Herbal Use and Symptom Experiences of Cancer Patients: A Cross-sectional Survey in Cancer Patients with MORSANG Herbal Medicine Formularies

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Monthaka Teerachaisakul
Thanat Nakaphan
Rossukon Klinhom
Chattip Silarangsri
Kamonwan Bancheun
Thanunchanok Chamyenura
Nuchlada Rochanapraphaphun
Pramote Stienrut

Abstract

The waiting phenomena of free herbal medicine (MORSANG RECIPES: MS) dispensing for cancer patients in the year 2017 caused concern and reflected treatment needs among cancer patients themselves. This cross-sectional survey therefore aimed to explore 1) demographic and health profile, 2) cancer treatment (conventional and alternative medicine), and 3) symptom distress among these cancer patients. This study was conducted using developed questionnaires on cancer patients who received MS herbal recipes from January to March 2018. Descriptive statistics were analyzed with the SPSS program. Only 1,086 cancer patients were eligible for the study. The mean age of the participants was 53.21 + 10.24 years.  71.45% were female. Two hundred and twenty-one patients (20.34%) reported using complementary/alternative medicine and herbal medicine in the past. Six hundred and forty-eight patients (59.66%) disclosed that they were not undergoing conventional cancer treatment (CCT), with 429 patients (66.20%) having completed CCT. 123 patients (18.98%) were in line waiting for CCT while 96 patients (14.81%) rejected to continue the CCT. The five most distressing symptoms of patients were pain, weakness, sleeplessness, tingling or numbness in the tip of fingers and anxiety. No serious adverse events from MS recipes were reported. This large cancer patient-based study reveals the treatments received by cancer patients, and also identifies the five most distressing symptoms experienced by cancer patients that need to be minimized. We also found 123 patients who were waiting for CCT. The results of this study might lead to further improvement of integrated health care services for cancer patients.

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References

International agency for research on cancer. [Internet]. 2018. [cited 2018 October 17]. Available from: https://news.mthai.com/world-news/679549.html (in Thai)

Strategy and Planning Division, Ministry of Public Health. Number and mortality rates per 100,000 population of first10 leading cause groups of death (Chapter) (According to ICD mortality tabulation list1, 10th revision) 2013-2017. Nonthaburi: Public health statistics A.D. 2017.; 2017. 157 p. (in Thai)

Horneber M, Bueschel G, Dennert G, Less D, Ritter E, Zwahlen M. How many cancer patients use complementary and alternative medicine: A systematic review and metaanalysis. Integrative Cancer Therapies. 2012;11(3):187-203.

Johnson SB, Park HS, Gross CP, Yu JB. Use of alternative medicine for cancer and its impact on survival. JNCI: Journal of the National Cancer Institute. 2018;110(1).

Suedee N, Pongthavornkamol K, Sriyuktasuth A, Siritanaratkul N. Symptom Experiences and Their Influences on Functional Status in Hematological Malignancy Patients Receiving Chemotherapy. Journal of Nursing Science. 2015. p. 29-40 (in Thai)

Damery S, Gratus C, Grieve R, Warmington S, Jones J, Routledge P, Wilson S. The use of herbal medicines by people with cancer: a cross-sectional survey. Br J Cancer. 2011;104(6):927-933. doi:10.1038/bjc.2011.47

Farooqui M, Hassali MA, Shatar AK, Farooqui MA, Saleem F, Haq NU, Othman CN. (2016). Use of complementary and alternative medicines among Malaysian cancer patients: a descriptive study. J Tradit Complement Med. 2016;6(4):321-6. doi:10.1016/j.jtcme.2014.12.008

Virani S, Bilheem S, Chansaard W, Chitapanarux I, Daoprasert K, Khuanchana S, Leklob A, Pongnikorn D, Rozek LS, Siriarechakul S, Suwanrungruang K, Tassanasunthornwong S, Vatanasapt P, Sriplung H. National and subnational population-based incidence of cancer in Thailand: assessing cancers with the highest burdens. Cancers (Basel). 2017;9(8). doi:10.3390/cancers9080108

Puataweepong P, Sutheechet N, Ratanamongkol P. A survey of complementary and alternative medicine use in cancer patients treated with radiotherapy in Thailand. Evidence-based complementary and alternative medicine. 2012;2012:670408.

Kucukoner M, Bilge Z, Isıkdogan A, Kaplan MA, Inal A, Urakci Z. Complementary and alternative medicine usage in cancer patients in southeast of Turkey. Afr J Tradit Complement Altern Med. 2012;10(1):21–5. Published 2012 Oct 1. doi:10.4314/ajtcam.v10i1.4.

Rashrash M, Schommer JC, Brown LM. Prevalence and predictors of herbal medicine use among adults in the United States. J Patient Exp. 2017;4(3):108–13. doi:10.1177/2374373517706612.

Buckner CA, Lafrenie RM, Dénommée JA, Caswell JM, Want DA. Complementary and alternative medicine use in patients before and after a cancer diagnosis. Curr Oncol. 2018;25(4):e275–e281. doi:10.3747/co.25.3884.

Dogu GG, Kargi A, Tanriverdi O, Yaren A, Demiray G, Taskoylu BY, Ergin A. Complementary/alternative

medicine experience in cancer patients: a questionnairebased survey. International Journal of Hematology and

Oncology. 2014;24(1);1-10. doi:10.4999/uhod.12008

Paul C, Carey M, Anderson A, Mackenzie L, Sanson-Fisher R, Courtney R. and Clinton-Mcharg T. Cancer patients' concerns regarding access to cancer care: perceived impact of waiting times along the diagnosis and treatment journey. Eur J Cancer Care (Engl). 2012;21(3):321–9. doi:10.1111/j.1365-2354.2011.01311.x

Edman JS, Roberts RS, Dusek JA, Dolor R, Wolever RQ, Abrams DI. Characteristics of cancer patients presenting to an integrative medicine practice-based research Network. Integr Cancer Ther. 2014;13(5):405-10. doi: 10.1177/1534735414537876.

Stark L, Tofthagen C, Visovsky C, McMillan SC. The Symptom Experience of Patients with Cancer. J Hosp Palliat Nurs. 2012;14(1):61–70. doi:10.1097/NJH.0b013e318236de5c.