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Methodology Flaws and Implications of a Complementary Medicine Study

Methodology Flaws and Implications of a Complementary Medicine Study Letters identify the specific pathways involved, which will likely vary drawing broad conclusions about individuals interested in and by type of cancer. actively pursuing CM treatments. Furthermore, the current Finally, the increased risk of diabetes after cancer develop- definition of CM is so broad, including prayer, diets, vita- ment was similar in women (fully adjusted hazard ratio [aHR], mins, and supplements, as to be ungeneralizable. 1.31; 95% CI, 1.19-1.46) and men (aHR, 1.38; 95% CI, 1.26-1.52; The second and perhaps more important concern we have P = .53 for the interaction). This risk was also observed across with this study is the likelihood of it being used to further drive all ages, but the association was stronger in younger partici- a wedge between traditional health care practitioners and pa- pants (aHR in participants <50 years of age, 1.70; 95% CI, 1.49- tients interested in CM. Some health care practitioners are skep- 1.96) than in older participants (aHR in participants ≥50 years tical of and even hostile regarding the use of CM. This study of age, 1.26; 95% CI, 1.17-1.37; P = .53 for the interaction). could further reinforce the cognitive biases of these physi- cians, leading to decreased understanding http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Oncology American Medical Association

Methodology Flaws and Implications of a Complementary Medicine Study

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Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2374-2437
eISSN
2374-2445
DOI
10.1001/jamaoncol.2018.6628
Publisher site
See Article on Publisher Site

Abstract

Letters identify the specific pathways involved, which will likely vary drawing broad conclusions about individuals interested in and by type of cancer. actively pursuing CM treatments. Furthermore, the current Finally, the increased risk of diabetes after cancer develop- definition of CM is so broad, including prayer, diets, vita- ment was similar in women (fully adjusted hazard ratio [aHR], mins, and supplements, as to be ungeneralizable. 1.31; 95% CI, 1.19-1.46) and men (aHR, 1.38; 95% CI, 1.26-1.52; The second and perhaps more important concern we have P = .53 for the interaction). This risk was also observed across with this study is the likelihood of it being used to further drive all ages, but the association was stronger in younger partici- a wedge between traditional health care practitioners and pa- pants (aHR in participants <50 years of age, 1.70; 95% CI, 1.49- tients interested in CM. Some health care practitioners are skep- 1.96) than in older participants (aHR in participants ≥50 years tical of and even hostile regarding the use of CM. This study of age, 1.26; 95% CI, 1.17-1.37; P = .53 for the interaction). could further reinforce the cognitive biases of these physi- cians, leading to decreased understanding

Journal

JAMA OncologyAmerican Medical Association

Published: Mar 24, 2019

References

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