Integrative Oncology Physician Consultations at a Comprehensive Cancer Center: Analysis of Demographic, Clinical and Patient Reported Outcomes.

Abstract:

:Background: Integrative oncology (IO) is a relatively new field that seeks to bring evidence-based, non-conventional approaches into conventional oncology care in a coordinated and safe manner. Though complementary and alternative medicine (CAM) are highly utilized by cancer patients, little is known about the characteristics of patients seeking IO consultation. Methods: Patients presenting for an outpatient IO consultation completed a CAM use questionnaire, Measure Yourself Concerns and Wellbeing (MYCaW), Edmonton Symptom Assessment Scale (ESAS), Quality of Life Short Form 12 (SF-12), and post-consultation satisfaction item. Results: 2,474 new patient IO consultations were conducted from 9/2009 to 12/2013 and 2367 (96%) completed at least one measure. Most were female (69%); the most frequent cancer type was breast (29%); 38% had distant/advanced disease; 75% had used a CAM approach in prior 12 months. The most common concerns were seeking an integrative/holistic approach (34%), herbs/supplements (34%), and diet/nutrition (21%). Overall symptom burden was low, with baseline symptom scores (ESAS) highest (worst) for sleep (4.2; SD 2.8), fatigue (4.0; SD 2.8), and well-being (3.8; SD 2.6). On the SF-12, the physical health scores (35.3; SD 7.5) were significantly lower than that of a healthy population (50), but mental health scores were not (46.8; SD 10.2). Satisfaction was high (9.4; SD 1.3) with the consultation. Conclusions: Patients presenting for IO consultation tended to have early stage disease, had previously used a CAM approach, had a relatively low symptom burden, and were most interested in developing an integrative approach to their care or discussing herbs/supplement use.

journal_name

J Cancer

journal_title

Journal of Cancer

authors

Lopez G,McQuade J,Cohen L,Williams JT,Spelman AR,Fellman B,Li Y,Bruera E,Lee RT

doi

10.7150/jca.17506

subject

Has Abstract

pub_date

2017-02-10 00:00:00

pages

395-402

issue

3

issn

1837-9664

pii

jcav08p0395

journal_volume

8

pub_type

杂志文章
  • Loss of Complement Factor H in Plasma Increases Endothelial Cell Migration.

    abstract::Tumor growth depends on angiogenesis, the growth of new blood vessels. Complement factor H (CFH) is a plasma glycoprotein that functions as a regulator of the complement system. The aim of this study is to delineate the role of CFH in angiogenesis. A conditional null allele of the Cfh gene was generated in C57BL/6J mi...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.19452

    authors: Liu J,Hoh J

    更新日期:2017-07-15 00:00:00

  • Fibrinogen and C-reactive protein score is a prognostic index for patients with hepatocellular carcinoma undergoing curative resection: a prognostic nomogram study.

    abstract::Background: While curative resection is the established strategy for Hepatocellular carcinoma (HCC) patients, the prognosis still remains poor, and the efficiency of existing prediction models is unsatisfactory. Therefore, we aimed to develop a credible and easy-to-use prognostic index for patients with HCC undergoing...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.22246

    authors: Gan W,Yi Y,Fu Y,Huang J,Lu Z,Jing C,Fan J,Zhou J,Qiu S

    更新日期:2018-01-01 00:00:00

  • Latest Overview of the Cyclin-Dependent Kinases 4/6 Inhibitors in Breast Cancer: The Past, the Present and the Future.

    abstract::Endocrine resistance in hormone receptor positive breast cancer patients urges us to develop novel approaches such as inhibitors of the cyclin-dependent kinases (CDK) 4/6 to reverse its resistance. Nowadays, three selective CDK4/6 inhibitors (Palbociclib, Ribociclib and Abemaciclib) are approved by Federal Drug Admini...

    journal_title:Journal of Cancer

    pub_type: 杂志文章,评审

    doi:10.7150/jca.33079

    authors: Chen X,Xu D,Li X,Zhang J,Xu W,Hou J,Zhang W,Tang J

    更新日期:2019-10-21 00:00:00

  • Lenvatinib in Advanced Radioiodine-Refractory Thyroid Cancer - A Retrospective Analysis of the Swiss Lenvatinib Named Patient Program.

    abstract:: Purpose: Differentiated thyroid cancer (DTC) accounts for approximately 95% of thyroid carcinomas. In the metastatic RAI-refractory disease, chemotherapy has very limited efficacy and is associated with substantial toxicity. With increasing knowledge of the molecular patho...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.22318

    authors: Balmelli C,Railic N,Siano M,Feuerlein K,Cathomas R,Cristina V,Güthner C,Zimmermann S,Weidner S,Pless M,Stenner F,Rothschild SI

    更新日期:2018-01-01 00:00:00

  • Hypoxia Inducible Factor-1alpha (HIF-1A) plays different roles in Gallbladder Cancer and Normal Gallbladder Tissues.

    abstract::Purpose: Hypoxia-inducible factor-1alpha (HIF-1A) is a transcription factor that plays an "angiogenic switch" role especially under hypoxia microenvironment in solid tumor. However, the functions and clinical significance of HIF-1A in gallbladder cancer (GBC) are still controversial, and it has not been studied in nor...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.46749

    authors: Wu Y,Meng D,You Y,Sun R,Fu M,Yan Q,Zhang S,Fang Z,Bao J,Li Y

    更新日期:2021-01-01 00:00:00

  • Compound Fuling Granule Suppresses Ovarian Cancer Development and Progression by disrupting mitochondrial function, galactose and fatty acid metabolism.

    abstract::Our previous studies have demonstrated that the compound fuling granule (CFG), a traditional Chinese medicine, suppresses ovarian cancer cell growth, migration and metastasis. However, the underlying mechanisms remain to be fully elucidated. In this study, we found that CFG could induce mitochondrial fragmentation, mi...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.25136

    authors: Ruan S,Zhang Z,Tian X,Huang D,Liu W,Yang B,Shen M,Tao F

    更新日期:2018-09-08 00:00:00

  • A Predictive Nomogram for Early Death of Metastatic Gastric Cancer: A Retrospective Study in the SEER Database and China.

    abstract::Background: To identify associated risk factors and develop a predictive nomogram for the early death of metastatic gastric cancer patients. Methods: A total of 4575 patients in the SEER cohort and 220 patients in the Chinese cohort diagnosed with metastatic gastric cancer in our Cancer Center were obtained. Univariat...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.46563

    authors: Zhu Y,Fang X,Wang L,Zhang T,Yu D

    更新日期:2020-07-14 00:00:00

  • RAS/RAF mutations in tumor samples and cell-free DNA from plasma and bone marrow aspirates in multiple myeloma patients.

    abstract::Purpose: To evaluate the detection of gene mutations in bone marrow biopsy and circulating free DNA (cfDNA) from plasma in multiple myeloma (MM). Experimental design: We used cell-free DNA from plasma and bone marrow to test BRAF V600, KRAS G12/G13, NRAS G12/G13 and NRAS Q61 mutations using multiplex assays for drople...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.43729

    authors: Li Q,Huang HJ,Ma J,Wang Y,Cao Z,Karlin-Neumann G,Janku F,Liu Z

    更新日期:2020-03-15 00:00:00

  • Identification of LCA-binding Glycans as a Novel Biomarker for Esophageal Cancer Metastasis using a Lectin Array-based Strategy.

    abstract::Esophageal cancer (EC) is a unique and heterogeneous disease diagnosed mostly at advanced stages. Altered glycans presented on cell surfaces are involved in the occurrence and development of malignancy. However, the effects of glycans on EC progression are largely unexplored. Here, a lectin array was utilized to detec...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.43806

    authors: Xia M,Shao J,Qiao M,Luo Z,Deng X,Ke Q,Dong X,Shen L

    更新日期:2020-06-01 00:00:00

  • R.E.N.A.L. Nephrometry Score: A Preoperative Risk Factor Predicting the Fuhrman Grade of Clear-Cell Renal Carcinoma.

    abstract::Objective: The purpose of this study was to evaluate the efficacy and feasibility of the R.E.N.A.L. Nephrometry Score to postoperatively predict high-grade clear-cell renal carcinoma (ccRCC). Methods: The study included 288 patients diagnosed with ccRCC who had complete CT/CTA data and R.E.N.A.L. Nephrometry Scores an...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.21189

    authors: Chen SH,Wu YP,Li XD,Lin T,Guo QY,Chen YH,Huang JB,Wei Y,Xue XY,Zheng QS,Xu N

    更新日期:2017-10-17 00:00:00

  • Prognostic role of pretreatment red blood cell distribution width in patients with cancer: A meta-analysis of 49 studies.

    abstract::Red blood cell distribution width (RDW) has been recently demonstrated to be a predictor of inflammation. High pretreatment RDW level is associated with poor survival outcomes in various malignancies, although the results are controversial. We aimed to investigate the prognostic role of RDW. A systematic literature se...

    journal_title:Journal of Cancer

    pub_type: 杂志文章,评审

    doi:10.7150/jca.31598

    authors: Wang PF,Song SY,Guo H,Wang TJ,Liu N,Yan CX

    更新日期:2019-07-10 00:00:00

  • Role of Chemokines in Non-Small Cell Lung Cancer: Angiogenesis and Inflammation.

    abstract::Non-small cell lung cancer (NSCLC) is one of the most common types of aggressive cancer. The tumor tissue, which shows an active angiogenesis, is composed of neoplastic and stromal cells, and an abundant inflammatory infiltrate. Angiogenesis is important to support tumor growth, while infiltrating cells contribute to ...

    journal_title:Journal of Cancer

    pub_type: 杂志文章,评审

    doi:10.7150/jca.12286

    authors: Rivas-Fuentes S,Salgado-Aguayo A,Pertuz Belloso S,Gorocica Rosete P,Alvarado-Vásquez N,Aquino-Jarquin G

    更新日期:2015-08-07 00:00:00

  • Risk Factors of Lymph Node Metastasis in Patients with Early Pure and Mixed Signet Ring Cell Gastric Carcinomas.

    abstract::Background: Early gastric carcinoma (EGC) with pure signet ring cell carcinoma (pSRCC) has been reported to have favourable prognosis and low risk of lymph node metastasis (LNM). However, risk factors of LNM and clinicopathological features for early gastric mixed signet ring cell carcinoma (mSRCC) remain poorly inves...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.29245

    authors: Hu Q,Dekusaah R,Cao S,Pang T,Wang Y,Zhang B,Lv Y,Zhang X,Ling T,Zhuge Y,Wang L,Zou X,Zhang W,Huang Q,Xu G

    更新日期:2019-01-29 00:00:00

  • MiR-378 and MiR-1827 Regulate Tumor Invasion, Migration and Angiogenesis in Human Lung Adenocarcinoma by Targeting RBX1 and CRKL, Respectively.

    abstract::MicroRNAs (miRNAs) have been extensively studied over the decades and have been proposed as potential molecular targets for cancer treatment. Studies have shown that miR-378 participates in numerous biological processes in various cancers; whereas miR-1827 has only been reported in pediatric glioma. The mechanism of h...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.18188

    authors: Ho CS,Noor SM,Nagoor NH

    更新日期:2018-01-01 00:00:00

  • Survival benefit of adjuvant chemotherapy for patients with poorly differentiated stage IIA colon cancer.

    abstract::Background: The effect of adjuvant chemotherapy on stage II colon cancer remains constantly controversial. Recently, however, several studies have reported the definite survival benefit of adjuvant chemotherapy (ACT) in T4 disease (stage IIB and IIC) among stage II colon cancer patients. The following study investigat...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.28917

    authors: Liu Q,Luo D,An H,Zhang S,Cai S,Li Q,Li X

    更新日期:2019-01-29 00:00:00

  • The Expression of Ubiquitous Mitochondrial Creatine Kinase Is Downregulated as Prostate Cancer Progression.

    abstract:BACKGROUND:Mitochondria play crucial roles in cell signaling events, interorganellar communication, aging, cell proliferation and apoptosis, and mitochondrial impairment has been shown to accelerate or modulate cancer progression. Ubiquitous mitochondrial creatine kinase (uMtCK) is predominantly localized in the interm...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.13207

    authors: Amamoto R,Uchiumi T,Yagi M,Monji K,Song Y,Oda Y,Shiota M,Yokomizo A,Naito S,Kang D

    更新日期:2016-01-01 00:00:00

  • Pulmonary Tuberculosis is Associated with Elevated Risk of Lung cancer in Korea: The Nationwide Cohort Study.

    abstract::Objective: Although previous studies suggest that previous pulmonary tuberculosis was associated with increased risk of lung cancer. It remains controversial whether pulmonary tuberculosis is a risk factor for lung cancer. Our study was aimed to examine the association between pulmonary tuberculosis and lung cancer ri...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.37022

    authors: Oh CM,Roh YH,Lim D,Kong HJ,Cho H,Hwangbo B,Won YJ,Jung KW,Oh K

    更新日期:2020-01-20 00:00:00

  • Overexpression of PTK6 predicts poor prognosis in bladder cancer patients.

    abstract::Protein tyrosine kinase 6 (PTK6) is a non-receptor tyrosine kinase and works as an oncogene in various cancers. Recently, PTK6 has been used as a therapeutic target for breast cancer patients in a clinical study. However, the prognostic value of PTK6 in bladder cancer (BC) remains vague. Therefore, we retrieved 3 inde...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.21318

    authors: Xu XL,Ye YL,Wu ZM,He QM,Tan L,Xiao KH,Wu RY,Yu Y,Mai J,Li ZL,Peng XD,Huang Y,Li X,Zhang HL,Zhu XF,Qin ZK

    更新日期:2017-09-27 00:00:00

  • High expression of calreticulin indicates poor prognosis and modulates cell migration and invasion via activating Stat3 in nasopharyngeal carcinoma.

    abstract::Objective: Emerging evidence suggests that calreticulin (CALR) has great impacts on the tumor formation and progression of various cancers, but the role of CALR remains controversial. We investigated the expression and clinical significance of CALR in nasopharyngeal carcinoma (NPC). Methods: Immunohistochemistry was u...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.35362

    authors: Han Y,Liao Q,Wang H,Rao S,Yi P,Tang L,Tian Y,Oyang L,Wang H,Shi Y,Zhou Y

    更新日期:2019-08-29 00:00:00

  • Combinational inhibition of EGFR and YAP reverses 5-Fu resistance in colorectal cancer.

    abstract::Yes-associated protein (YAP) is a transcriptional coactivator that promotes cell proliferation, migration, and tissue homeostasis in colorectal cancer (CRC). Here, we established 5-Fu resistant CRC cell line (SW620R) and examined the role of YAP in chemotherapy resistance. We showed that YAP promoted cell proliferatio...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.44775

    authors: Huang C,Chen Z,Yang C,Chen L,Lai C,Zhang Y,Yuan W,Jeong JH

    更新日期:2020-07-11 00:00:00

  • GSTP1 Ile105Val polymorphism might be associated with the risk of radiation pneumonitis among lung cancer patients in Chinese population: A prospective study.

    abstract::Background: Growing data suggest that DNA damage repair and detoxification pathways play crucial roles in radiation-induced toxicities. To determine whether common functional single-nucleotide polymorphisms (SNPs) in candidate genes from these pathways can be used as predictors of radiation pneumonitis (RP), we conduc...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.20643

    authors: Du L,Yu W,Huang X,Zhao N,Liu F,Tong F,Zhang S,Niu B,Liu X,Xu S,Huang Y,Dai X,Xie C,Chen G,Cong X,Qu B

    更新日期:2018-02-01 00:00:00

  • Risk of immune-related colitis with PD-1/PD-L1 inhibitors vs chemotherapy in solid tumors: systems assessment.

    abstract::Background: We performed a meta-analysis to evaluate the risk of immune-related colitis associated with PD1/PD-L1 inhibitors as compared to chemotherapy in solid tumor patients. Methods: Eligible studies were identified through a comprehensive search of multiple databases and included solid tumor patients in randomize...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.24200

    authors: Su Q,Zhang X,Shen X,Hou Y,Sun Z,Gao ZH

    更新日期:2018-04-12 00:00:00

  • Myeloid-derived suppressor cells interact with tumors in terms of myelopoiesis, tumorigenesis and immunosuppression: thick as thieves.

    abstract::Tumor progression is often associated with chronic inflammation in the tumor microenvironment, which is mediated by numerous cytokines, chemokines and growth factors produced by cancer and stroma cells. All these mediators support tumor development and immunosuppression in autocrine and/or paracrine ways. Neutralizati...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.5047

    authors: Sevko A,Umansky V

    更新日期:2013-01-01 00:00:00

  • Ectopic Expression of Snail and Twist in Ph+ Leukemia Cells Upregulates CD44 Expression and Alters Their Differentiation Potential.

    abstract::Philadelphia chromosome-positive (Ph+) leukemia is characterized by reciprocal translocation between chromosomes 9 and 22. The resultant BCR/ABL fusion protein displays constitutive tyrosine kinase activity, leading to the induction of aberrant proliferation and neoplastic transformation. The bone marrow (BM) microenv...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.19633

    authors: Kidan N,Khamaisie H,Ruimi N,Roitman S,Eshel E,Dally N,Ruthardt M,Mahajna J

    更新日期:2017-10-23 00:00:00

  • Effect of Lipophilic and Hydrophilic Statins on Breast Cancer Risk in Thai Women: A Cross-sectional Study.

    abstract:BACKGROUND:Statins are proposed as a chemoprevention agent for breast cancer due to their anti-inflammatory effect. The effects of lipophilic and hydrophilic statins on breast cancer risk might be different due to their different pharmacologic properties. Therefore, this study aimed to assess a casual-effect of lipophi...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.14941

    authors: Anothaisintawee T,Udomsubpayakul U,McEvoy M,Lerdsitthichai P,Attia J,Thakkinstian A

    更新日期:2016-06-06 00:00:00

  • Comprehensive Analysis of BAP1 Somatic Mutation in Clear Cell Renal Cell Carcinoma to Explore Potential Mechanisms in Silico.

    abstract::Purpose: Aim of this study was to comprehensively analyze BRCA1-associated protein-1 (BAP1) somatic mutation in clear cell renal cell carcinoma (ccRCC) and explore potential therapeutic pathways and molecules. Patients and methods: In this study, we analyzed 445 ccRCC cases from The Cancer Genome Atlas (TCGA). Compreh...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.27281

    authors: Jin S,Wu J,Zhu Y,Gu W,Wan F,Xiao W,Dai B,Zhang H,Shi G,Shen Y,Zhu Y,Ye D

    更新日期:2018-10-18 00:00:00

  • Switch of the ovarian cancer cell to a calcifying phenotype in the calcification of ovarian cancer.

    abstract:OBJECTIVE:The main aim of this study was to study swith of the ovarian cancer cell to a calcifying phenotype in the formation of calcification in ovarian cancer, and to offer some help for ovarian cancer's diagnosis and differentiation therapy. METHODS:The mineralization of ovarian cancer cell lines SKOV3 was induced ...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.22932

    authors: Wen J,Zhao Z,Huang L,Li L,Li J,Zeng Y,Wu J,Miao Y

    更新日期:2018-02-28 00:00:00

  • Importance of maintaining body weight for prevention of distant metastasis of nasopharyngeal carcinoma: An alternative workflow for cancer-risk assessment.

    abstract::Purpose: To design an alternative workflow for cancer-risk assessment to predict distant metastasis (DM) of nasopharyngeal carcinoma (NPC). Methods: We enrolled 234 patients with non-disseminated NPC and a family history of cancer who underwent intensity-modulated radiotherapy and concurrent chemo-radiotherapy with/wi...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.19611

    authors: Zhang W,Chen Y,Chen L,Liu X,Sun Y,Li Y,Ma J

    更新日期:2017-07-20 00:00:00

  • Mast cells induce epithelial-to-mesenchymal transition and migration in non-small cell lung cancer through IL-8/Wnt/β-catenin pathway.

    abstract::Background: In the various cancer, mast cells (MCs) infiltration is correlated with a worse prognosis. There is an increasing evidence that MCs and their mediators are participated in remodeling of the tumor microenvironment and facilitate tumor growth, epithelial-to-mesenchymal transition (EMT) and metastasis. Method...

    journal_title:Journal of Cancer

    pub_type: 杂志文章,收录出版

    doi:10.7150/jca.29953

    authors: Qu J,Cheng T,Liu L,Heng J,Liu X,Sun Z,Wang W,Li K,Yang N

    更新日期:2019-06-09 00:00:00

  • Plasmacytoid Dendritic Cells and ICOS+ Regulatory T Cells Predict Poor Prognosis in Gastric Cancer: A Pilot Study.

    abstract::Background: Regulatory T cells (Tregs) and plasmacytoid dendritic cells (pDCs) are the main immunosuppressive cells in tumor microenvironment of gastric cancer (GC). In this prospective study, the association of prognosis with Tregs subsets and pDCs were further analyzed. Methods: pDCs, Tregs population and its expres...

    journal_title:Journal of Cancer

    pub_type: 杂志文章

    doi:10.7150/jca.34826

    authors: Liu X,Yu H,Yan C,Mei Y,Lin C,Hong Y,Lin X,Zhang Q,Yu J

    更新日期:2019-10-22 00:00:00