Many @entity1 use complementary and alternative medicine (CAM) to maintain or improve their health. We describe CAM use among the first 1,000 @entity1 enrolled in the Pathways Study, an ongoing prospective cohort study of @entity1 diagnosed with @entity0 ( @entity0 ). @entity1 , identified by rapid case ascertainment in Kaiser Permanente Northern California, are @entity1 > or = 21 years diagnosed with first invasive @entity0 . Comprehensive baseline data are collected on CAM use through in- @entity1 interviews. Study @entity1 include 70.9% non-Hispanic whites, 10.2% Hispanics, 9.0% Asians, 6.5% African-Americans, and 3.4% others. Most @entity1 (82.2%) were diagnosed with AJCC stage I/II @entity0 at average (+/-SD) age 59.5 (+/-12.0) years and reported prior use of at least one form of CAM (96.5% of @entity1 ). In the 5 years before diagnosis, CAM therapies used at least weekly by >20% of @entity1 included green tea, @entity4823 , @entity9539 , prayer and religion. CAM use was high (86.1% of @entity1 ) in the period immediately following diagnosis; 47.5% used botanical supplements, 47.2% used other natural products, 28.8% used special diets, 64.2% used mind-body healing, and 26.5% used body/energy/other treatments. In multivariable analyses, frequent use of each CAM modality before and after diagnosis was associated with use of other CAM modalities and other health behaviors (i.e., high fruit/vegetable intake, lower BMI). CAM use before and after @entity0 diagnosis is common in this diverse group of @entity1 . Our results emphasize the need for clinicians to discuss CAM use with all @entity0 @entity1 .

Complementary and alternative therapy use before and after XXXX diagnosis: the Pathways Study.

@entity1 :: ('9606', 'Species') :: ['participants', 'women', 'patients', 'Participants', 'person'] @entity4823 :: ('MESH:D005944', 'Chemical') :: ['glucosamine'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast cancer', 'BC'] @entity9539 :: ('MESH:D015525', 'Chemical') :: ['omega-3 fatty acids']
@entity0 :: (MESH:D001943,Disease) :: ['breast cancer']
