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Cancer Patients Likelier to Use Alternative Medicine
Study finds they spend $500 a year on nontraditional treatments
By Randy Dotinga
HealthDay Reporter
Cancer patients are twice as likely
to turn to acupuncture and herbal therapy as people suffering from other
diseases are, claims a new study of alternative medicine use.
In fact, alternative medicine accounted for an average of $500 worth of
therapy a year among cancer patients in Washington state, which requires
insurers to pay for nontraditional treatments.
"A substantial number of people in our region are using naturopathic
medicine," says study co-author Dr. William Lafferty, an associate
professor of public health at the University of Washington.
"This may
deserve some additional investigation to see exactly what people are
getting from those forms of treatment that they aren't getting
elsewhere."
While patients and conventional doctors appear to accept alternative
medicine more than ever before, they aren't approved by all insurance
companies, making it difficult for researchers to study them.
In
Washington state, however, a 1995 law requires insurers to cover visits
to licensed alternative medicine providers, such as massage therapists,
acupuncturists, and naturopathic doctors, Lafferty says. Chiropractors
were covered under previous laws.
In the new study, Lafferty and colleagues analyzed the medical claims of
357,709 Washington patients. The findings appear in the April 1 issue of
Cancer.
The researchers found cancer patients were twice as likely to turn to
naturopathy -- herbal medicine -- and acupuncture. Patients treated with
chemotherapy, those with blood or bone cancer, and those with spreading
cancer were most likely to turn to naturopaths and acupuncturists, as
were women as a whole.
The sicker patients may have been trying "to get help with the toxicity
of cancer itself as well as from conventional treatments," Lafferty
says.
On average, alternative medicine accounted for 2 percent -- or $500 --
of the average $25,000 annual medical costs per cancer patient. Cancer
patients were less likely than other patients to go to chiropractors and
about as likely to turn to massage therapy.
Lafferty says the fact that 12 percent of female chemotherapy patients
saw a naturopathic physician highlights the importance of full
communication between health providers.
"If you're going to get naturopathic care, you should tell your
[conventional] care providers that you're doing that," he says. "The
same would be true for other forms of care like chiropractic and
acupuncture.
The more you share with all your health-care providers, the
better service and outcome you're going to get."
Some insurance companies try to guarantee that communication takes
place.
At the Kaiser Permanente Health Plan in the Mid-Atlantic states,
for example, conventional physicians work directly with alternative
therapists, says Dr. Lydia S. Segal, service chief for integrative
medicine.
Among other things, the alternative practitioners recommend meditation,
guided imagery, acupuncture, acupressure, and massage, she says.
Also,
"we judiciously, cautiously review the diets [of cancer patients] and
recommend supplements and herbs on a case-by-case basis," she says. "But
we do not recommend using alternatives in place of traditional cancer
therapy."
SOURCES: William Lafferty, M.D., associate professor, public health,
University of Washington, Seattle; Lydia S. Segal, M.D., M.P.H., service
chief, Kaiser Permanente Health Plan, Mid-Atlantic region, Falls Church,
Va.; Feb. 23, 2004, Cancer online
Source:TUESDAY, Feb. 24 (HealthDayNews)
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