Komplementärmedizinische Ansätze in der gynäkologischen Onkologie

Eine große Zahl onkologischer Patientinnen in Deutschland wendet komplementäre Therapien an. Dieser Beitrag gibt einen Überblick über evidenzbasierte und praxisorientierte Empfehlungen zu komplementärmedizinischen Therapien in der gynäkologischen Onkologie.

• Literatur

• 1 Keene MR, Heslop IM, Sabesan SS. et al. Complementary and alternative medicine use in cancer: A systematic review. Complement Ther Clin Pract 2019; 35: 33-47
• 2 Johnson SB, Park HS, Gross CP. et al. Use of Alternative Medicine for Cancer and Its Impact on Survival. J Natl Cancer Inst 2018; 110: 121-124
• 3 Greenlee H, DuPont-Reyes MJ, Balneaves LG. et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin 2017; 67: 194-232
• 4 Empfehlungen gynäkologische Onkologie Kommission Mamma. ; Stand: 28.10.2020 https://www.ago-online.de/fileadmin/ago-online/downloads/_leitlinien/kommission_mamma/2020/PDF_EN/2020E%2023_Complementary%20Therapy%20Survivorship_with%20References.pdf
• 5 S3-Leitlinie für die Früherkennung, Diagnostik, Therapie und Nachsorge des Mammakarzinoms. Langversion 4.3 – Februar 2020. AWMF-Registernummer: 032-045OL. https://www.awmf.org/uploads/tx_szleitlinien/032-045OLl_S3_Mammakarzinom_2020-02.pdf ; Stand: 28.10.2020
• 6 ONKOPEDIA. https://www.onkopedia.com/de/onkopedia/guidelines In: Deutsche Gesellschaft für Hämatologie und Medizinische Onkologie und Komplementärmedizin in der Onkologie; Stand: 28.10.2020
• 7 Schell LK, Monsef I, Wockel A. et al. Mindfulness-based stress reduction for women diagnosed with breast cancer. Cochrane Database Syst Rev 2019; 3: CD011518
• 8 Zhang Q, Zhao H, Zheng Y. Effectiveness of mindfulness-based stress reduction (MBSR) on symptom variables and health-related quality of life in breast cancer patients – a systematic review and meta-analysis. Support Care Cancer 2019; 27: 771-781
• 9 Dong BXC, Jing X, Lin L. et al. Yoga has a solid effect on cancer-related fatigue in patients with breast cancer: a meta-analysis. Breast Cancer Res Treat 2019; 177: 5-16
• 10 Cramer H, Lauche R, Klose P. et al. Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev 2017; 1: CD010802
• 11 Hilfiker R, Meichtry A, Eicher M. et al. Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: a systematic review incorporating an indirect-comparisons meta-analysis. Br J Sports Med 2018; 52: 651-658
• 12 Brinkhaus B, Kirschbaum B, Stockigt B. et al. Prophylactic acupuncture treatment during chemotherapy with breast cancer: a randomized pragmatic trial with a retrospective nested qualitative study. Breast Cancer Res Treat 2019; 178: 617-628
• 13 Miao J, Liu X, Wu C. et al. Effects of acupressure on chemotherapy-induced nausea and vomiting – a systematic review with meta-analyses and trial sequential analysis of randomized controlled trials. International Journal of Nursing Studies 2017; 70: 27-37
• 14 Pan Y, Yang K, Shi X. et al. Clinical Benefits of Acupuncture for the Reduction of Hormone Therapy-Related Side Effects in Breast Cancer Patients: A Systematic Review. Integrative Cancer Therapies 2018; 17: 602-618
• 15 Garland SN, Xie SX, Li Q. et al. Comparative effectiveness of electro-acupuncture versus gabapentin for sleep disturbances in breast cancer survivors with hot flashes: a randomized trial. Menopause 2017; 24: 517-523
• 16 He Y, Guo X, May BH. et al. Clinical Evidence for Association of Acupuncture and Acupressure With Improved Cancer Pain: A Systematic Review and Meta-Analysis. JAMA Oncol 2020; 6: 271-278
• 17 Liu L, Tan H, Yu S. et al. The effectiveness of tai chi in breast cancer patients: A systematic review and meta-analysis. Complement Ther Clin Pract 2020; 38: 101078
• 18 Luo XC, Liu J, Fu J. et al. Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis. Front Oncol 2020; 10: 607
• 19 About Herbs. https://www.mskcc.org/cancer-care/diagnosis-treatment/symptom-management/integrative-medicine/herbs . In: Memorial Sloan Kettering Cancer Center; Stand: 28.10.2020
• 20 Loef M, Walach H. Quality of life in cancer patients treated with mistletoe: a systematic review and meta-analysis. BMC Complement Med Ther 2020; 20: 227
• 21 Freuding M, Keinki C, Kutschan S. et al. Mistletoe in oncological treatment: a systematic review: Part 2: quality of life and toxicity of cancer treatment. J Cancer Res Clin Oncol 2019; 145: 927-939
• 22 Menopause. Clinical guideline. Methods, evidence and recommendations. 2015 https://www.nice.org.uk/guidance/ng23/evidence/appendices-ik-pdf-559549264 . In: National Institute for Health and Clinical Excellence; Appendix K, 253; Stand: 28.10.2020
• 23 Jung AY, Cai X, Thoene K. et al. Antioxidant supplementation and breast cancer prognosis in postmenopausal women undergoing chemotherapy and radiation therapy. Am J Clin Nutr 2019; 109: 69-78
• 24 Frass M, Friehs H, Thallinger C. et al. Influence of adjunctive classical homeopathy on global health status and subjective wellbeing in cancer patients – A pragmatic randomized controlled trial. Complement Ther Med 2015; 23: 309-317