Summarizing utilization of integrative oncology assessments within inpatient and outpatient settings.

Abstract

e23173 Background: Persons with a diagnosis of cancer are seeking innovations in cancer care. Integrative oncology (IO) utilized along with conventional cancer therapy can enhance quality of life, improve symptom management, and potentially result in better outcomes by addressing various dimensions of health. IO care has generally focused on the outpatient setting. The Integrative Oncology Program at the Sidney Kimmel Comprehensive Cancer Center initiated inpatient IO consultative services focused on the care of persons undergoing stem cell therapy in July 2023. We present a summary of patient characteristics and IO interventions from both inpatient and outpatient settings. Methods: Through a chart review, demographic data, cancer diagnosis, and IO assessment and recommendations were collated. Descriptive statistics were generated using SAS. Results: 108 unique charts were reviewed. Of these, 41 (43.62%) were female. 45 (41.67%) were ≥ 65 with a mean age of 60.26 years (SD: 11.48). 33 (30.55%) were diagnosed with multiple myeloma, 22 (20.37%) leukemia, and 15 (13.89%) non-Hodgkins lymphoma. Assessments included 74 (68.52%) diet, 82 (75.93%) spiritual, 83 (76.85%) sleep, and 84 (77.78%) stress reduction and physical activity. Personalized IO recommendations were provided based on the assessment (Table). Conclusions: This retrospective clinical assessment underscores the feasibility of IO as part of the comprehensive care of people with cancer. A multifaceted IO assessment in the OP or IP setting results in personalized treatment recommendations that are beneficial to patients of varying cancer diagnoses and demographics. Future assessments will include longitudinal health outcomes and quality of life. Summary of personalized IO recommendations based on assessment. Physical Activity Recommendations Stress Recommendations Sleep Recommendations Diet Recommendations Spiritual & Mindfulness Recommendations Additional Recommendations Encourage and advance exercise as tolerated Meditation practice Sleep hygiene Diet rich in fruits, vegetables, whole grains Prayer practice Aromatherapy for nausea Ambulation and increased activity Engagement w/ social support Melatonin supplementation Adequate water intake Pastoral consult Acupressure for nausea Yoga Aromatherapy Avoid caffeine/soda after 12pm Increase vitamin D supplement intake Creative arts for mindfulness Diabetes nurse educator consult Encouraged walking Gratitude practice Compliance w/ CPAP Avoid processed sugars Mindfulness apps and resources Obtain exercise equipment Physical therapy consult Breathwork Tea before bedtime Easier to digest foods Spiritual community engagement Recommendations for massage therapy Acupuncture Lavender aromatherapy Mindfulness-based stress reduction Guidance for managing cancer-related symptoms Family connections Meditation and prayer practices