First integrative oncology clinic in the Veteran Affairs (VA) Pittsburgh healthcare system.

• DOI: 10.1200/jco.2023.41.16_suppl.e24041
• Publication Date: 2023-06-04T16:33:06Z
• Authors: Jocelyn L Tan; Hema Rai; Vida Almario Passero; Jeanne Green; James G. Herman; Dana Genovese; Lauri Harrold; Lisa Denk
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

e24041 Background: Integrative oncology (IO) is PROACTIVE and combines complementary with conventional care. The VA's comprehensive collection of integrative services already in place. However, providers are often unaware these, therefore veteran cancer patients don’t benefit from them. Prostate the most common within VA (31.8%), Aside radiation/chemotherapy side effects (dry mouth, stomatitis, fatigue, neuropathy, gastrointestinal ) prostate also have hormonal issues (hot flashes, low bone density, sexual dysfunction). Conventional treatments focus on symptoms (REACTIVE). Complementary IO approaches evidence-based toward specific treatment-related effects. By educating offering approaches, we empower veterans to take charge their health well-being. Shifting our treating only disease entire patient, will improve outcomes. Methods: Recruit 40 radiation-induced diarrhea, nausea, vomiting, anorexia, constipation, dysfunction, emotional issues(depression, anxiety, poor sleep, lack energy). Identify/train concerning areas. Develop Personal Health Plans (PHP) identify mission, aspiration, purpose (MAP). Offer acupuncture, yoga, Reiki, TaiChi, meditation, biofeedback for headaches - Video Support group. Assessment tools. In late 2022, reached goal opened clinic enrollment all types. Results: pilot began 2020, patients. expanded other options improved surgical outcomes, minimize chemotherapy /radiation effects, boost morale, optimize clinical There a high-interest level among staff Resources abundant but need organization refinement effectively present Conclusions: huge potential clinical, laboratory, quality-of-life outcomes We were able construct program Veteran Affairs, using existing resources high patient engagement. Currently, plan expand sites nationwide.