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Characterizing Cannabidiol Use in a Breast Cancer Population
Nicole M G Fleege1, Bradley T Loeffler2, Kevin F Boehnke3
1University of Michigan, Department of Internal Medicine, Ann Arbor, MI; University of Iowa, Department of Internal Medicine, Iowa City, IA.
Clinical Breast Cancer
|February 28, 2025
Summary
Nearly half of breast cancer patients surveyed use cannabidiol (CBD) for symptom management like pain and insomnia. While many report benefits, ineffectiveness is the main reason for stopping CBD use.
Area of Science:
- Oncology
- Pharmacology
- Cannabinoid Science
Background:
- Cannabidiol (CBD), a Cannabis sativa phytocannabinoid, shows potential therapeutic value.
- Limited data exists on CBD use specifically within the breast cancer (BC) patient population.
- This study investigates CBD usage patterns, benefits, and limitations in BC patients.
Purpose of the Study:
- To characterize current and former CBD use among breast cancer patients.
- To identify patient-reported benefits, barriers, and limitations associated with CBD use.
- To inform clinical practice regarding physician guidance on CBD for symptom management.
Main Methods:
- An anonymous online survey was distributed to breast cancer patients at the University of Michigan Rogel Cancer Center.
- Survey questions were adapted from a validated questionnaire used in chronic pain populations.
- Data was collected from September 2020 to February 2024 from 141 evaluable surveys.
Main Results:
- 48.2% of surveyed patients (68/141) reported current or prior CBD use.
- Primary reasons for use included pain (75.6%), anxiety (61.0%), and insomnia (58.5%).
- Median self-reported improvement was highest for insomnia, followed by pain; ineffectiveness was the main reason for discontinuation (46.2%).
Conclusions:
- A significant proportion of breast cancer patients utilize CBD, reporting symptom improvements.
- Physician guidance is crucial for navigating patient concerns regarding CBD use.
- Further research is warranted to identify specific patient-reported symptoms most responsive to CBD therapy.
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