Complementary and Alternative Therapies for Cancer

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Abstract
Learning Objectives: After completing this course, the reader will be able to: Describe the differences between complementary and alternative therapies. List common complementary and alternative therapies used by cancer patients. Know where to access reliable information. Access and take the CME test online and receive one hour of AMA PRA category 1 credit atCME.TheOncologist.com Many cancer patients use therapies promoted as literal alternatives to conventional medical care. Such “alternative” modalities are unproven or were studied and found worthless. These can be harmful. An even greater proportion of cancer patients uses “complementary” therapies along with mainstream cancer treatment. Most are helpful adjunctive approaches that control symptoms and enhance quality of life. This review describes alternative as well as complementary therapies commonly used today by cancer patients. Herbal remedies also are discussed. Evidence regarding the efficacy and safety of complementary/alternative medicine (CAM) is reviewed, and implications for oncologists are discussed. To encourage open communication of CAM use by patients, oncologists should be knowledgeable about the most popular remedies and know where to find reliable information for themselves and for their patients.