EARLY national surveys have confirmed a sustained interest in and use of complementary and alternative medicine (CAM) therapies in the United States (US). These first surveys provided an important first look but lacked specifics including diagnoses, disease site, and special populations. By the end of the 1990s we knew more about the use of CAM by specific populations with cancer, including cancer site, geographic and ethnic differences, and the elderly. There have been growing pains typical of a new field in health care including clarification of terminology, enhanced understanding of cultural impact, identification of practice issues including certification and scope of practice, sorting an ever expanding body of knowledge, and establishing evidence based practice.</P>This issue on Complementary and Integrative Cancer Therapies provides comprehensive and evidence-based information on different CAM approaches commonly used in the context of cancer care. We begin with a discussion that underscores the imperative that oncology nurses need to be informed in this area. Barton and Pachman examine clinical trials related to natural products and mind-body therapies for cancer symptom management. Greenlee provides a review of natural products and implications in cancer prevention and Dixon discusses controversies and issues related to nutrition. The contributions of massage and touch in supportive oncology care are discussed by Collinge, MacDonald, and Walton, while the role of energy therapies in oncology care are discussed by Coakley and Barron. Many patients turn to therapies considered part of traditional Chinese medicine for cancer-related symptoms, and Smith and Bauer-Wu provide a review of these therapies. Each article provides an overview of the particular therapies, highlights of seminal and current research, clinical implications and future trends. Each author is a practicing researcher and/or clinician offering a unique wisdom that comes from years of experience and supported by peer-reviewed literature. We hope that you will find this issue of Seminars in Oncology Nursing compelling and that it will serve to advance your discussion with patients, students, and colleagues, as well as whet your interest in CAM and integrative oncology research.</P>
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