“…Belief is powerful, it disrupts, distorts, delays or stops the comprehension and acceptance of scientific evidence. Scientists call this phenomenon the ‘3Ds+S’ cognitive effects of illusory thinking. Now, the best tonic against its infectious sequels was discovered long ago; it consisted, still does, on proper healthcare education for all. And, in contrast to misleading and unwarranted ‘paramedicine,’ the side effects of widespread science education will always be cheaper, plus save, for sure, some lives…”
By Guillermo Paz-y-Miño-C
Cancer hides or thrives in our bodies. Someone we know, close or distant, is destined to die because of it. And although therapies continue to improve thanks to scientific advances, diverse cancers persist and it might take decades, if ever, to fully manage them.
In the United States, breast, prostate, lung and colorectal cancer are the most prevalent, and chemotherapy, radiotherapy, surgery, and/or hormone therapy the usual treatments. Yet, more than half of the patients with cancer opt for “complementary medicine” to improve, as they believe, their quality of life and survival.
But, do herbs and botanicals, vitamin and mineral supplements, probiotics, traditional medicines, homeopathy, naturopathy, acupuncture, chiropractic or osteopathic manipulation, massage, prayer, reflexology, energy medicine, or special diets have an actual impact on prolonging cancer patients’ lives? The short answer seems to be no.
Physicians from the Yale School of Medicine have just published the study “Complementary Medicine, Refusal of Conventional Cancer Therapy, and Survival Among Patients with Curable Cancers” in the Journal of the American Medical Association (JAMA). From a data set of 1.9 million individuals, gathered between 2004 and 2013 and stored in the National Cancer Database, the researchers extracted a representative sample of cancer patients whom opted for complementary medicine (CM) versus those exposed to conventional cancer treatment (CCT).
The study was straightforward. It aimed at identifying and comparing survival rates between CM and CCT groups.
Patients exposed to complementary medicine had a greater risk of death than those under conventional cancer treatment. In fact, only 82 percent of the CM patients versus 87 percent of the CCT patients survived during a 5-year monitoring lapse since they were first diagnosed with the condition. The trend was noticeable in women suffering breast cancer, with only 85 percent of the CM patients versus 90 percent of the conventionally-treated patients surviving since diagnosis (also during a 5-year follow up).
According to Skyler Johnson, Henry Park and Cary Gross, authors of the study and fellows at the Department of Therapeutic Radiology, as well as the Cancer Outcomes, Public Policy, and Effectiveness Research Center at Yale, the general risk of death associated with complementary medicine was primarily linked to the patients’ refusal to receive: surgery (7 versus 0.1 percent refusal between the CM versus CCT groups, respectively), chemotherapy (34 versus 3 percent), radiotherapy (53 versus 2 percent), and/or hormone therapy (34 versus 3 percent).
Quite interestingly, patients in the complementary medicine group were more likely to be young, women, have breast or colorectal cancer, belong to high socio-economic cohorts, have private medical insurance, high-school education, and reside in the Intermountain West or Pacific West of the United States (where alternative-medicine schools are common, protected by state legislation).
In essence, the Yale study concluded that if patients went for unconventional cures to fight cancer, rather than scientific medicine, they had higher risk to die and do it earlier. Complementary medicine did not help.
As David Gorski, member of the Department of Surgery at Wayne State University School of Medicine and the Department of Oncology at the Barbara Ann Karmanos Cancer Institute (both in Michigan), already alerted back in 2014 when compiling a comprehensive review for the journal Nature “the vast majority of ‘integrative’ [complementary oncology] treatments [were] supported by little, if any, scientific evidence.” He pointed out, with concern and irony, “therein lies a key problem with integrative oncology. The less ‘alternative’ the intervention, the more it resembles conventional oncology; the more ‘alternative’ the intervention, the more it resembles the quackery from which integrative oncologists rightly distance themselves.”
Why do patients opt for unscientific methods to battle cancer? There are multiple reasons, and only one of them has to do with “hope,” trust on a possibility (the “alternative cure”) beyond the “conventional scientific wisdom,” one that might work and, if not, at least, it won’t hurt. There is always a friend or a relative that recommend “holistic cures” to somebody they love. But the Yale study demonstrates that such paths can indeed be harmful: remember that they were associated with higher risk of dying and doing it earlier among patients choosing “complementary practices.”
Belief is powerful, as research on people’s attitudes toward science suggests, it disrupts, distorts, delays or stops the comprehension and acceptance of scientific evidence. Scientists call this phenomenon the “3Ds+S” cognitive effects of illusory thinking. Now, the best tonic against its infectious sequels was discovered long ago; it consisted, still does, on proper healthcare education for all. And, in contrast to misleading and unwarranted “paramedicine,” the side effects of widespread science education will always be cheaper, plus save, for sure, some lives. — EvoLiteracy © 2018.
This op-piece appeared in The Standard Times (South Coast Today), see HERE.