Zeitschrift für Komplementärmedizin 2016; 08(02): 12-19
DOI: 10.1055/s-0036-1581997
Praxis
Integrative Onkologie
© Karl F. Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG

Das Essener Modell der Integrativen Onkologie

Gustav Dobos

Subject Editor:
Further Information

Publication History

Publication Date:
30 March 2016 (online)

Summary

70 % der deutschen Krebspatienten suchen auch bei komplementären und alternativen Therapien Hilfe. Das setzt eine kompetente Koordination von ärztlicher Seite voraus, da bei der Anwendung Risiken wie unerwünschte Wechselwirkungen mit der onkologischen Therapie bestehen.

Die Integrative Onkologie hat als Ziele die Verbesserung der Lebensqualität und der Zufriedenheit der Patienten, die Primär- und Sekundärprophylaxe, ein verbessertes Nebenwirkungsmanagement, ggf. eine Verbesserung der Prognose, eine wissenschaftliche Evaluierung, wissenschaftlichen Austausch sowie die Ausbildung von Ärzten und Gesundheitsberufen.

Die Autoren stellen das Essener Modell der Integrativen Onkologie vor, das von gut 60 % der Essener Patientinnen wahrgenommen wird. Die Mind-Body-Medizin bildet eine wichtige Basis der integrativen Behandlung.

 
  • Literatur

  • 1 Beadle GF et al. Beliefs and practices of patients with advanced cancer: implication for communication. Br J Cancer 2004; 91: 254-257
  • 2 Sagar SM et al. Integrative oncology: a Canadian and international perspective. Curr Oncol 2008; 15 (s2) s71-s73
  • 3 Fair W. Back to the future – the role of complementary medicine in urology. 1999; 162: 411-442
  • 4 Deng GE, Frenkel M, Cohen L et al. Evidence based clinical practice guidelines for integrative oncology: complementary therapie and botanicals. J Soc Integr Oncol 2009; 7 (3) 85-120
  • 5 Cassileth BR, Deng GE, Gomez JE et al. Complementary therapies and integrative oncology in lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition). Chest 2007; 132 (3 Suppl) 340s-354s
  • 6 Deng GE, Rausch SM, Jones LW et al. Complementary therapies and integrative medicine in lung cancer: diagnosis and management of lung cancer, 3 rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest 2013; 143 (5 Suppl) e420S-436S
  • 7 Greenlee H, Balneaves L, Carlson LE et al. Clinical practice guidelines on the use of integrative therapies as supportive care in patients treated for breast cancer. J Natl Cancer Inst Monograph 2014; 50: 346-358
  • 8 Pierce JP, Stefanick ML, Flatt SW et al. Greater survival after breast cancer in physically active women with high vegetable-fruit intake regardless of obesity. J Clin Oncol 2007; 25: 2345-2351
  • 9 Nagaraja AS, Armaiz-Pena GN, Lutgendorf SK et al. Why stress is BAD for cancer patients. J Clin Invest 2013; 123 (2) 558-560
  • 10 Satin JR et al. Depression as a predictor of disease progression and moritality in cancer patients: a meta-analysis. Cancer 2009; 115: 5349-5361
  • 11 Mead GE et al. Exercise for depression. Cochrane Database Syst Rec 2009; 3 CD 004 366
  • 12 Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Altern Complement Med 2009; 15: 593-600
  • 13 Pilkington K et al. Yoga for depression: the research evidence. J Affect Disord 2005; 89: 13-24
  • 14 Goodwin PJ et al. The effect of group-psychosocial support on survival in metastatic breast cancer. N Engl J Med 2001; 345: 1719-1726
  • 15 Sarris J et al. Adjuvant use of nuitritional and herbal medicines with anti-depressants, mood stabilizers and benzodiazipenes. J Psychiatr Res 2010; 44: 32-41
  • 16 Ezzo JM et al. Acupuncture-point stimulation for chemotherapy-induced-nausea or vomiting. Cochrane Database Syst Rev. 2006; 19 (2) Apr CD002285
  • 17 Streitberger K, Ezzo J, Schneider A. Acupuncture for nausea and vomiting: an update of clinical and experimental studies. Autonomic Neuroscience 2006; 129 (1–2) 107-117
  • 18 Collins KB, Thomas DJ. Acupuncture and acupressure for the management of chemotherapy-induced nausea and vomiting. J Am Acad Pract 2004; 16 (2) 76-80
  • 19 Walji R, Boon H, Guns E et al. Black cohosh (Cimicifuga racemosa [L.] Nutt.): safety and efficacy for cancer patients. Support Care Cancer 2007; 15 (8) 913-921
  • 20 Rostock M, Fischer J, Mumm A et al. Black cohosh (Cimifuga racemosa) in tamoxifen-treated breast cancer patients with climacteric complaints – a prospective observational study (accepted). Gynecol Endocrinol 2011; 27 (10) 844-848
  • 21 Pruthi S, Thompson SL, Novotny PJ et al. Pilot evaluation of flaxseed for the management of hot flashes. J Soc Integr Oncol 2007; 5 (3) 106-112
  • 22 Frisk J, Källstrom AC, Wall N et al. Acupuncture improves health-related quality-of-life (HRQoL) and sleep in women with breast cancer and hot flushes. Support Care Cancer 2012; 20 (4) 715-724
  • 23 Liljegren A, Gunnarsson P, Landgren BM et al. Reducing vasomotor symptoms with acupuncture in breast cancer patients treated with adjuvant tamoxifen: a randomized controlled trial. Breast Cancer Res Treat 2012; 135 (3) 791-798
  • 24 Carson JW, Carson KM, Porter LS et al. Yoga of awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial. Support Care Cancer 2009; 17 (10) 1301-1309
  • 25 Vickers AJ. Acupuncture for postchemotherapy fatigue: a phase II study. J Clin Oncol 2004; 22 (9) 1731-1735
  • 26 Baumann FT, Drosselmeyer N, Leskaroski A et al. 12-week resistance training with breast cancer patients during chemotherapy: effects on cognitive abilities. Breast Care 2011; 6: 142-143
  • 27 Demiralp M, Oflaz F, Komurcu S. Effects of relaxation training on sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy. J Clin Nurs 2009; 19: 1073-1083
  • 28 Johnstone PA, Peng YP, May BC et al. Acupuncture for pilocarpine-resistant xerostomia following radiotherapy for head and neck malignancies. Int J Radiat Oncol Biol Phys 2001; 50 (2) 353-357
  • 29 Pfister DG, Cassileth BR, Deng GE et al. Acupuncture for pain and dysfunction after neck dissection: results of a randomized controlled trial. J Clin Oncol 2010; 28 (15) 2565-2570
  • 30 Scotté F, Tourani JM, Banu E et al. Multicenter study of a frozen glove to prevent docetaxel-induced onycholysis and cutaneous toxicity of the hand. J Clin Oncol 2005; 23: 4424-4429
  • 31 Schröder S, Liepert J, Remppis A et al. Acupuncture treatment improves nerve conduction in peripheral neuropathy. Eur J Neurol 2007; 14 (3) 276-281
  • 32 Wong R, Sagar S. Acupuncture treatment for chemotherapy-induced neuropathy – a case series. Acupuncture in Medicine 2006; 24 (2) 87-91
  • 33 Wang H, Qi H, Wang BS et al. Is acupuncture beneficial in depression: a meta-analysis of 8 randomized controlled trials?. J Affect Disord 2008; 111: 125-134
  • 34 Matchim Y, Armer JM, Stewart BR. Mindfulness-based stress reduction among breast cancer survivors: a literature review and discussion. Oncology Nurs Forum 2011; 38 (2) 61-71
  • 35 Ott MJ, Norris RL, Bauer-Wu SM. Mindfulness meditation for oncology patients: a discussion and critical review. Integr Cancer Ther 2006; 5 (2) 98-108
  • 36 Shennan C, Payne S, Fenlon D. What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psychooncology 2011; 20 (7) 681-697
  • 37 Musial F, Büssing A, Heusser P et al. Mindfulness-based stress reduction for integrative cancer care – a summary of evidence. Forsch Komplementmed 2011; 18 (4) 192-202
  • 38 Lin KY, Hu YT, Chang KJ et al. Effects of yoga on psychological health, quality of life, and physical health of patients with cancer: a meta-analysis. Evid Based Complement Alternat Med 2011; 659876
  • 39 Vadiraja HS, Raghavendra RM, Nagarthna R et al. Effects of a yoga program on cortisol rhythm and mood states in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial. Integr Cancer Ther 2009; 8 (1) 37-46
  • 40 Smith KB, Pukall C. An evidence-based review of yoga as a complementary intervention for patients with cancer. Psychooncology 2009; 18: 465-475
  • 41 Kienle GS, Glockmann A, Schink M et al. Viscum album L. extracts in breast and gynaecological cancers: a systematic review of clinical and preclinical research. J Exp Clin Cancer Res 2009; 28 (79) doi: 10.1186/1756-9966-28-79.
  • 42 Dobos G Hrsg. Integrative Onkologie am Beispiel Brustkrebs. Was kann die Naturheilkunde in der Tumormedizin leisten. München: Elsevier 2014;
  • 43 McCulloch M, See C, Shu XJ et al. Astragalus-based Chinese herbs and platinum-based chemotherapy for advanced non-small-cell lung cancer: meta-analysis of randomized trials. J ClinOncol 2006; 24 (3) 419-430
  • 44 Wang CZ, Luo X, Zhang B et al. Notoginseng enhances anti-cancer effect of 5-fluorouracil on human colorectal cancer cells. Cancer Chemother Pharmacol 2007; 60 (1) 69-79
  • 45 Taixiang W, Munro AJ, Guanjian L. Chinese medical herbs for chemotherapy side effects in colorectal cancer patients. Cochrane Database Syst Rev 2005; 25 (1) Jan
  • 46 www.cochrane.de/de/biologische-krebstherapie