{"id":2413,"date":"2018-10-15T05:43:00","date_gmt":"2018-10-15T05:43:00","guid":{"rendered":"https:\/\/solariscancercare.org.au\/?p=2413"},"modified":"2018-10-15T05:43:00","modified_gmt":"2018-10-15T05:43:00","slug":"integrative-oncology","status":"publish","type":"post","link":"https:\/\/solaris.nicoleking.com.au\/index.php\/2018\/10\/15\/integrative-oncology\/","title":{"rendered":"Integrative oncology"},"content":{"rendered":"\n<p>From John Weeks johnweeks@theintegratorblog.com<\/p>\n\n\n\n<p>Not long ago researchers at Yale cast a pall over the use of complementary medicine in the care of cancer patients \u2013 a.k.a. \u201cintegrative oncology.\u201d The negativity was based on a&nbsp;<a href=\"http:\/\/www.johnweeks-integrator.com\/uncategorized\/retraction-needed-jama-oncologys-bum-science-suggests-people-die-faster-using-complementary-medicine\/\" target=\"_blank\" rel=\"noreferrer noopener\">fundamental misclassification<\/a>. Nevertheless, the wrong-headed results prompted a flurry of news accounts that suggested the users of complementary medicine \u201cdie earlier than those who didn\u2019t.\u201d A more expansive and deeper look at the potential values of integrative oncology can be gained via a recent&nbsp;<a href=\"https:\/\/www.liebertpub.com\/toc\/acm\/24\/9-10\" target=\"_blank\" rel=\"noreferrer noopener\">Special Focus Issue on Integrative Oncology<\/a>&nbsp;with its 6 invited reviews, 13 original research articles, 7 commentaries, and 2 editorials. The submissions came from 4 continents.<\/p>\n\n\n\n<p>The issue was co-edited by Israeli integrative oncologist&nbsp;<a href=\"http:\/\/www.moshefrenkelmd.com\/index.asp?page=2058&amp;lang=eng\" target=\"_blank\" rel=\"noreferrer noopener\">Moshe Frenkel, MD<\/a>, who formerly led integrative oncology at MD Anderson, and&nbsp;<a href=\"https:\/\/integrativeonc.org\/news\/sio-news\/153-lynda-g-balneaves-chosen-president-elect-of-sio\" target=\"_blank\" rel=\"noreferrer noopener\">Lynda Balneaves, RN, PhD<\/a>, the current president of the Society for Integrative Oncology and published by&nbsp;<em>JACM-Paradigm, Practice and Policy Advancing Integrative Health<\/em>&nbsp;(The Journal of Complementary and Alternative Medicine). I serve as the editor-in-chief of&nbsp;<em>JACM<\/em>&nbsp;and worked closely with Frenkel and Balneaves over the course of a year, sorting through nearly 70 submissions in selecting what became a double issue.<\/p>\n\n\n\n<p>As the&nbsp;<a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.29053.mfl\" target=\"_blank\" rel=\"noreferrer noopener\">co-editors note<\/a>, the&nbsp;<em>JACM<\/em>&nbsp;Special Issue was initially developed around a concept of Frenkel\u2019s that&nbsp;<em>JACM<\/em>&nbsp;provide scientifically-grounded information that would err on the side of practicality for the oncology clinicians. The six experts selected \u2013 Frenkel was one of them \u2013 wedded academic affiliation with integrative oncology clinical expertise. Either alone or with teams, these authors anchored the issue with these papers meant for clinicians. All are open access to the public until October 24, 2018. The invited authors are noted in this list.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0175\" target=\"_blank\" rel=\"noreferrer noopener\">Complementary and Integrative Medicine in Lung Cancer: Questions and Challenges&nbsp;<\/a>(Moshe Frenkel)<\/li><li><a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0169\" target=\"_blank\" rel=\"noreferrer noopener\">An Integrative Approach to Prostate Cancer (<\/a>Donald Abrams)<\/li><li><a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0163\" target=\"_blank\" rel=\"noreferrer noopener\">Integrative Medicine for Female Patients with Gynecologic Cancer<\/a>&nbsp;(Eran Ben-Ayre)<\/li><li><a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0125\" target=\"_blank\" rel=\"noreferrer noopener\">Integrative Treatment for Colorectal Cancer: A Comprehensive Approach<\/a>&nbsp;(Keith Block)<\/li><li><a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0150\" target=\"_blank\" rel=\"noreferrer noopener\">Advising Women Undergoing Treatment for Breast Cancer: A Narrative Review<\/a>&nbsp;(Victoria Maizes)<\/li><li><a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0224\" target=\"_blank\" rel=\"noreferrer noopener\">Integrative Medicine in Childhood Cancer<\/a>&nbsp;(Elena Ladas)<\/li><li><a href=\"https:\/\/i0.wp.com\/www.johnweeks-integrator.com\/wp-content\/uploads\/2018\/09\/JACM-INVITED.png\" target=\"_blank\" rel=\"noopener\"><\/a>The special issue also explores the rapidly evolving integrative oncology field via a set of 500-1200 word commentaries. Glenn Sabin, a cancer survivor and author of&nbsp;<a href=\"https:\/\/glennsabin.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">N of 1<\/a>&nbsp;writes of the importance of the&nbsp;<a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0334\" target=\"_blank\" rel=\"noreferrer noopener\">study of exceptional responders<\/a>. RAND economist and naturopathic physician Patricia Herman, ND, PhD offers a sobering analysis of what is she calls&nbsp;<a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0155\" target=\"_blank\" rel=\"noreferrer noopener\">The Problematic Economics of Integrative Oncology.<\/a>&nbsp;Two&nbsp; commentaries speak to efforts&nbsp;<a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0146\" target=\"_blank\" rel=\"noreferrer noopener\">in Europe<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0184\" target=\"_blank\" rel=\"noreferrer noopener\">in the USA<\/a>&nbsp;to educate a new breed of integrative-smart oncology practitioners. A team from University of California at San Francisco explore the&nbsp;<a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0151\" target=\"_blank\" rel=\"noreferrer noopener\">potential in using group-delivered services<\/a>&nbsp;to expand access to integrative oncology practices for under-served populations. Among the others is one from researchers from India setting a&nbsp;<a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.0161\" target=\"_blank\" rel=\"noreferrer noopener\">strategy for Ayurvedic method<\/a>s in cancer treatment. (My own editorial was on&nbsp;<a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.29054.jjw\" target=\"_blank\" rel=\"noreferrer noopener\">Expanding the Circle for the Care of People with Cancer.)<\/a>Yet if judgement is to be made about the future of integrative oncology, where the rubber meets the road is in&nbsp;<a href=\"https:\/\/www.liebertpub.com\/toc\/acm\/24\/9-10\" target=\"_blank\" rel=\"noreferrer noopener\">the original research<\/a>. The issue includes a heterogenous set of 13 papers. One explores the effectiveness of a self-care tool-kit for breast cancer patients in a military environment. Such efforts to reduce adverse effects of oncology treatment are a main theme of papers: an Italian real world analysis of a hospital-based integrative oncology program; yoga for women with fatigue following breast cancer treatment;&nbsp;healing touch and massage for cancer pain; another on therapies to limit insomnia, and more.&nbsp; Two are related to dietary supplement use, one in a major US hospital, the other in a Japanese environment. Another examines integrative strategies for oncology caregivers. Two studies, from Mayo Clinic researchers, document the still shoddy level communication between oncologists and their patients about the vast use of complementary medicine usage.In the short term, the&nbsp;<em>JACM Special Issue on Integrative Oncology<\/em>&nbsp;in no way undoes the damage in the public mind from the fallacious&nbsp;<em>JAMA Oncology<\/em>&nbsp;article noted at the top of this column. Yet in the midst of the ignorance-based misclassification of the Yale researchers and the media that trumpeted their story, the issue offers the brick-by-brick, additive steps for change through which integrative oncology is becoming the standard oncology care. In the title of their opening editorial, Frenkel and Balneaves call out the emerging model, supported by the evidence in this issue:&nbsp;<a href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/acm.2018.29053.mfl\" target=\"_blank\" rel=\"noreferrer noopener\">Integrative Oncology: An Essential Feature of High-Quality Cancer Care.<\/a><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>From John Weeks johnweeks@theintegratorblog.com Not long ago researchers at Yale cast a pall over the use of complementary medicine in the care of cancer patients \u2013 a.k.a. \u201cintegrative oncology.\u201d The negativity was based on a&nbsp;fundamental misclassification. Nevertheless, the wrong-headed results prompted a flurry of news accounts that suggested the users of complementary medicine \u201cdie earlier [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":2420,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,15],"tags":[],"class_list":["post-2413","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-integrative-therapies"],"_links":{"self":[{"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/wp\/v2\/posts\/2413","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/wp\/v2\/comments?post=2413"}],"version-history":[{"count":0,"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/wp\/v2\/posts\/2413\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/wp\/v2\/media?parent=2413"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/wp\/v2\/categories?post=2413"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/solaris.nicoleking.com.au\/index.php\/wp-json\/wp\/v2\/tags?post=2413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}