The behaviors of seeking a second opinion from other health-care professionals and the utilization of complementary and alternative medicine in gynecologic cancer patients
Supportive Care in Cancer(2005)
Abstract
Goals of work The aim of the study is to determine the predictors for seeking a second opinion and the utilization of complementary and alternative medicine (CAM) among gynecologic cancer patients. Patients and methods Patients attending a gynecologic cancer clinic of a tertiary referral center were recruited over a period of 1 year. A survey was conducted for all the participants in a one-on-one basis. Main results One hundred ninety-one patients were recruited. Eighty patients (41.9%) had consulted other health-care professionals (HCP) for a second opinion after they were diagnosed to have cancer and 89 (46.6%) had utilized CAM. In multivariate analysis, late-stage disease (OR=2.65, 95% CI 1.26–5.58), treatment with radiotherapy (OR=2.27, 95% CI 1.19–4.33) and tertiary education (OR=11.28, 95% CI 3.06–41.54) were independent predictors for seeking a second opinion from other HCP and utilization of CAM. Patients who sought a second opinion from other HCP were more likely to utilize CAM (OR=6.12, 95% CI 3.24–11.54). Eighty percent of the patients did not inform their usual caregiver their utilization of CAM. Conclusions Seeking a second opinion from other HCP is common in gynecologic cancer patients. Patients who seek a second opinion are more likely to utilize CAM.
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Key words
second opinion,health-care professionals,complementary and alternative medicine,gynecologic cancer patients
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