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Complementary and Integrative Medicine in Hematologic Malignancies: Questions and Challenges
Moshe Frenkel1,2,3, Kenneth Sapire4
1Department of Family Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX, USA. frenkelm@netvision.net.il.
Insights
Complementary and integrative medicine (CIM) may help relieve distress in patients with hematologic malignancies. This review explores CIM options like nutrition, exercise, and acupuncture to support cancer patients.
Area of Science:
- Oncology
- Integrative Medicine
Background:
- Hematologic malignancies are the fourth most common cancer in the U.S.
- Cancer treatments cause significant psychological distress for patients.
Purpose of the Study:
- To review the potential benefits of complementary and integrative medicine (CIM) for distress in hematologic malignancy patients.
- To provide a framework for discussing CIM with patients.
Main Methods:
- Literature review of CIM modalities.
- Focus on nutrition, supplements, exercise, circadian rhythm, distress reduction during bone marrow aspiration, massage, and acupuncture.
Main Results:
- CIM options show potential for alleviating distress during and after cancer treatment.
- Evidence suggests benefits across various CIM approaches.
Conclusions:
- CIM may be a valuable tool for managing psychological distress in hematologic malignancy patients.
- Further research and patient-doctor dialogue on CIM are warranted.
Abstract:
Hematologic malignancies represent 9.7% of all cancers, making them the fourth most common type of cancer in the United States. The aggressive and complex treatments administered in hematologic malignancies result in a high burden of psychological needs. Complementary and integrative medicine (CIM) is becoming one of the options that patients use to address their distress during and after cancer treatments. It is not clear whether appropriate CIM can relieve distress in patients affected by these malignancies. This review covers the potential benefits of CIM as relates to nutrition, nutritional supplements, exercise, circadian rhythm, methods for reducing distress during bone marrow aspiration, massage therapy, and acupuncture, in treating patients with hematological malignancies. This review may provide a framework to enhance patient-doctor dialogue regarding CIM use in hematologic malignancies.
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