Clinical Practice Guidelines |Integrative Therapies as Supportive Care in Patients Treated for Breast Cancer

Clinical Practice Guidelines on the Use of Integrative Therapies as Supportive Care in Patients Treated for Breast Cancer

Conclusions Specific integrative therapies can be recommended as evidence-based supportive care options during breast cancer treatment. Most integrative therapies require further investigation via well-designed controlled trials with meaningful outcomes.

MEDSCAPE Table. Grade A and B Recommendations

Modality Clinical Application Strength of Evidence
Meditation Recommended for treating mood disturbance and depressive symptoms in patients undergoing radiation therapy A
Recommended for improving quality of life A
Recommended for reducing anxiety in breast cancer patients and in those undergoing radiation therapy B
Relaxation Recommended for improving mood and alleviating depressive symptoms when added to standard care A
Yoga Recommended for improving mood in women undergoing radiation therapy and/or chemotherapy, and for fatigued patients in addition to standard care A
Recommended for relieving anxiety in same group of patients (see above) B
Massage Recommended for relieving mood disturbance after treatment B
Music therapy Recommended for improving mood in newly diagnosed patients B
Recommended for reducing anxiety during radiation and chemotherapy B
Stress management Recommended for reducing anxiety during treatment B
Energy conservation Recommended for treatment of fatigue B
Acupressure Can be considered for patients receiving chemotherapy as an addition to antiemetics to help control nausea and vomiting B
Electroacupuncture Can be considered for patients as an addition to antiemetics to control vomiting during chemotherapy B
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