Sahin, Ece Karaca, Oguz Alp Kavruk, Nefise Tugce Zor, Firat Sirvan, Ozan Yazici, Suayib Yalcin
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Abstract

Aims: This study aimed to assess the habits and knowledge of cancer patients regarding the use of herbal medicines and dietary supplements in cancer patients receiving immune checkpoint inhibitors (ICI).

Methods: The data of 181 cancer patients who were over 18 years old and received ICIs were collected. The usage patterns, anticipated benefits and harms, and sources of supply were evaluated by filling researcher-prepared forms.

Results: Most patients did not use any kind of herbal medicine (91.2%) or dietary supplements (75.9%) during their immunotherapy. Boosting the immune system is the primary motivation for use among users. Multivitamins are the most frequently used supplements. Family members and TV advertisements were the main sources of information, in addition to limited advice from healthcare professionals. A minority of participants reported gastrointestinal side effects. Herbal medicine and dietary supplement use were more prevalent among patients with stage IV cancer and renal cell carcinoma (RCC).

Discussion: This study revealed that the limited uptake of herbal medicines and dietary supplements alongside ICI treatment among cancer patients. The lack of adequate information from healthcare professionals poses potential risks to patients. Improved communication with patients, education regarding herbal medicine and dietary supplement use, potential interactions, and associated risks during ICI treatment are essential. Further research is needed to identify the specific needs of patients, anticipated benefits, and potential harms of herbal medicine and dietary supplement use, together with ICIs.

接受免疫检查点抑制剂治疗的癌症患者使用草药和膳食补充剂的情况:一项多中心横断面研究。
目的:本研究旨在评估接受免疫检查点抑制剂(ICI)治疗的癌症患者使用中药和膳食补充剂的习惯和知识:方法:收集了181名18岁以上接受免疫检查点抑制剂治疗的癌症患者的数据。方法:收集了 181 名 18 岁以上接受 ICIs 治疗的癌症患者的数据,通过填写研究人员准备的表格,对其使用模式、预期益处和危害以及供应来源进行了评估:结果:大多数患者在接受免疫治疗期间没有使用任何草药(91.2%)或膳食补充剂(75.9%)。增强免疫系统是使用者使用药物的主要动机。多种维生素是最常用的补充剂。除了医疗保健专业人员提供的有限建议外,家庭成员和电视广告是主要的信息来源。少数参与者报告了胃肠道副作用。草药和膳食补充剂的使用在 IV 期癌症和肾细胞癌(RCC)患者中更为普遍:本研究显示,癌症患者在接受 ICI 治疗的同时,对草药和膳食补充剂的使用有限。医护人员缺乏足够的信息会给患者带来潜在风险。在 ICI 治疗期间,必须加强与患者的沟通,就草药和膳食补充剂的使用、潜在的相互作用和相关风险开展教育。需要进一步开展研究,以确定患者的具体需求、草药和膳食补充剂与 ICIs 合用的预期益处和潜在危害。
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来源期刊
Integrative Cancer Therapies
Integrative Cancer Therapies 医学-全科医学与补充医学
CiteScore
4.80
自引率
3.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: ICT is the first journal to spearhead and focus on a new and growing movement in cancer treatment. The journal emphasizes scientific understanding of alternative medicine and traditional medicine therapies, and their responsible integration with conventional health care. Integrative care includes therapeutic interventions in diet, lifestyle, exercise, stress care, and nutritional supplements, as well as experimental vaccines, chrono-chemotherapy, and other advanced treatments. Contributors are leading oncologists, researchers, nurses, and health-care professionals.
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