Complementary Therapies And Integrative Medicine In Lung Cancer: Diagnosis And Management Of Lung Cancer

Publication Date: May 1, 2013
Last Updated: March 14, 2022

Recommendations

It is suggested that all lung cancer patients should be asked about their interest in and usage of complementary therapies. Counseling on the benefits and risks of those therapies should be provided. (2, C)
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In lung cancer patients experiencing the symptoms, mind-body modalities are suggested as part of a multidisciplinary approach to reduce anxiety, mood disturbance, sleep disturbance, and improve QOL. (2, B)
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In lung cancer patients experiencing the symptoms, mind-body modalities are suggested as part of a multidisciplinary approach to reduce acute or chronic pain. (2, B)
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In lung cancer patients experiencing the symptoms, mind-body modalities are suggested as part of a multidisciplinary approach to reduce anticipatory chemotherapy-induced nausea and vomiting. (2, B)
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In lung cancer patients experiencing the symptoms, yoga, a movement-based mindbody modality is suggested as part of a multidisciplinary approach to reduce fatigue and sleep disturbance while improving mood and QOL. (2, B)
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In lung cancer patients whose anxiety or pain is not adequately controlled by usual care, addition of massage therapy performed by trained professionals is suggested as part of a multi-modality cancer supportive care program. (2, B)
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In patients awaiting pulmonary resection for suspected lung cancer with compromised lung function, supervised exercise-based pulmonary rehabilitation is suggested to improve cardiorespiratory fitness and functional capacity. (2, C)
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In post-surgical lung cancer patients with compromised lung function, supervised exercisebased pulmonary rehabilitation is suggested to improve cardiorespiratory fitness and functional capacity. (2, C)
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In advanced (inoperable) lung cancer patients receiving palliative anticancer therapy and compromised lung function, supervised exercise-based pulmonary rehabilitation is suggested to improve cardiorespiratory fitness and functional capacity. (2, C)
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In patients having nausea and vomiting from either chemotherapy or radiation therapy, acupuncture or related techniques is suggested as an adjunct treatment option. (2, B)
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In patients with cancer related pain and peripheral neuropathy, acupuncture is suggested as an adjunct treatment in patients with inadequate control of symptoms. (2, C)
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In people who might develop lung cancer a diet rich in non-starchy vegetables and fruits is suggested to reduce the risk of lung cancer. (2, C)
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In people who might develop lung cancer, limiting the consumption of a large amount of red meat and processed meat is suggested. Lower meat consumption may reduce the risk of lung cancer. (2, C)
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In patients undergoing treatment of lung cancer who have experienced weight loss, the addition of high calorie and protein supplements (1.5 kcal/mL) as a nutritional adjunct is suggested to achieve weight stabilization. (2, C)
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In patients with lung cancer who have sarcopenia oral nutritional supplementation with n-3 fatty acids is suggested in order to improve the nutritional status. (2, C)
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Recommendation Grading

Overview

Title

Complementary Therapies And Integrative Medicine In Lung Cancer: Diagnosis And Management Of Lung Cancer

Authoring Organization

American College of Chest Physicians

Publication Month/Year

May 1, 2013

Last Updated Month/Year

January 9, 2024

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

Physicians are often asked about complementary therapies by patients with cancer, and data show that the interest in and use of these therapies among patients with cancer is common. Therefore, it is important to assess the current evidence base on the benefits and risks of complementary therapies (modalities not historically used in modern Western medicine).

Target Patient Population

Patient with lung cancer

Inclusion Criteria

Female, Male, Adolescent, Adult, Child, Older adult

Health Care Settings

Ambulatory, Hospice, Hospital, Long term care, Outpatient

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Management, Treatment

Diseases/Conditions (MeSH)

D008175 - Lung Neoplasms, D000529 - Complementary Therapies, D055048 - Integrative Medicine, D026881 - Acupuncture

Keywords

lung cancer, complementary medicine, integrative medicine, acupuncture

Source Citation

DOI: https://doi.org/10.1378/chest.12-2364

Supplemental Methodology Resources

Data Supplement