Table 4.
Multivariable Analysis of Specific Communication and Practice Patterns Regarding HS
Predictor | Initiates Discussion About HS Use (n = 265) |
Often or Sometimes Recommends HS to Patients (n = 262) |
Encourages Herb Use for Incurable Disease (n = 257) |
Has Ever Administered Chemotherapy With HS in Last 12 Months to > 20 Patients (n = 275) |
Very Likely to Combine Unknown Herb and Chemotherapy for Curable Patients (n = 278) |
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---|---|---|---|---|---|---|---|---|---|---|
OR*† | 95% CI | OR*† | 95% CI | OR* | 95% CI | OR* | 95% CI | OR* | 95% CI | |
Age (≥ 48 v < 48 years) | 0.84 | 0.45 to 1.56 | 0.63 | 0.34 to 1.17 | 1.65 | 0.92 to 2.99 | 0.96 | 0.53 to 1.74 | 2.14 | 1.21 to 3.78 |
Sex (female v male) | 2.12 | 1.06 to 4.24 | 0.55 | 0.30 to 1.02 | 0.61 | 0.34 to 1.09 | 0.51 | 0.26 to 0.98 | 0.55 | 0.31 to 0.98 |
Race (white v nonwhite) | 0.63 | 0.31 to 1.28 | 0.83 | 0.41 to 1.69 | 1.26 | 0.66 to 2.42 | 0.54 | 0.25 to 1.15 | 0.45 | 0.25 to 0.83 |
Practice setting | ||||||||||
Community with academic affiliation v academic | 2.53 | 1.10 to 5.79 | ||||||||
Community v academic | 1.85 | 1.00 to 3.43 | ||||||||
Has enough knowledge to answer questions about CAM (yes v no)‡ | 2.37 | 1.16 to 4.85 | 0.24 | 0.13 to 0.44 | ||||||
Prior education (yes v no) | 2.54 | 1.32 to 4.89 | 2.27 | 1.26 to 4.08 | ||||||
Correct knowledge of HS (yes v no)§ | 1.84 | 1.01 to 3.36 | ||||||||
Oncologists' estimate of patient HS use (≥ 40% v < 40%) | 1.96 | 1.04 to 3.70 | 0.48 | 0.26 to 0.87 | 7.46 | 4.07 to 13.67 |
Abbreviations: CAM, complementary and alternative medicine; HS, herbs and supplements; OR, odds ratio.
Obtained from final logistic regression model selected using stepwise method.
Sample included oncologists who have discussed HS with patients.
From Likert-scale type of statement: “I know enough to answer patients' questions about HS,” where response of strongly agree or agree meant enough knowledge.
Correct knowledge of what HS not to combine with cancer treatment was derived from four multiple-choice questions; yes was assigned if at least two questions were answered correctly.