Rk. Nam et al., Prevalence and patterns of the use of complementary therapies among prostate cancer patients: An epidemiological analysis, J UROL, 161(5), 1999, pp. 1521-1524
Purpose: We determine the prevalence and patterns of the use of complementa
ry therapies among patients with and those at high risk for prostate cancer
.
Materials and Methods: A cross-sectional survey was performed of men presen
ting to 2 urban tertiary urology clinics for prostate cancer evaluation or
followup, and those attending a prostate cancer support group. All men diag
nosed with and those at:high risk (positive family history or abnormal pros
tate specific antigen) for prostate cancer were eligible for study. A 9-ite
m self-administered, anonymous questionnaire about complementary therapies
was administered.
Results: Of 357 patients who received the survey 155 from the urology clini
cs and 113 from the support group responded, for a total response rate of 7
5%. Of the patients presenting to urology clinics and the support group 27.
4 and 38.9% with and 25.8 and 80% at high risk for prostate cancer, respect
ively, used some form of complementary therapy. The use significantly diffe
red according to disease status (p = 0.001), and was highest among men who
were clinically disease-free after radical therapy. Of the patients 24% did
not inform the urologist of using alternative therapy.
Conclusions: The prevalence of the use of complementary therapy among patie
nts with or at increased risk for prostate cancer was high and dependent on
the disease state. Urologists should be aware of this pattern of use, and
consider the potential effects when assessing patients for and with prostat
e cancer.