Enquête sur l’utilisation de la médecine alternative/phytothérapies chez les patients cancéreux adultes et enfants

Abstract

Introduction: herbal medicine is increasingly used by cancer patients as a complementary approach to conventional treatments. This practice, often rooted in cultural or religious traditions, aims to improve quality of life, alleviate treatment-related side effects, or strengthen the body. However, it often remains unregulated, potentially exposing patients to risks of drug interactions or misuse. This study aims to assess the prevalence and patterns of herbal medicine use among adult and pediatric cancer patients, and to analyze oncologists’ perceptions of this practice in the regions of Sétif and Bordj Bou Arréridj, Algeria. Materials and Methods: this is a cross-sectional descriptive study involving three groups: adult patients, parents of children with cancer, and oncologists. Data were collected using structured questionnaires and analyzed using SPSS software (version 30). The sample included 171 adult patients, 23 pediatric patients, and a group of specialist physicians. Statistical tests (Chi² and Pearson correlation) were applied to examine the relationships between sociodemographic, clinical, and behavioral variables. Results: the findings revealed a high prevalence of herbal medicine use: 69.2% among adults and 73% among children. Most users were women living in rural areas. The most commonly used plants included turmeric, thyme, verbena, and artemisia. The main motivations cited were relief of side effects, hope for anticancer effects, and cultural or religious beliefs. Meanwhile, 45% of oncologists expressed a negative opinion about this practice, although 95% reported being regularly asked about it by their patients. The study also highlighted a significant lack of communication between patients and healthcare providers regarding the use of medicinal plants. Conclusion: This study underscores the significant role that herbal medicine plays in the cancer care pathway. It highlights the need for better regulation, increased patient education, and improved dialogue between healthcare professionals and patients. A scientifically grounded and carefully integrated use of herbal medicine is essential to ensure safety and treatment efficacy.