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The insufficient patient-provider dialogue diverges with most patients’ wish for professional guidance in their decisions and integration of CAM modalities in conventional cancer care. Conclusionsĭespite limited access and advice within conventional cancer care, one fourth of Swedish cancer patients use CAM.

More than half of all participants thought that cancer care providers should be able to discuss (58%) and to consider (54%) use of CAM modalities in cancer care. One third had discussed their CAM use with cancer care providers. Reported adverse effects were few and mild 54% of users spent < 50 Euro a month on CAM. Satisfaction with CAM usage was generally high. Main reasons for CAM use were improvement of physical, general and emotional wellbeing and increasing the body’s ability to fight cancer. Most commonly used methods were natural products including vitamins and minerals and relaxation. Being female, younger and having higher education predicted CAM use. Lifetime CAM use was reported by 34% ( n = 256), and 26% ( n = 198) used CAM after cancer diagnosis.

Open-ended responses were analyzed, using qualitative content analysis. A logistic regression model was used to investigate the association between CAM use and gender, age and level of education. Descriptive statistics were used to analyze the survey data. Questionnaires were distributed consecutively to 1297 cancer patients at a university hospital’s out-patient oncology units. The aim of this cross-sectional study was to explore Swedish cancer patients´ patterns of CAM use, their experiences and preferences. Access to and advice on Complementary and Alternative Medicine (CAM) are uncommon within Swedish conventional cancer care and little is known about cancer patients’ own use of CAM.
