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         xml:lang="uk">
   <front>
      <journal-meta>
         <journal-id journal-id-type="publisher">Psychosomatic Medicine and General Practice</journal-id>
         <issn>2519-8572</issn>
		 <journal-title-group>
			<journal-title>Psychosomatic Medicine and General Practice</journal-title>
		 </journal-title-group>
         <publisher>
            <publisher-name>Private Publisher 'Chaban O. S.'</publisher-name>
         </publisher>
      </journal-meta>
      <article-meta>
         <article-id pub-id-type="publisher-id">57</article-id>
         <article-id pub-id-type="other">615.89</article-id>
         <article-categories>
            <subj-group>
               <subject>General Practice</subject>
			   <subject>Oncology</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>The real cost of alternative medicine</article-title>
            <article-title xml:lang="uk-UA">Справжня ціна альтернативної (нетрадиційної) медицини</article-title>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name name-style="western">
                  <surname>Bezsheiko</surname>
                  <given-names>Vitaliy</given-names>
               </name>
               <xref ref-type="aff" rid="aff1">1</xref>
               <xref ref-type="fn" rid="conf1"/>
               <xref ref-type="corresp" rid="cor1"/>
            </contrib>
            <aff id="aff1">
               <institution content-type="dept">Department of Psychosomatic Medicine and Psychotherapy, Bogomolets National Medical University</institution>
               <addr-line>
                  <named-content content-type="city">Kyiv</named-content>
               </addr-line>
               <country>Ukraine</country>
            </aff>
         </contrib-group>
         <author-notes>
            <corresp id="cor1">
               <email>vitaliybezsh@gmail.com</email>
            </corresp>
         </author-notes>
         <pub-date date-type="pub" iso-8601-date="2017-08-12" publication-format="print">
            <day>12</day>
            <month>8</month>
            <year>2017</year>
         </pub-date>
         <volume>2</volume>
         <issue>3</issue>
         <elocation-id>e020357</elocation-id>
         <permissions>
            <copyright-statement>© 2017, Bezsheiko V.</copyright-statement>
            <copyright-year>2017</copyright-year>
            <copyright-holder>Bezsheiko V.</copyright-holder>
            <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
               <license-p>This article is distributed under the terms of the <ext-link ext-link-type="uri"
                            xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use and redistribution provided that the original author and source are credited.</license-p>
            </license>
         </permissions>
         <abstract abstract-type="short">
		 <title>Abstract</title>
		 <p>The results of the new study have clearly demonstrated the risks for people who choose alternative medicine.</p>
		 </abstract>
         <trans-abstract abstract-type="short" xml:lang="uk">
		   <title>Анотація</title>
		   <p>Результати нового дослідження наочно продемонстрували з якими ризиками стикається людина, коли вибирає альтернативну (нетрадиційну) медицину у якості основого лікування.</p>
         </trans-abstract>
         <kwd-group kwd-group-type="author-keywords">
            <title>Keywords</title>
            <kwd>alternative medicine</kwd>
            <kwd>cancer</kwd>
            <kwd>survival rate</kwd>
			<kwd>effectiveness</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
     <sec>
	  <title>Note</title>
	  <p>This article was exposed to the machine translation from Ukrainian.</p>
	  </sec>
      <sec>
         <title>Background</title>
         <p>Sometimes people with operable malignant tumor choose alternative medicine as main treatment. According to the results of a new study such treatment dramatically increases the risk of death in the next 5 years after diagnosis compared with users of standard medicine.</p>
         <p>In general, according to the research led by Andrew Stickley from London School of Hygiene and Tropical Medicine residents of the former Soviet Union very often turn to alternative medicine for help <xref ref-type="bibr" rid="bib1">1</xref>.</p>
         <p>Survey showed that Ukrainians among other nationalities at the lowest degree trusted physicians. Generally, 38.2% of respondents said that they don’t trust doctors. The authors selected 10 symptoms about which patients often seek medical help, and analyzed the percentage of people with this symptoms that had chooses alternative medicine. Symptoms included headache, chest pain, severe cough, shortness of breath, subcutaneous warts, vomiting, fever&gt; 3 days, abdominal pain and diarrhea. The results are shown in <xref ref-type="fig" rid="fig1">Fig. 1</xref>.</p>
         <fig id="fig1">
            <object-id pub-id-type="doi"/>
            <label>Figure 1</label>
            <caption>
               <title>Percentage of treatment by an alternative medicine specialists (modif. <xref ref-type="bibr" rid="bib1">1</xref>).</title>
            </caption>
            <graphic xlink:href="fig1_eng.png"/>
         </fig>
      </sec>
      <sec>
         <title>Survival after alternative cancer treatment</title>
         <p>To assess the impact of alternative treatment on patients with malignant tumors at an early stage (localized, without metastases, operable), researchers analyzed a National US Cancer Database <xref ref-type="bibr" rid="bib2">2</xref>. Total 560 patients were selected, 280 from which were treated in accordance with standard treatment protocols and 280 - used alternative treatment. The standard treatment included surgery, radiotherapy, chemotherapy and hormone therapy.</p>
         <p>To assess the impact, scientists estimated 5-year survival rate for patients in both groups. Overall, among those who decided to use alternative medicine services, the risk of death from cancer over the next 5 years after diagnosis was significantly increased by 2.5 times in compare to others.</p>
         <p>For example, among individuals with lung cancer 5-year survival rate for those who took the standard treatment was 41.3%, while in the alternative treatment group - 19.9%. For breast cancer 5-year survival rate was 86.6% and 58.1%, respectively, for colorectal cancer - 79.4% and 32.7% respectively. As noted by the authors, the more rapidly progressing form of malignant tumor patient had, the less likely were his chances of survival in the next 5 years, if he turned to alternative medicine. Besides, if  time taken in the next 10 years after cancer diagnosis, difference in survival would be much more striking.</p>
         <p>Forms of alternative treatments that are used most often to treat malignancies include herbs, vitamins and minerals complexes, homeopathy and naturopathy, special diet, prayer, meditation, acupuncture, chiropractic manipulation and osteopathy.</p>
         <p>Note that in this study did not include patients who were treated with non-standard methods along with treatment, recommended by clinical guidelines.</p>
      </sec>
   </body>
   <back>
      <fn-group>
         <title>Competing interests</title>
         <fn fn-type="conflict" id="conf1">
            <p>The author declare that no competing interests exist.</p>
         </fn>
      </fn-group>
      <ref-list>
         <title>References</title>
         <ref id="bib1">
            <element-citation publication-type="journal">
               <person-group person-group-type="author">
                  <name>
                     <surname>Stickley</surname>
                     <given-names>A</given-names>
                  </name>
                  <name>
                     <surname>Koyanagi</surname>
                     <given-names>A</given-names>
                  </name>
                  <name>
                     <surname>Rihardson</surname>
                     <given-names>E</given-names>
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                     <given-names>B</given-names>
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                     <given-names>D</given-names>
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                     <given-names>M</given-names>
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               </person-group>
               <article-title>Prevalence and factors associated with the use of alternative (folk) medicine practitioners in 8 countries of the former Soviet Union</article-title>
               <source>BMC Complementary and Alternative Medicine</source>
               <year>2013</year>
               <volume>13</volume>
               <fpage>83</fpage>
               <pub-id pub-id-type="doi">10.1186/1472-6882-13-83</pub-id>
               <ext-link ext-link-type="uri">https://bmccomplementalternmed.biomedcentral.com/articles/10.1186/1472-6882-13-83</ext-link>
            </element-citation>
         </ref>
         <ref id="bib2">
            <element-citation publication-type="journal">
               <person-group person-group-type="author">
                  <name>
                     <surname>Johnson</surname>
                     <given-names>SB</given-names>
                  </name>
                  <name>
                     <surname>Park</surname>
                     <given-names>HS</given-names>
                  </name>
                  <name>
                     <surname>Gross</surname>
                     <given-names>CP</given-names>
                  </name>
                  <name>
                     <surname>Yu</surname>
                     <given-names>JB</given-names>
                  </name>
               </person-group>
               <article-title>Use of Alternative Medicine for Cancer and Its Impact on Survival</article-title>
               <source>JNCI</source>
               <year>2017</year>
               <volume>110</volume>
               <issue>1</issue>
               <fpage>djx145</fpage>
               <pub-id pub-id-type="doi">10.1093/jnci/djx145</pub-id>
               <ext-link ext-link-type="uri">https://academic.oup.com/jnci/article-abstract/110/1/djx145/4064136/Use-of-Alternative-Medicine-for-Cancer-and-Its?redirectedFrom=fulltext</ext-link>
            </element-citation>
         </ref>
      </ref-list>
   </back>
</article>
