CAM in Cancer
   
   
   
   
   
   
 
CAM Glossary
 
 
 
     
     
     
     
     
     
     
     
     
     
     
  CAM IN CANCER  
 

A diagnosis of cancer can be overwhelming. Patietnts need to deal with physical and emotional aspects of cancer, and also decide which treatment options are the best for them. In addition to conventional Western medical treatments, many cancer patients also turn to complementary and alternaitve medicine (CAM). Reasons for using CAM include to relieve side effects of conventional cancer treatment, a sense of being in control of their disease, improve quality of life, maintain hope, and do everything possible to to have the best chance of recovery..

There are lots of information available on the purported benefits of CAM in cancer. However,potential interactions with conventional treatment are not adequately addressed. Therefore, it is important educate patients and care-givers on the current research on CAM in cancer so that decisions to use CAM in cancer are made based on scientific evidence.

 
 
 
     
  Complementary Medicine is Different from Alternative Medicine Definitions  
 

Complementary and alternative medicine is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. While some scientific evidence exists regarding some CAM therapies, for most there are key questions that are yet to be answered through well-designed scientific studies--questions such as whether these therapies are safe and whether they work for the diseases or medical conditions for which they are used.

  • Complementary medicine is used together with conventional medicine.
  • Alternative medicine is used in place of conventional medicine.
  • Integrative medicine combines treatments from conventional medicine and CAM for which there is some high-quality evidence of safety and effectiveness. It is also called integrated medicine.

The list of what is considered to be CAM changes continually, as those therapies that are proven to be safe and effective become adopted into conventional health care and as new approaches to health care emerge.

 
     
 

Is CAM Widely used in Singapore?

 
 

A 2004 study on 468 participants in a housing estate with demographic and socioeconomic characteristics closely matching that of the Singapore population found 76% to have used CAM over a 12-month period, mostly for maintenance of health than for treatment of illness. In a 2006 study on the use of CAM in paediatric oncology patients in KK Women’s & Children’s Hospital found 67.1% of parents reported having used at least 1 CAM therapy since the diagnosis of their child’s cancer.

The high prevalence of CAM use among the normal population and in paediatric cancer in multi-racial Singapore, and among cancer patients in other countries suggests that CAM use may also be high among other cancer patients in Singapore.

 
     
  What are the major types of CAM?  
 

The National Center for Complementary and Alternative Medicine ( NCCAM) groups CAM practices into four domains, recognizing there can be some overlap. In addition, NCCAM studies CAM whole medical systems, which cut across all domains.

Whole Medical Systems
Whole medical systems are built upon complete systems of theory and practice. Often, these systems have evolved apart from and earlier than the conventional medical approach used in the United States. Examples of whole medical systems that have developed in Western cultures include homeopathic medicine and naturopathic medicine. Examples of systems that have developed in non-Western cultures include traditional traditional Chinese medicine and Ayurveda.

Mind-Body Medicine
Mind-body medicine uses a variety of techniques designed to enhance the mind's capacity to affect bodily function and symptoms. Some techniques that were considered CAM in the past have become mainstream (for example, patient support groups and cognitive-behavioral therapy). Other mind-body techniques are still considered CAM, including meditation, prayer, mental healing, and therapies that use creative outlets such as art, music, or dance.

Biologically Based Practices
Biologically based practices in CAM use substances found in nature, such as herbs, foods, and vitamins. Some examples include dietary supplements, herbal products, and the use of other so-called natural but as yet scientifically unproven therapies (for example, using shark cartilage to treat cancer).

Manipulative and Body-Based Practices
Manipulative and body-based practices in CAM are based on manipulation and/or movement of one or more parts of the body. Some examples include chiropractic or osteopathic manipulation and massage.

Energy Medicine
Energy therapies involve the use of energy fields. They are of two types:

  • Biofield therapies are intended to affect energy fields that purportedly surround and penetrate the human body. The existence of such fields has not yet been scientifically proven. Some forms of energy therapy manipulate biofields by applying pressure and/or manipulating the body by placing the hands in, or through, these fields. Examples include qi gong, Reiki and Therapeutic Touch.
  • Bioelectromagnetic-based therapies involve the unconventional use of electromagnetic fields, such as pulsed fields, magnetic fields, or alternating-current or direct-current fields.
 
 
Source: NCCAM
 
     
     
     
 
Copyright 2008 © IntegrativeOncology. All rights reserved.