Since 64% of cancer patients survive more than 5 years beyond diagnosis, oncologists are challenged to expand their focus from acute care to managing the long-term health consequences of cancer treatment and ensuring the integration of cancer prevention into their practices. This review defines the cancer prevention role of integrative oncology as a key component in survivorship programs.
A narrative review consisting of the results of preclinical studies, randomized controlled trials and systematic reviews that may contribute to cancer prevention.
Integrative oncology focuses on the complexities of health and proposes a multitude of approaches. Its categories are mind-body techniques, physical therapies, nutrition plus supplements, and botanicals or natural health products. Behavioral modification, through selected integrative oncology interventions may enhance cancer prevention.
Opportunities exist for oncologists to promote lifestyle changes that improve patients' length and quality of life. Integrative oncology utilizes techniques for self-empowerment, individual responsibility, and lifestyle changes that could potentially reduce both cancer recurrence and second primary tumors. Education in the principles of integrative oncology and evidence-based complementary therapies is lacking. There is a need for studies on cost-utility and effectiveness of whole systems programs of integrative oncology for the tertiary prevention of cancer.
"Although much of the impetus for the development of molecular screening technologies has related to their possibilities for primary and secondary prevention, with fund-raising campaigns inviting us to imagine a ‘world without cancer', these molecular biomarkers have also increasingly made their way into tertiary prevention as well. Tertiary prevention refers to those aspects of clinical activity involved with reducing the negative impacts of established disease by restoring function and reducing disease-related complications such as cancer recurrence and second primary cancers (Sagar and Lawenda, 2009). Today, proteinic biomarkers are being widely used to monitor patients treated for a number of types of cancer, with regular tumour marker blood tests now an indelible feature of the experience of cancer ‘survivorship' (see Ludwig and Weinstein, 2005). "
[Show abstract][Hide abstract] ABSTRACT: Over the past two decades, molecular technologies have transformed the landscape of cancer diagnosis, treatment and disease surveillance. However, although the effects of these technologies in the areas of primary and secondary cancer prevention have been the focus of growing study, their role in tertiary prevention remains largely unexamined. Treating this topic as a problematic to be conceptually explored rather than empirically demonstrated, this article focuses on the molecularisation of tertiary prevention, especially the growing use of molecular biomarkers to monitor disease recurrence. Taking a semiotic approach, I speculate on the potential meanings of molecular biomarkers for people living with and beyond cancer and suggest the meanings of these technologies may differ in important ways for those on both sides of the risk divide: that is, those 'at risk' for cancer and those living with realised risk. Although molecular biomarkers may intensify a sense of 'measured vulnerability', by indexing cancer's presence they may also prove reassuring. Moreover, as an invisible but ostensibly 'transparent' sign, in some contexts they appear to enable cancer survivors to challenge biomedical decision making. In the light of recent oncological debates about the value of these biomarkers in tertiary prevention, I conclude by suggesting that signs can never be reduced to their 'objective' biomedical denotation in spite of professional attempts to expunge meaning and value from care.
[Show abstract][Hide abstract] ABSTRACT: This article addresses the links between national identity, temporal order, and the re-socialization of migrants. Anchored in an ethnographic account of encounters between Israeli Jews and migrants from the former Soviet Union, it looks at ways in which temporal re-ordering was rendered crucial to the moral transformation required of the newcomers. A close look at these encounters reveals that at the heart of this re-socialization project lay the endeavour to link the lives of the newcomers with the life of the Israeli nation-state by persuading them to bracket off their present circumstances in favour of a shared, imagined, past and future.
Time & Society 03/2002; 11(1):5-24. DOI:10.1177/0961463X02011001001 · 0.46 Impact Factor
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