Self-Medication with Herbal Medicine Among Young Adult Cancer Patients: A Prospective Monocentric Study.

IF 1.2 4区 医学 Q4 ONCOLOGY
Wala Ben Kridis, Ahmed Mnif, Afef Khanfir
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Abstract

Objective: The aim of this study was to determine the incidence of the self-use of plants in cancer patients and its impact on overall survival (OS). Methods: This was a prospective study including young adult patients collected between January 15, 2018 and January 15, 2019 in the department of medical oncology at the Habib Bourguiba University Hospital. All patients were questioned about the concept of taking herbs. We compared OS among those who received plants versus the nonusers. Results: A total of 223 patients were included. The average age was 35 ± 4 years. Ninety-seven patients had taken plants. Sixty patients had consumed alenda (61.8%), and 36 patients had received graviola (37.1%). Ten patients have had diarrhea (10.3%), 10 cytolysis (10.3%), 11 cholestasis (11.3%), 15 thrombocytosis (15.4%), 17 leukocytosis (17.5%), and 13 anemia (13.4%). OS at 5 years was 67.1%. It was lower in patients consuming the plants (54% vs. 83%, p = 0.023). Conclusion: Factors associated with a decrease in the 5-year OS were metastatic stage and plant consumption.

年轻成人癌症患者的中草药自我治疗:前瞻性单中心研究
研究目的本研究旨在确定癌症患者自我使用植物的发生率及其对总生存期(OS)的影响。研究方法这是一项前瞻性研究,研究对象包括哈比卜-布尔吉巴大学医院肿瘤内科在 2018 年 1 月 15 日至 2019 年 1 月 15 日期间收治的年轻成人患者。我们询问了所有患者关于服用草药的概念。我们比较了服用植物和未服用植物的患者的OS。研究结果共纳入 223 名患者。平均年龄为 35 ± 4 岁。97 名患者服用过植物。其中 60 名患者服用过阿莲达(61.8%),36 名患者服用过麝香草(37.1%)。10名患者出现腹泻(10.3%),10名患者出现细胞溶解(10.3%),11名患者出现胆汁淤积(11.3%),15名患者出现血小板增多(15.4%),17名患者出现白细胞增多(17.5%),13名患者出现贫血(13.4%)。5年的OS为67.1%。食用植物的患者生存率较低(54% 对 83%,P = 0.023)。结论转移期和食用植物是降低5年生存率的相关因素。
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来源期刊
CiteScore
3.70
自引率
15.00%
发文量
114
期刊介绍: Journal of Adolescent and Young Adult Oncology (JAYAO) breaks new ground as the first cancer journal dedicated to all aspects of adolescent and young adult (AYA)-aged cancer patients and survivors. JAYAO is the only central forum for peer-reviewed articles, reviews, and research in the field, bringing together all AYA oncology stakeholders and professionals across disciplines, including clinicians, researchers, psychosocial and supportive care providers, and pediatric and adult cancer institutions.
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