{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:14:32Z","timestamp":1793394872202,"version":"4.5.0"},"reference-count":414,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T00:00:00Z","timestamp":1492992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CA A Cancer J Clinicians"],"published-print":{"date-parts":[[2017,5,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.wileyhealthlearning.com\/acs.aspx\">Answer questions and earn CME\/CNE<\/jats:ext-link>\n                  <\/jats:p>\n                  <jats:p>\n                    Patients with breast cancer commonly use complementary and integrative therapies as supportive care during cancer treatment and to manage treatment\u2010related side effects. However, evidence supporting the use of such therapies in the oncology setting is limited. This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety\/stress, depression\/mood disorders, fatigue, quality of life\/physical functioning, chemotherapy\u2010induced nausea and vomiting, lymphedema, chemotherapy\u2010induced peripheral neuropathy, pain, and sleep disturbance. Clinical practice guidelines are based on a systematic literature review from 1990 through 2015. Music therapy, meditation, stress management, and yoga are recommended for anxiety\/stress reduction. Meditation, relaxation, yoga, massage, and music therapy are recommended for depression\/mood disorders. Meditation and yoga are recommended to improve quality of life. Acupressure and acupuncture are recommended for reducing chemotherapy\u2010induced nausea and vomiting. Acetyl\u2010L\u2010carnitine is not recommended to prevent chemotherapy\u2010induced peripheral neuropathy due to a possibility of harm. No strong evidence supports the use of ingested dietary supplements to manage breast cancer treatment\u2010related side effects. In summary, there is a growing body of evidence supporting the use of integrative therapies, especially mind\u2010body therapies, as effective supportive care strategies during breast cancer treatment. Many integrative practices, however, remain understudied, with insufficient evidence to be definitively recommended or avoided.\n                    <jats:bold>CA Cancer J Clin 2017;67:194\u2013232<\/jats:bold>\n                    . \u00a9\n                    <jats:bold>2017 American Cancer Society<\/jats:bold>\n                    .\n                  <\/jats:p>","DOI":"10.3322\/caac.21397","type":"journal-article","created":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T09:47:02Z","timestamp":1493027222000},"page":"194-232","source":"Crossref","is-referenced-by-count":571,"title":["Clinical practice guidelines on the evidence\u2010based use of integrative therapies during and after breast cancer treatment"],"prefix":"10.3322","volume":"67","author":[{"given":"Heather","family":"Greenlee","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Epidemiology, Mailman School of Public Health Columbia University New York NY"},{"name":"Member, Herbert Irving Comprehensive Cancer Center Columbia University New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa J.","family":"DuPont\u2010Reyes","sequence":"additional","affiliation":[{"name":"Doctoral Fellow, Department of Epidemiology, Mailman School of Public Health Columbia University New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynda G.","family":"Balneaves","sequence":"additional","affiliation":[{"name":"Associate Professor, College of Nursing Rady Faculty of Health Sciences Winnipeg MB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda E.","family":"Carlson","sequence":"additional","affiliation":[{"name":"Professor, Department of Oncology University of Calgary Calgary AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misha R.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Adjunct Professor American College of Traditional Chinese Medicine at California Institute of Integral Studies San Francisco CA"},{"name":"Clinic Director Chicken Soup Chinese Medicine San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Deng","sequence":"additional","affiliation":[{"name":"Medical Director, Integrative Oncology Memorial Sloan Kettering Cancer Center New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jillian A.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Post\u2010Doctoral Scholar Department of Biobehavioral Health, The Pennsylvania State University University Park PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Mumber","sequence":"additional","affiliation":[{"name":"Radiation Oncologist Harbin Clinic, Rome, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dugald","family":"Seely","sequence":"additional","affiliation":[{"name":"Executive Director Ottawa Integrative Cancer Center Ottawa ON Canada"},{"name":"Executive Director of Research Canadian College of Naturopathic Medicine Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanna M.","family":"Zick","sequence":"additional","affiliation":[{"name":"Research Associate Professor, Department of Family Medicine, Michigan Medicine University of Michigan Ann Arbor MI"},{"name":"Research Associate Professor, Department of Nutritional Sciences, School of Public Health University of Michigan Ann Arbor MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay M.","family":"Boyce","sequence":"additional","affiliation":[{"name":"Research Informationist Memorial Sloan Kettering Library, Memorial Sloan Kettering Cancer Center New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debu","family":"Tripathy","sequence":"additional","affiliation":[{"name":"Professor, Department of Breast Medical Oncology The University of Texas MD Anderson Cancer Center Houston TX."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6874-7-4"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-14-382"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/301549"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2012.3698"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-009-0315-3"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6882-11-30"},{"key":"e_1_2_7_8_1","unstructured":"Office of Cancer Complementary and Alternative Medicine.CAM Definitions.cam.cancer.gov\/health_information\/cam_definitions.htm. 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