Abstract

Are there any evidence-based medicine (EBM)-supported treatment approaches of complementary and alternative medicine (CAM) methods for urological oncologists? We reviewed the actual German S3 guidelines "Supportive Care" and "Complementary Medicine" as well as the online-tool Onkopedia for recommendations about essential trace elements (Zn, Se, Mn, Fe), vitamins (A, B, C, D, E), and electrolytes (Mg, Ca). Furthermore, we added results of randomized trials to present potential future developments. Each therapy with micronutrients should be based on laboratory observation of adeficit. There are selected guideline recommendations for selenium, iron and vitaminD. Potential indications were registered for manganese, vitaminA derivates, and vitaminC. No benefit was observed for vitaminB, zinc, and vitaminE. Micronutrients should be substituted in the case of deficit. General supplementation of daily nutrition is not recommended for cancer patients.

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