Clinical Practice Guidelines

SIO is pleased to provide its updated clinical practice guidelines for breast cancer. In June 2018, ASCO announced endorsement of the guidelines. The guidelines were published in 2017. Researchers analyzed which integrative treatments are most effective and safe for patients with breast cancer. The guidelines are a resource for clinicians and patients to inform evidence-based decisions on the use of integrative therapies during breast cancer treatment. Researchers at US and Canadian institutions evaluated the efficacy and safety of more than 80 therapies.

The Journal of the National Cancer Institute Monograph has  published a special issue co-sponsored by SIO, "Advancing the Global Impact of Integrative Oncology"; including a comprehensive definition for integrative oncology. The articles in the special Monograph were all peer-reviewed.

 JACM Announces Call for Submissions (Read more)


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SIO 2019 Conference

Standard Registration for the 16th International Conference, October 19-21, 2019 in New York, NY, is open and will remain so until 11:59 pm (ET) October 15, 2019. Don't wait to register! The conference theme is: Advancing the Science and Art of Integrative Oncology. Register here. Hotel Room Blocks are NO LONGER AVAILABLE. However, the hotel may have rooms available at non-conference rates. Please contact them directly: 212-586-7000 or visit their website.

View a list of restaurants near the Hilton Midtown.

As part of the conference, MSKCC will host two tours of its Bendheim Integrative Medicine Center on Saturday morning, October 19, beginning at 10:00 am and 10:30 am. Each tour will be limited to15-20 people per time slot. To ensure your place on a tour, sign up in advance and to get easy directions to the facility using the subway.

SIO 2019 Conference Educational Sponsor


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January 2019 Research Findings

Kim K, Lee S. Intradermal Acupuncture Along with Analgesics for Pain Control in Advanced Cancer Cases: A Pilot, Randomized, Patient-Assessor-Blinded, Controlled Trial. Integr Cancer Ther 2018 Dec;17(4):1137-1143 PMID 30009652    

I think this study of 27 patients was really a Phase I study, meaning that safety of acupuncture was effectively shown in advanced cancer patients.  While 1/3 of patients in the sham arm of the study responded, essentially 2/3 of the patients in the non-sham acuture arm responded.  While the magnitude of response may seem low, at first glance (mean 1.54 points on a 10 point scale), this pain perception change is meaningfully impactful to patients.   While the authors did not specifically comment on signs such as constipation, these are vital to assess, as often advanced cancer patient is burdened with continuous pain, and the signs/symptoms of narcotics, which can be burdensome.  Further studies may incorporate non-traditional endpoints besides pain scores.


Lopez G, Chaoul A, Powers-James C, Eddy CA, Mallaiah S, Gomez TI, et al. Group Yoga Effects on Cancer Patient and Caregiver Symptom Distress: Assessment of Self-reported Symptoms at a Comprehensive Cancer Center. Integr Cancer Ther 2018 Dec;17(4):1087-1094 PMID 30168358

This nicely done study of over 200 participants who completed both pre and post symptom inventory questionnaires at a large comprehensive cancer center showed both patients AND caregivers experiened improvements in multiple symptoms, including anxiety, depression, and well being.  Intriguingly, the authors found that a lower intensity yoga class was better at helping with help than a higher intensity yoga class, and that the low intensity yoga class was most beneficial at helping with fatigue, even if just one class was taken!  It would be very interesting to look at the dyadic pairs of patients and their caregivers to see whether symptom improvement tracked together.  This kind of research will help to provide precision care tailored to the needs of the patient, and caregivers.


  • Some #SIO2019 Int'l attendees, Patient Advocates, Moderators & Presenters, & New Investigators.…

  • @Integrativeonc photos from #SIO2019 Day 1 - early morning pre-conference workshops - stretching and getting ready…

  • Photos from #SIO2019 Day One