Treatment delay associated with alternative medicine use among veterans with head and neck cancer

Head Neck. 2006 Oct;28(10):926-31. doi: 10.1002/hed.20420.

Abstract

Background: Use of complementary and alternative medicine (CAM) is increasing in the United States. This study investigates whether the use of alternative medicine is associated with a delay of treatment in head and neck cancer.

Methods: This study used the records obtained from a large trial involving ambulatory care US veterans. Subjects completed a CAM utilization questionnaire. The primary outcome variable was the time duration from cancer diagnosis to the time of cancer treatment.

Results: Of veterans with head and neck cancer, 51% reported using some form of CAM, whereas 23% reported using a therapy classified as alternative medicine. Patients who used alternative medicine significantly delayed cancer treatment by 22 days compared with those who did not use alternative medicine (p = .05, 95% confidence interval [CI] = 0-44 days).

Conclusions: CAM use is common in veterans with head and neck cancer. Use of alternative medicine was associated with a significant delay in cancer treatment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Cohort Studies
  • Complementary Therapies / statistics & numerical data*
  • Demography
  • Female
  • Head and Neck Neoplasms / diagnosis
  • Head and Neck Neoplasms / epidemiology
  • Head and Neck Neoplasms / therapy*
  • Humans
  • Male
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Prevalence
  • Surveys and Questionnaires
  • Time Factors
  • Veterans / statistics & numerical data*