ABSTRACT

An integrative approach to oncology cannot be founded upon the indiscriminate addition of new methods, tools and providers to our biomedical system. An integrative approach must involve a critical appraisal of modalities that may enhance the response to biomedical therapies or, at a minimum, improve the quality of life for cancer patients, their families and providers of care. Complementary and alternative medicine (CAM) modalities are increasingly popular among cancer patients, with the majority either using or inquiring about the use of CAM for cancer trearment, prevention and symptom management1. For oncologists and medical providers caring for cancer patients, the growing interest in CAM therapies raises concerns about efficacy and safety, and appropriate ways to counsel patients about CAM use. The deaths of prostate

addition to efficacious. It is necessary not only to assure the safety of a therapy taken as a single agent, but also to know the potential adverse effects if it is combined with other medications or therapeutic regimens.