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Building the Evidence Base for Integrative Approaches to Care of Cancer Survivors

Building the Evidence Base for Integrative Approaches to Care of Cancer Survivors DOI:10.1093/jncimonographs/lgu040 Published by Oxford University Press 2014. Building the Evidence Base for Integrative Approaches to Care of Cancer Survivors Josephine Briggs Correspondence to: Josephine Briggs, MD, National Center for Complementary and Alternative Medicine, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892 (e-mail: briggsj@mail.nih.gov). Like hospice and palliative care, the integrative medicine move- on provision of emotional and spiritual supports, on creation of ment began as edgy outsiders. But in the last 10–15 years, inte- positive expectations, on encouragement to healthy living. By grative oncology practices, often tied with integrative medicine and large, when integrative practitioners offer “alternative” prac- programs, are being established in major medical institutions tices, it is as a complement to modern “mainstream medicine.” across the country. Many are embedded in medical centers And by and large, patients interested in integrated approaches, that are leaders in the development and provision of the most do not want (and are not well-served by) care that does not inte- advanced modern technologies for cancer care. This issue of grate effective mainstream techniques for cure, prolongation of JNCI Monographs focuses on the role of integrative oncology in life, or substantive palliation. care of cancer survivors; the editors have brought together com- National Center for Complementary and Alternative Medicine mentaries on the “state of the science.” We at the National Center has decided, through a year-long strategic planning process (1), to for Complementary and Alternative Medicine together with our focus our resources on research on benefits and risk of complemen - partners in the Office of Cancer Complementary and Alternative tary health practices for symptom management, particularly pain Medicine at the National Cancer Institute are the main National management, but also fatigue, loss of sleep, loss of appetite. A variety Institutes of Health supporters of that science. Our shared goal of complementary approaches and a number of practitioners from is a rigorous evidence base to guide patient decisions and to help disciplines outside mainstream medicine are increasingly part of the providers make sensible recommendations: a solid scientific integrative approach to symptom management. This monograph will, basis, assessing both risks and benefits. we hope, stimulate continued interest in testing these approaches and Not surprisingly, since integrative oncology is a relatively in their continued improvement. Our patients deserve nothing less. new movement, the science is just beginning. It is already very clear that approaches that fall under the general rubric “inte- Reference grative oncology” are meeting important and often neglected 1. National Center for Complementary and Alternative Medicine. NCCAM needs. Two things are driving change. In part, the integrative Third Strategic Plan: 2011–2015: Exploring the Science of Complementary and oncology movement is a response to patient demand. Patients Alternative Medicine. Bethesda, MD: National Center for Complementary and Alternative Medicine; 2011. http://nccam.nih.gov/about/plans/2011. are asking for change—for access to an approach to care that is Published February 4, 2011. Accessed February 19, 2014. seen as more “holistic,” perhaps gentler, perhaps more optimis- tic. Change is also being driven by providers. Some physicians, including a number of oncologists, see in the integrative medi- Note cine movement an opportunity to develop a style of practice that will facilitate changed relationships with patients: less emphasis Affiliation of author: National Center for Complementary and Alternative Medicine, National Institutes of Health, Bethesda, MD. on technical advice, more emphasis on healing, defined broadly, 288 Journal of the National Cancer Institute Monographs, No. 50, 2014 Downloaded from https://academic.oup.com/jncimono/article-abstract/2014/50/288/913270 by Ed 'DeepDyve' Gillespie user on 04 February 2018 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JNCI Monographs Oxford University Press

Building the Evidence Base for Integrative Approaches to Care of Cancer Survivors

Briggs, Josephine
JNCI Monographs , Volume 2014 (50) – Nov 4, 2014
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Publisher
Oxford University Press
Copyright
Published by Oxford University Press 2014.
ISSN
1052-6773
eISSN
1745-6614
DOI
10.1093/jncimonographs/lgu040
pmid
25749591
Publisher site
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Abstract

DOI:10.1093/jncimonographs/lgu040 Published by Oxford University Press 2014. Building the Evidence Base for Integrative Approaches to Care of Cancer Survivors Josephine Briggs Correspondence to: Josephine Briggs, MD, National Center for Complementary and Alternative Medicine, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892 (e-mail: briggsj@mail.nih.gov). Like hospice and palliative care, the integrative medicine move- on provision of emotional and spiritual supports, on creation of ment began as edgy outsiders. But in the last 10–15 years, inte- positive expectations, on encouragement to healthy living. By grative oncology practices, often tied with integrative medicine and large, when integrative practitioners offer “alternative” prac- programs, are being established in major medical institutions tices, it is as a complement to modern “mainstream medicine.” across the country. Many are embedded in medical centers And by and large, patients interested in integrated approaches, that are leaders in the development and provision of the most do not want (and are not well-served by) care that does not inte- advanced modern technologies for cancer care. This issue of grate effective mainstream techniques for cure, prolongation of JNCI Monographs focuses on the role of integrative oncology in life, or substantive palliation. care of cancer survivors; the editors have brought together com- National Center for Complementary and Alternative Medicine mentaries on the “state of the science.” We at the National Center has decided, through a year-long strategic planning process (1), to for Complementary and Alternative Medicine together with our focus our resources on research on benefits and risk of complemen - partners in the Office of Cancer Complementary and Alternative tary health practices for symptom management, particularly pain Medicine at the National Cancer Institute are the main National management, but also fatigue, loss of sleep, loss of appetite. A variety Institutes of Health supporters of that science. Our shared goal of complementary approaches and a number of practitioners from is a rigorous evidence base to guide patient decisions and to help disciplines outside mainstream medicine are increasingly part of the providers make sensible recommendations: a solid scientific integrative approach to symptom management. This monograph will, basis, assessing both risks and benefits. we hope, stimulate continued interest in testing these approaches and Not surprisingly, since integrative oncology is a relatively in their continued improvement. Our patients deserve nothing less. new movement, the science is just beginning. It is already very clear that approaches that fall under the general rubric “inte- Reference grative oncology” are meeting important and often neglected 1. National Center for Complementary and Alternative Medicine. NCCAM needs. Two things are driving change. In part, the integrative Third Strategic Plan: 2011–2015: Exploring the Science of Complementary and oncology movement is a response to patient demand. Patients Alternative Medicine. Bethesda, MD: National Center for Complementary and Alternative Medicine; 2011. http://nccam.nih.gov/about/plans/2011. are asking for change—for access to an approach to care that is Published February 4, 2011. Accessed February 19, 2014. seen as more “holistic,” perhaps gentler, perhaps more optimis- tic. Change is also being driven by providers. Some physicians, including a number of oncologists, see in the integrative medi- Note cine movement an opportunity to develop a style of practice that will facilitate changed relationships with patients: less emphasis Affiliation of author: National Center for Complementary and Alternative Medicine, National Institutes of Health, Bethesda, MD. on technical advice, more emphasis on healing, defined broadly, 288 Journal of the National Cancer Institute Monographs, No. 50, 2014 Downloaded from https://academic.oup.com/jncimono/article-abstract/2014/50/288/913270 by Ed 'DeepDyve' Gillespie user on 04 February 2018

Journal

JNCI Monographs – Oxford University Press

Published: Nov 4, 2014

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