This NIH-NCCAM funded epidemiologic research is being conducted as an observational prospective case-control study of the use of Complementary and Alternative Medicine (CAM) and Integrated Oncology (IO) and their effects on breast cancer patients in community settings.
Hypothesis: IO services improve patients' quality of life and decrease cancer recurrence rates in breast cancer patients as compared to women with similar disease states and prognoses who do not receive IO care, and may or may not use CAM treatment on their own.
The patients enrolled into the study will include patients who meet the following criteria:
Cohort 1: IO clinic breast cancer patients
Confirmed breast cancer of primary breast cancer with ICD9 code of 174.x, 233.0 or V10.3 Female ≥18 years of age Can provide signed informed consent 1st IO clinic visit ≤3 months prior to enrollment Can read and understand the questionnaires
Cohort 1A: Sub-cohort of IO clinic patients (cases) who meet the following additional criteria and for whom matched controls have been found from the CSS database.
ICD9 code of 174.x or 233.0 Primary ductal or lobular breast cancer diagnosis ≤2 years prior to 1st IO clinic visit Minimum of two IO clinic visits within 7 months Provided Baseline Questionnaire
Cohort 2: Matched controls from CSS database for Cohort 1A patients
Confirmed breast cancer Female ≥ 18 years of age Can provide informed consent
