@article{fdi:010072370,
  title = {{H}erbal medicine practices of patients with liver cancer in {P}eru : a comprehensive study toward integrative cancer management},
  author = {{R}ojas, {T}. {R}. and {B}ourdy, {G}enevi{\`e}ve and {R}uiz, {E}. and {C}erapio, {J}. {P}. and {P}ineau, {P}. and {G}ardon, {J}acques and {D}oimi, {F}. and {D}eparis, {X}. and {D}eharo, {E}ric and {B}ertani, {S}t{\'e}phane},
  editor = {},
  language = {{ENG}},
  abstract = {{R}ationale: {T}he highest burden of liver cancer occurs in developing countries, where the use of herbal medicine ({HM}) is still widespread. {D}espite this trend, few studies have been conducted to report {HM} practices of patients with a hepatic tumor in the developing world. {H}ence, this study aimed to document the use of {HM} among patients with liver cancer in {P}eru. {S}tudy {D}esign and {M}ethods: {A} comparative behavioral epidemiological survey was conducted among liver cancer patients attending the {N}ational {C}ancer {I}nstitute of {P}eru. {I}nformation was obtained by direct interviews based on a semistructured questionnaire. {T}he use of {HM} in {P}eruvian liver cancer patients was reported, first, regarding general consumption prior to the onset of disease, and second, after the appearance of symptoms that patients would relate to their tumor. {I}n parallel, general consumption of {HM} in noncancerous people was assessed as a comparative figure. {A} correspondence analysis was performed to reveal potential associations between the symptoms of cancer and the specific use of {HM}. {R}esults: {E}ighty-eight patients and 117 noncancerous individuals participated in the survey. {O}verall, 68.3% of the people interviewed claimed to use {HM} on a regular basis for general health preservation. {F}urthermore, 56.8% of the patients turned to plants first to treat the disorders for which they later came to the cancer care center. {W}hen compared with the number of plant species used routinely (n = 78), a selection of plants was made by patients in response to the symptoms of cancer (n = 46). {A}t least 2 plant species, {A}loe vera and {M}orinda citrifolia, were significantly associated with the treatment of liver cancer-related symptoms in the patient group. {C}onclusions: {T}he present study is the first survey on the {HM} practices of patients with liver cancer in {L}atin {A}merica and, more broadly, in the developing world. {O}ur findings confirm that {HM} remains one of the principal primary health care resources in {P}eru, even for a severe disease like liver cancer. {T}hese traditional, complementary and alternative medicine practices should be taken into consideration in {P}eruvian health programs aiming to educate the population in cancer prevention and treatment, as well as integrative cancer management.},
  keywords = {behavioral epidemiological survey ; cancer ; complementary and alternative medicine ; developing world ; ethnobotany ; {I}ndigenous people ; integrative medicine ; {L}atin {A}merica ; liver disease ; traditional medicine ; {PEROU}},
  booktitle = {},
  journal = {{I}ntegrative {C}ancer {T}herapies},
  volume = {17},
  numero = {1},
  pages = {52--64},
  ISSN = {1534-7354},
  year = {2018},
  DOI = {10.1177/1534735416681642},
  URL = {https://www.documentation.ird.fr/hor/fdi:010072370},
}