• A C Conrad, K Muenstedt, O Micke, F J Prott, R Muecke, and J Huebner.
• Dr. Senckenbergisch Chronomedical Institute, J.W. Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
• J. Cancer Res. Clin. Oncol. 2014 Jul 1;140(7):1229-37.

BackgroundA high proportion of cancer patients use complementary and alternative medicine (CAM). In oncology, risks of CAM are side effects and interactions.ObjectiveOur aim was to conduct a survey on professionals in palliative care regarding attitudes toward CAM.Design And SubjectsAn internet-based survey with a standardized questionnaire was sent to all members of the German Society for Palliative Care.MeasurementsThe questionnaire collected data on attitude toward CAM and experiences.ResultsSix hundred and ninety questionnaires (19 %) were returned (49 % physicians, 35 % nurses, 3 % psychologists). Acceptance of CAM is high (92 % for complementary and 54 % for alternative medicine). Most participants had already been asked on CAM by patients (95 %) and relatives (89 %). Forty-four percent already had used complementary methods and 5 % alternative methods. Only 21 % think themselves adequately informed. Seventy-four percent would use complementary methods in a patient with advanced tumor, and 62 % would use alternative therapy in patients if there was no other therapy. Even from those who are skeptical 45 % would treat a patient with alternative methods.ConclusionsIn order to inform patients on CAM and to further patients' autonomy, evidence on benefits and harms of CAM must be provided. As awareness of risks from CAM is low and critical appraisal especially of alternative medicine missing, but interest on information on CAM is high, experts should provide evidence-based recommendations for CAM in palliative care to members of different professions. This could be done by a curriculum focusing on the most often used CAM methods.

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