沙特阿拉伯塔伊夫市使用补充和替代药物与乳腺癌复发之间的关系

Sahar M. Alnefaie, Y. Asiri, R. S. Alqahtani, Maha O. Alshareef, Khalid M. Alzahrani, Sarah M. Albogami
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摘要

背景:乳腺癌(BC)是全球女性最常见的癌症。在所有类型的癌症中,2020 年确诊的病例中有 11.7% 为乳腺癌。相比之下,沙特阿拉伯每 10 万名妇女中就有 28.8 人确诊为乳腺癌。此外,与其他癌症幸存者相比,BC 患者更有可能使用补充和替代医学(CAM)。该研究旨在调查沙特阿拉伯使用 CAM 与 BC 复发率之间的关系:方法:对从乳腺外科诊所招募的 106 名参与者进行了横断面研究。研究对象为被诊断出患有乳腺癌并在 Al Hada 武装部队医院接受治疗的女性。数据是通过使用有效问卷对患者进行访谈收集的:结果:乳腺癌患者使用 CAM 的比例为 35.8%。乳腺癌的复发率为 26.4%。使用心理治疗方法的患者占总数的 28.57%,而未使用心理治疗方法的患者占 71.43%。此外,50%的复发为远处转移,50%的复发发生在确诊后两年以上。结论总之,该地区三分之一以上的 BC 患者将 CAM 纳入了治疗方案。我们的研究结果表明,使用 CAM 的 BC 复发率低于未使用 CAM 的 BC 复发率,这具有实际意义,但不具有统计学意义。这些结果强调了医疗服务提供者与 BC 患者就 CAM 的使用以及计划中的药物和手术疗法进行详细讨论的重要性。
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The association between complementary and alternative medicine use with breast cancer recurrence in Taif city, Saudi Arabia
Background: Breast cancer (BC) is the most common cancer among women worldwide. Among all types of cancer, 11.7% of cases diagnosed in 2020 were BC. Compare this to Saudi Arabia, where 28.8 out of every 100,000 women were diagnosed with BC. Furthermore, BC patients are more likely than other cancer survivors to use complementary and alternative medicine (CAM). Study aimed to investigate association between CAM use and BC recurrence rates in Saudi Arabia. Methods: A cross-sectional study was conducted on 106 participants recruited from breast surgery clinics. Targeted women were diagnosed with BC and treated at Al Hada armed forces hospital. The data were collected by interviewing the patients using a validated questionnaire. Results: The prevalence of CAM usage among BC patients was 35.8%. The recurrence rate of BC was 26.4%. CAM users accounted for 28.57% of the total, while non-CAM users comprised 71.43%. In addition, 50% of recurrences were distant metastases, and 50% occurred more than two years after diagnosis.  Conclusions: In conclusion, more than one-third of BC patients in this region incorporate CAM into their treatment regimen. Our findings reveal a practical but not statistical significance of a lower recurrence rate of BC among CAM users compared to non-CAM. These results emphasize the importance of healthcare providers engaging in detailed discussions with BC patients regarding CAM usage in conjunction with planned medical and surgical therapies.   
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