Abstract
Background and purpose: The use of traditional and complementary medicine (T&CM)
is common in children with cancer globally.We aimed to assess the prevalence, types,
reasons, perceived effectiveness, and disclosure rate of T&CMuse among children with
cancer in Southern Egypt. We also investigated whether T&CM use contributed to
delays in initial presentation and treatment.
Materials and methods: A cross-sectional design was utilized. Data were collected via
an interviewer-administered questionnaire. Eligible children and their caregivers at
the South Egypt Cancer Institute were invited to participate.
Results: Eighty-six children completed the study (response rate = 86%). T&CM use
was reported by 52 (60.5%) patients, with six (11.5%) experienced delayed presentation.
The reasons for T&CM use were complementary for 37 (71%) and alternative for
15 (29%) of the participants. The types of T&CM used included herbal (63%), nutritional
(33%), witchcraft (29%), and religious (19%) therapies. Approximately 48% of
users employed multiple T&CM types. Family members recommended T&CM for 60%
of the users.Most patients (65%) perceived T&CM as effective, with 71% initiating its
use during the early phases of treatment. Almost all participants (98%) reported that
healthcare providers did not inquire about T&CM use. T&CM usage was more prevalent
among wealthier families (p=.023). There was no significant relationship between
T&CM use and patient gender, diagnosis, residence, or paternal educational level.
Conclusions: The significant utilization of T&CMamong childrenwith cancer highlights
the need for healthcare providers to engage in open and early discussions with families
regarding T&CM use.