{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T20:44:30Z","timestamp":1782938670346,"version":"3.54.5"},"reference-count":31,"publisher":"American Society of Clinical Oncology (ASCO)","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Oncol Pract"],"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>While integrative oncology (IO) modalities are recommended for symptom management, few models describe guideline-supported or sustainable care. This study (1) describes the initial implementation of a hybrid insurance-supported, guideline-informed IO symptom management clinic incorporating low-cost self-pay services; (2) evaluates single treatment effects on patient-reported outcome measures (PROMs); and (3) assesses clinic acceptability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>An IO symptom management clinic was established, providing individualized treatment plans through insurance-covered physician consults and massage therapy, low-cost group acupuncture, reiki, and group medical visits. Utilization and demographic data were extracted from electronic health records. Oncology diagnosis and PROM data (ie, PROMIS-29 and Edmonton Symptom Assessment Scale) were analyzed within a subset of visits in the first 3 months. Single treatment effects were calculated among patients with moderate-to-severe pretreatment scores. An acceptability survey was administered to a subset of 62 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Between June 2023 and September 2024, 1924 IO treatments occurred among 291 patients (mean age 60.8 years, 73.2% female, 80.8% White). Clinically meaningful improvements in symptoms (mean and 95% CI) were observed across all modalities in pain (\u20132.08 [95% CI, \u20132.51 to \u20131.66]), stress (\u20132.70 [95% CI, \u20133.20 to \u20132.20]), anxiety (\u20132.28 [95% CI, \u20132.90 to \u2013 1.66]), depression (\u20132.54 [95% CI, \u20133.22 to \u20131.87]), nausea (\u20133.61 [95% CI, \u20134.43 to \u20132.78]), and fatigue (\u20131.42 [95% CI, \u20132.33 to \u20130.52]). Acceptability survey results demonstrated that the clinic helped patients use integrative therapies (62.3% strongly agree) and that patients would refer others to this clinic (85.5% strongly agree).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>This clinical model offers a potentially adaptable, hybrid insurance-based framework for effective, guideline-concordant IO symptom management care. Patients reported high satisfaction, and utilization increased over time. Further research on similar insurance-supported models can help optimize accessibility and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/op-26-00274","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T19:59:31Z","timestamp":1782935971000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Implementation and Patient-Reported Outcomes of an Insurance-Supported Integrative Oncology Symptom Management Program"],"prefix":"10.1200","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3413-5555","authenticated-orcid":true,"given":"Meha","family":"Srivastava","sequence":"first","affiliation":[{"name":"Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH"},{"name":"Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0886-253X","authenticated-orcid":true,"given":"Samuel N.","family":"Rodgers-Melnick","sequence":"additional","affiliation":[{"name":"Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH"},{"name":"Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH"},{"name":"Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Wolf","sequence":"additional","affiliation":[{"name":"Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Smith","sequence":"additional","affiliation":[{"name":"Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh","family":"Rao","sequence":"additional","affiliation":[{"name":"Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH"},{"name":"Case Comprehensive Cancer Center, Case Western Reserve University School of Medicine, Cleveland, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(11)70002-X"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.8907"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.43.5818"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-009-0143-9"},{"key":"e_1_3_8_6_2","first-page":"31","article-title":"Effects of massage on pain intensity, analgesics and quality of life in patients with cancer pain: A pilot study of a randomized clinical trial conducted within hospice care delivery","volume":"15","author":"Wilkie DJ","year":"2000","unstructured":"Wilkie DJ, Kampbell J, Cutshall S, et al: Effects of massage on pain intensity, analgesics and quality of life in patients with cancer pain: A pilot study of a randomized clinical trial conducted within hospice care delivery. 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