The use of traditional and complementary medicine by cancer patients in SSA: A scoping review

Abstract

Background: The rate of traditional and complementary medicine (T&CM) use is increasing worldwide, including among cancer patients who are often willing to try alternate therapies. Despite T&CM popularity in sub-Saharan Africa (SSA), there are limited data on its use with conventional treatments. Aim: This scoping review aims to describe the prevalence of use, reasons for use, most common types of T&CM used, patient satisfaction with T&CM and disclosure of T&CM use to physicians among cancer patients in SSA. Methods: A systematic literature search was conducted for articles published from 2013 to 2022 across four databases: PubMed, ScienceDirect, Google Scholar and EBSCOhost. A scoping review approach was used to map relevant literature. Forty-six articles were assessed based on their titles and abstracts. After full-text screening, 10 articles were included. Results: Average T&CM use was calculated to be 66.7%. Reasons for T&CM use included: to improve psychological well-being, boost the body’s immunity and provide symptomatic relief. An average of 21.2% of T&CM users informed their physician. Nine articles addressed patient satisfaction with T&CM. An average of 39.1% of patients reported general T&CM satisfaction. Conclusion: The use of T&CM is common among cancer patients. It is important for healthcare providers to expand their knowledge in order to counsel patients and avoid potential hazards when combining T&CM with conventional treatments. Contribution: These findings highlight commonly used T&CM and provide insight on the portion of cancer patients informing their doctors about T&CM use. This information will help understand the attitude cancer patients have towards T&CM.