Use of non-conventional therapies in a cohort of women with breast cancer (DAMA cohort) in Barcelona (Spain). A mixed-methods study
Por:
Garrido, E, Lamelas, VS, Pla, M, Manzanera, R, Puigpinos-Riera, R, Bargallo, X, Domenech, M, Espinosa-Bravo, M, Grau, J, Macia, F, Quintana, MAJ, Sala, M, Vidal, E
Publicada:
1 ago 2020
Resumen:
Introduction: The negative effects that breast cancer and its treatment have on quality of life has led many patients to turn to non-conventional therapies (NCTs). However, little is known about the type, reasons and uses of NCTs; how they relate to conventional treatments; and their effects. The goal of this study was to analyze the links between sociodemographic, family and clinical variables and the use of NCTs among women diagnosed with breast cancer between 2003 and 2013 in Barcelona's main public hospitals.
Methods: A mixed-methods, cross-sectional study was carried out on women with breast cancer in a cohort of 2235 subjects. For the quantitative component, descriptive uni- and bivariate analyses (with Pearson's chi-squared test) and multivariate logistic regression were carried out. For the qualitative component, a sub-sample from the cohort was drawn to construct six discussion groups; thematic analysis was used.
Results: Following diagnosis, 55.2 % of the women had used NCTs. The main reasons were to alleviate the side effects of chemotherapy, increase the body's defenses and improve quality of life. The main factors associated with use, access to practitioners and access to non-conventional treatments and products were socioeconomic factors and relapses. There were visible differences between social classes in the use of NCTs, because lower social classes suffered from social vulnerability and the lack of resources and information.
Conclusions: Participants complemented conventional breast cancer therapies with a wide variety of NCTs. However, many reported that oncologists had discouraged them from using NCTs or shown little interest in understanding the NCTs their patients were using. Social inequalities in accessing NCTs were also evident.
Filiaciones:
Garrido, E:
Univ Barcelona, Dept Infermeria Salut Publ Salut Mental & Materno, C Feixa Llarga S-N, Barcelona 08907, Spain
Lamelas, VS:
Univ Barcelona, Interact & Social Change Res Grp GRICS, Dept Psicol Social & Psicol Quantitat, Fac Psicol, Campus Mundet,Passeig Vall dHebron 171, Barcelona 08035, Spain
Pla, M:
Univ Barcelona, Dept Infermeria Salut Publ Salut Mental & Materno, C Feixa Llarga S-N, Barcelona 08907, Spain
Univ Barcelona, Barcelona, Spain
Manzanera, R:
MC Mutual Med, Barcelona, Spain
MC Mutual, Hlth & Econ Benefits Area, C Provenca 321, Barcelona 08037, Spain
Puigpinos-Riera, R:
Inst Recerca Biomed St Pau IIBSt Pau, Pca Lesseps 1, Barcelona 08023, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ, Agencia Salut Publ Barcelona, Serv Avaluacio & Metodes Intervencio, Madrid, Spain
Bargallo, X:
Hosp Clin Barcelona, Barcelona, Spain
Univ Barcelona, Breast Radiol Unit, Hosp Clin Barcelona, C Villarroel 170, Barcelona 08036, Spain
Domenech, M:
Assoc Mujeres Con Canc Mama Agata, Barcelona, Spain
Espinosa-Bravo, M:
Hosp Vall dHebron Barcelona, Barcelona, Spain
Grau, J:
Hosp Clin Barcelona, Barcelona, Spain
Macia, F:
Parc Salut Mar Barcelona, Barcelona, Spain
Inst Municipal Invest Med IMIM, Barcelona, Spain
Quintana, MAJ:
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Inst Recerca Biomed St Pau IIBSt Pau, Pca Lesseps 1, Barcelona 08023, Spain
Hosp Sta Creu & St Pau Barcelona, Barcelona, Spain
Sala, M:
Inst Municipal Invest Med IMIM, Barcelona, Spain
Parc Salut Mar Barcelona, Barcelona, Spain
Vidal, E:
Univ Ramon Llull, Fac Ciencies Salut Blanquerna, Barcelona, Spain
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