Perception and attitude of Jordanian physicians towards complementary and alternative medicine (CAM) use in oncology

Purpose: To determine general perception and attitudes to CAM among Jordanian physicians at King Hussein Cancer Center (KHCC), and challenges facing formal integration of CAM into conventional practice. Method: A cross-sectional survey of KHCC physicians using a semi-structured questionnaire. Results: Response rate was 71%(71/100). 84%(41/49) defined CAM as "not evidence-based" treatments and/or "Herbs". More than 80% reported interest to learn about CAM. 70% believed that herbal remedies were harmful, though only 17%(12/71) reported some knowledge about their composition. Physicians' concern of harmful interactions was the most significant reason for asking their patients about use (p < 0.0001). >90%(32/35) of physicians who estimated a low rate (<10%) of CAM usage by patients had minimal knowledge of herbal remedies (p = 0.06). Conclusion: KHCC physicians have very little knowledge but high interest to learn about CAM use in oncology. An educational component will be crucial for the implementation of a formal CAM program at KHCC. (C) 2013 Elsevier Ltd. All rights reserved.