Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment

dc.contributor.authorGreenlee, Heather
dc.contributor.authorDu Pont-Reyes, Melissa J.
dc.contributor.authorBalneaves, Lynda G.
dc.contributor.authorCarlson, Linda E.
dc.contributor.authorCohen, Misha R.
dc.contributor.authorJohnson, Jillian A.
dc.contributor.authorMumber, Matthew
dc.contributor.authorSeely, Dugald
dc.contributor.authorZick, Suzanna M.
dc.contributor.authorBoyce, Lindsay M.
dc.contributor.authorTripathy, Debu
dc.date.accessioned2024-05-23T18:55:53Z
dc.date.available2024-05-23T18:55:53Z
dc.date.digitized2023-05-02 20:48:16
dc.date.issued2017
dc.description.abstract<p class="" style="white-space:pre-wrap;">Patients with breast cancer commonly use complementary and integrative therapies as supportive care during cancer treatment and to manage treatment-related side effects. However, evidence supporting the use of such therapies in the oncology setting is limited. This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety/stress, depression/mood disorders, fatigue, quality of life/physical functioning, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep disturbance. Clinical practice guidelines are based on a systematic literature review from 1990 through 2015. Music therapy, meditation, stress management, and yoga are recommended for anxiety/stress reduction. Meditation, relaxation, yoga, massage, and music therapy are recommended for depression/mood disorders. Meditation and yoga are recommended to improve quality of life. Acupressure and acupuncture are recommended for reducing chemotherapy-induced nausea and vomiting. Acetyl-L-carnitine is not recommended to prevent chemotherapy induced peripheral neuropathy due to a possibility of harm. No strong evidence supports the use of ingested dietary supplements to manage breast cancer treatment-related side effects.</p><p class="" style="white-space:pre-wrap;">In summary, there is a growing body of evidence supporting the use of integrative therapies, especially mind-body therapies, as effective supportive care strategies during breast cancer treatment. Many integrative practices, however, remain understudied, with insufficient evidence to be definitively recommended or avoided.</p><p class="" style="white-space:pre-wrap;"><strong>Keywords</strong>: acupressure, acupuncture, breast cancer, complementary therapies, integrative medicine, integrative oncology, massage, meditation, music therapy, stress management, yoga</p><p class="" style="white-space:pre-wrap;"><strong>Citation</strong>: Greenlee, H., DuPont-Reyes, M. J., Balneaves, L. G., Carlson, L. E., Cohen, M. R., Deng, G., Johnson, J. A., Mumber, M., Seely, D., Zick, S. M., Boyce, L. M., &amp; Tripathy, D. (2017). Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. <em>CA: A Cancer Journal for Clinicians</em>, <em>67</em>(3), 194–232. <a href="https://doi.org/10.3322/caac.21397" target="_blank">https://doi.org/10.3322/caac.21397</a></p>
dc.description.notesfixed
dc.identifier.citationGreenlee, H., DuPont-Reyes, M. J., Balneaves, L. G., Carlson, L. E., Cohen, M. R., Deng, G., Johnson, J. A., Mumber, M., Seely, D., Zick, S. M., Boyce, L. M., & Tripathy, D. (2017). Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA: A Cancer Journal for Clinicians, 67(3), 194–232. https://doi.org/10.3322/caac.21397
dc.identifier.doihttps://doi.org/10.3322/caac.21397
dc.identifier.externalUrl/library/2023/5/2/clinical-practice-guidelines-integrative-therapies-breast-cancer
dc.identifier.issn1542-4863
dc.identifier.urihttps://hdl.handle.net/20.500.14430/493
dc.subject.otherMassage
dc.subject.otherMeditation
dc.subject.otherstress reduction
dc.subject.otherComplementary medicine
dc.subject.otherIntegrative medicine
dc.subject.otherMusic therapy
dc.titleClinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment
dspace.entity.typePublication
oaire.citation.titleCA: Cancer J for Clinicians
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