Perception and attitude of Jordanian physicians towards complementary and alternative medicine (CAM) use in oncology

Abstract

PurposeTo determine general perception and attitudes to CAM among Jordanian physicians at King Hussein Cancer Center (KHCC), and challenges facing formal integration of CAM into conventional practice. MethodA cross-sectional survey of KHCC physicians using a semi-structured questionnaire. ResultsResponse rate was 71%(71/100). 84%(41/49) defined CAM as “not evidence-based” treatments and/or “Herbs”. More than 80% reported interest to learn about CAM. 70% believed that herbal remedies were harmful, though only 17%(12/71) reported some knowledge about their composition. Physicians' concern of harmful interactions was the most significant reason for asking their patients about use (p < 0.0001). >90%(32/35) of physicians who estimated a low rate (<10%) of CAM usage by patients had minimal knowledge of herbal remedies (p = 0.06). ConclusionKHCC physicians have very little knowledge but high interest to learn about CAM use in oncology. An educational component will be crucial for the implementation of a formal CAM program at KHCC.