World Journal of Medical Sciences 8 (2): 157-164, 2013
ISSN 1817-3055
© IDOSI Publications, 2013
DOI: 10.5829/idosi.wjms.2013.8.2.7358
Corresponding Author: Redhwan Ahmed Al-Naggar, Department, Faculty of Medicine,
Universiti Teknologi MARA (UiTM), Sg. Buloh Campus, 47000 Sg Buloh, Selangor, Malaysia.
157
Complementary/alternative Medicine Use among Cancer Patients in Malaysia
Redhwan A. Al-Naggar, Yuri V. Bobryshev, Mahfoudh Abdulghani,
1 2 3
Subramariam Rammohan, Muhamed T. Osman and Samiah Yasmin Abdul Kadir
3 4 5
Department, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Malaysia
1
Faculty of Medicine, School of Medical Sciences,
2
University of New South Wales, New South Wales, Sydney NSW, Australia
Department of Pharmacology, International Medical School, Management
3
and Science University (MSU), Malaysia
Department of Pathology, Centre of Pathology, Diagnostic and Research Laboratories,
4
Faculty of Medicine, Universiti Teknologi MARA (UiTM) Malaysia
Faculty of Medicine, SEGi University, Malaysia
5
Abstract: The objective of this study was to determine the use of complementary and alternative medicine
(CAM) among cancer patients in Malaysia. A cross-sectional study was carried out among cancer patients at
two Malaysian referral hospitals. The questionnaire consisted of 28 items includes patients’ socio-demographic
characteristics, clinical characteristics and questions about CAM use. A total number of 200 cancer patients
participated in this study. The majority were female, Malay, married, with tertiary education and working
(54.5%, 36.5%, 53.5%, 46.5%, 45.0%; respectively). The majority were in stage 2 and diagnosed with cancer 1
to 2 years ago (47.5%, 37.5%; respectively). The prevalence of CAM used among the study participants was
found to be 14%. The majority of them used the CAM during the treatment (72.7%), used the CAM less than
six months (37.0%). The majority of cancer patients reported that CAM is beneficial for them and there is no
side effect of CAM and they were satisfied with CAM (65.5%, 92.0%; 80.0%; respectively). Only few patients
stopped conventional treatment while using CAM (14.5%). Relieve pain (19.5%) and relieve the symptoms
(16.5%) were the reasons for CAM used. The most popular CAM used among cancer patients was sea
cucumber (22%) and homeopathy (10.5%). The least popular CAM used reported by the study participants was
green tea (0.5%). Level of education found to be significantly influence the use of CAM among cancer patients
in this study. In light of the growing interest in CAM, health-care professionals need to be educated about the
most common CAM therapies used among cancer patients. This study reported a new finding that 16.4% of
cancer patients stopped the standard treatment while using CAM. This is a serious problem and should be
addressed and further intervention studies needed.
Key words: Cancer Treatment Complementary/Alternative Medicine Malaysia
INTRODUCTION types of cells and cause serious and often debilitating
Cancer is the major cause of death in most countries treatment. Therefore, many cancer patients seek
worldwide. The conventional therapies of cancer such as complementary and alternative therapies [1]. On the other
surgery, chemotherapy, radiotherapy and hormonal hand, drug interaction between CAM and chemotherapy
therapy usually cause many adverse effects because or radiotherapy is a potentially hazardous [2, 3].
conventional therapies cannot differentiate between Furthermore, use of CAM has been associated with
cancer cells and healthy cells; thus, they damage both cancer treatment delay [4].
side effects, frequently forcing patients to abandon