Integrative Oncology in Cancer Care - CancerChoices



Integrative Oncology and Professionals in Cancer Care

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Integrative oncologists: an overview ›

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Integrative oncologists: an overview

Integrative oncologists are conventionally trained oncology physicians who are also trained in integrative medicine, traditional medicine, or other holistic approaches to complement conventional cancer care. They aim to provide a whole-person approach to treating cancer, blending evidence-informed complementary therapies with standard treatments. The training and focus of integrative oncologists can differ, depending on factors such as:

  • Conventional training and specialization: Integrative oncologists may have backgrounds in various areas, such as radiation oncology or medical oncology.
  • Cancer specialization: Some integrative oncologists treat a wide variety of cancers, while others may focus on specific types, such as breast cancer or prostate cancer.
  • Integrative approaches: These oncologists may incorporate a range of approaches, including integrative medicine, nutrition, traditional Chinese medicine, or Ayurvedic practices.
  • Care and consultation: Some integrative oncologists only provide consultations on integrative  care, while others serve as the primary oncology care practitioner, integrating both conventional and complementary and integrative treatments with lifestyle medicine themselves.
  • Approach to complementary care: The level of complementary care offered varies. Some oncologists focus mainly on lifestyle changes, supplements, and mind-body therapies, while others may incorporate off-label drugs and more advanced complementary therapies into their care plans.

Although your oncologist may have an interest in integrative oncology, they may not be able to delve deeply into aspects of integrative oncology and you may need a specialist to support you. In your community, you may also be able to find practitioners of specific therapies such as acupuncture, massage, yoga, nutrition, physical therapy, and more. These therapies can assist with many side effects of cancer treatment and promote healing and wellness.

Integrative oncologists at hospitals or academic medical centers

Hospitals, cancer centers, and academic medical institutions increasingly offer integrative cancer care programs, though these programs can vary widely in terms of services and depth of integrative offerings. In some cases, the integrative care offered is relatively limited, while others provide a more comprehensive range of therapies requiring specialized knowledge and close supervision. As discussed in a recent academic paper1Crudup T, Li Let al. Breast cancer survivorship and level of institutional involvement utilizing integrative oncology. Journal of Oncology. 2021 Dec 18;2021:4746712, integrative medicine programs can be classified as:

  • Integrative “light” programs: Some centers offer basic integrative services such as yoga classes, dietary counseling, and exercise programs, labeling them as “integrative care.”
  • Expanded integrative programs: Others may offer more comprehensive services, including acupuncture, a variety of mind-body therapies, massage therapy, and nutrition counseling.
  • Full-spectrum integrative care: A small number of centers provide a broader range of complementary therapies, such as natural products, herbs, supplements, off-label prescription drugs, and personalized timing of conventional treatments, integrated into a comprehensive cancer care plan.

Given the variation in services across institutions, patients interested in integrative oncology care may want to explore the offerings at different centers to find one that aligns with their needs.

See our database of NCI-designated centers offering integrative care ›

Integrative oncologists at private clinics

In addition to hospital- or institution-based care, integrative oncologists may also practice in private clinics. Since there is no certification or standard required to use the term integrative, the training and services offered at private clinics vary quite a bit. Some private clinics are rigorous and use evidence-based integrative treatments, while some use treatments that do not have strong evidence. 

When considering a private clinic, it is important to:

  • Research thoroughly: Investigate the practitioner’s credentials, check to see if they have ever been investigated by a medical board, ask for patient references, and review the therapies offered in scientific databases like PubMed or on our Supplements and Therapies database ›. Ask if they can tell you the percentage of patients who responded to therapy (50 percent or greater decrease in the main tumor size) or who had a long-term (five years or greater) cure. 
  • Ask about the risks of therapy: Seek information about any adverse events that occur, even if uncommon, or how often their patients have needed additional medical therapy (blood transfusions, antibiotics for infection caused by low count of white blood cells, or hospitalization, for example).
  • Be cautious of strong marketing: Be wary if a practitioner claims their treatments are the only solution or strongly markets additional products, especially if these products lack supporting evidence.
  • Consider costs and insurance: Many private clinics do not accept insurance and can be costly, so it is essential to evaluate the clinic’s credibility and the treatments offered before making any financial commitments.

By taking these steps, patients can better ensure they receive trustworthy and evidence-based integrative cancer care from reputable private clinics.

Find integrative oncology professionals

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Authors

Laura Pole, MSN, RN, OCNS

Senior Clinical Consultant
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Laura Pole is senior clinical consultant for CancerChoices. Laura is an oncology clinical nurse specialist who has been providing integrative oncology clinical care, navigation, consultation, and education services for over 40 years. She is the co-creator and co-coordinator of the Integrative Oncology Navigation Training at Smith Center for Healing and the Arts in Washington, DC. Laura also manages the “Media Watch Cancer News That You Can Use” listserv for Smith Center/Commonweal. In her role as a palliative care educator and consultant, Laura has served as statewide Respecting Choices Faculty for the Virginia POST (Physician Orders for Scope of Treatment) Collaborative as well as provided statewide professional education on palliative and end-of-life care for the Virginia Association for Hospices and Palliative Care.

For CancerChoices, Laura curates content and research, networks with clinical and organizational partners, brings awareness and education of integrative oncology at professional and patient conferences and programs, and translates research into information relevant to the patient experience as well as clinical practice.

Laura sees her work with CancerChoices as a perfect alignment of all her passions, knowledge and skills in integrative oncology care. She is honored to serve you.

Laura Pole, MSN, RN, OCNS Senior Clinical Consultant

Nancy Hepp, MS

Lead Researcher
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Ms. Hepp is a researcher and communicator who has been writing and editing educational content on varied health topics for more than 20 years. She serves as lead researcher and writer for CancerChoices and also served as the first program manager. Her graduate work in research and cognitive psychology, her master’s degree in instructional design, and her certificate in web design have all guided her in writing and presenting information for a wide variety of audiences and uses. Nancy’s service as faculty development coordinator in the Department of Family Medicine at Wright State University also provided experience in medical research, plus insights into medical education and medical care from the professional’s perspective.

Nancy Hepp, MS Lead Researcher

Miki Scheidel

Co-Founder and Creative Director
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Miki Scheidel is Co-founder and creative director of CancerChoices. She led the effort to transform Beyond Conventional Cancer Therapies, the prior version of CancerChoices, to its current form. Miki and her family were deeply affected by her father’s transformative experience with integrative approaches to metastatic kidney cancer. That experience inspires her work as president of the Scheidel Foundation and as volunteer staff at CancerChoices. She previously worked with the US Agency for International Development and Family Health International among other roles. She received her graduate degree in international development from Georgetown University, a graduate certificate in nonprofit management from George Mason University, and a Bachelor of Arts from Gettysburg College.

Miki Scheidel Co-Founder and Creative Director

Reviewer of selected sections

Santosh Rao, MD

Medical oncologist and CancerChoices advisor
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Dr. Rao is a medical oncologist, the medical director of integrative oncology at University Hospitals Connor Whole Health, and director of medical oncology for genitourinary cancer at University Hospitals Seidman Cancer Center. He is the 2022-23 president-elect of the Society for Integrative Oncology. Dr. Rao is also the host of the podcast Integrative Oncology Talk, with support from the Society for Integrative Oncology.

After graduating from the University of Michigan Medical School and completing a residency program in internal medicine at the University of California San Diego, Dr. Rao completed a fellowship in integrative medicine at the University of Arizona and later obtained a board certification in integrative medicine through the American Board of Integrative Medicine. Dr. Rao has trained in Ayurveda and Healing Touch. He also attended the Leadership Program in Integrative Medicine at Duke University. His research interests include genitourinary oncology, sleep, and integrative medicine implementation and program development.

Santosh Rao, MD Medical oncologist and CancerChoices advisor

Christine has a dynamic background in the life sciences, public health, and program operations. Her career began at the lab bench with a Gates Foundation-funded HIV Vaccine research group, which led her to graduate studies in public health epidemiology at UC Berkeley. Her research experience spans clinical epidemiology research to evaluating the impacts of community nutrition programs in Los Angeles, the Central Valley, and Oakland. Most recently she has worked in executive operations for a seed-stage venture capital firm based in San Francisco. Personally, Christine is passionate about holistic health and wellness. She is a clinical herbalist and Reiki master, and she has been practicing yoga for 15+ years. She brings a breadth of experiences to her work leading the CancerChoices program.

Christine Mineart, MPH CancerChoices Team

Last update: October 14, 2024

Last full resource review: August 2021

CancerChoices provides information about integrative in cancer care, a patient-centered approach combining the best of conventional care, self care and evidence-informed complementary care in an integrated plan cancer care. We review complementaryin cancer care, complementary care involves the use of therapies intended to enhance or add to standard conventional treatments; examples include supplements, mind-body approaches such as yoga or psychosocial therapy, and acupuncture therapies and self-care lifestyle actions and behaviors that may impact cancer outcomes; examples include eating health-promoting foods, limiting alcohol, increasing physical activity, and managing stress practices to help patients and professionals explore and integrate the best combination of conventionalthe cancer care offered by conventionally trained physicians and most hospitals; examples are chemotherapy, surgery, and radiotherapy and complementary therapies and practices for each person.

Our staff have no financial conflicts of interest to declare. We receive no funds from any manufacturers or retailers gaining financial profit by promoting or discouraging therapies mentioned on this site.

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