CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2018; 78(11): 1129-1137
DOI: 10.1055/a-0754-2923
GebFra Science
Original Article/Originalarbeit
Georg Thieme Verlag KG Stuttgart · New York

Supportive Infusions in Integrative Breast and Gynecological Oncology – Report on Patientsʼ Satisfaction and Self-reported Effects and Side Effects

Article in several languages: English | deutsch
Carolin C. Hack
1  Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen – European Metropolitan Area Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany
,
Sophia Antoniadis
1  Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen – European Metropolitan Area Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany
,
Matthias W. Beckmann
1  Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen – European Metropolitan Area Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany
,
Anna Lisa Brandl
1  Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen – European Metropolitan Area Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany
,
Peter A. Fasching
1  Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen – European Metropolitan Area Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany
,
Janina Hackl
1  Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen – European Metropolitan Area Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany
,
Hanna Langemann
1  Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen – European Metropolitan Area Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany
,
Stock Katja
2  Department of Pharmacy, Erlangen University Hospital, Erlangen, Germany
,
Natalie Weber
1  Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen – European Metropolitan Area Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany
,
Anna-Katharin Theuser
1  Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen – European Metropolitan Area Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany
› Author Affiliations
Further Information

Publication History

received 30 July 2018
revised 14 September 2018

accepted 05 October 2018

Publication Date:
26 November 2018 (online)

Abstract

Background During cancer therapy, many patients suffer from malnutrition or vitamin deficiency. Treatment for nutrition-related deficiencies should therefore include nutritional therapy and possibly oral or intravenous substitution of micronutrients. Little information exists on multinutrient infusion therapies. The aim of this study was to develop standardized infusion protocols for integrative medicine infusions with micronutrients (IMed infusions) and to report on side effects of the treatment and patientsʼ satisfaction with it.

Methods For the IMed consultancy service, four special formulas for intravenous use were developed in cooperation with the pharmacy at Erlangen University Hospital. A retrospective cross-sectional study was conducted between October 2015 and January 2018 in which 45 patients with gynecological or breast cancer (BC) and IMed infusion therapy were included. Follow-up data were obtained from 20 patients using a standardized questionnaire on IMed infusions.

Results A total of 280 IMed infusions were administered in the study period. The majority of the patients received an IMed regeneration infusion (78%). The majority of the patients had BC and were receiving chemotherapy. Most patients reported a high or very high level of satisfaction with the organization (60%), general treatment (65%) and counseling (85%). Subjective improvement in their disease-related and therapy-induced symptoms, such as fatigue, polyneuropathy and physical efficiency, was reported by 70% of the patients, while 75% reported a subjective increase in quality of life. Side effects were rare and minor.

Conclusions Therapy with IMed infusions in women with BC or gynecological cancer requires the same standards set for drug therapy. Although vitamins represent dietary supplements, appropriate assessment of the patientʼs medical history is needed and patients must receive appropriate information. For this purpose, standardized processes, as in the context of an IMed consultancy service, are helpful.

Supporting Information

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