Cancer patients with severe symptoms turn to cannabis for relief

Self-Reported Cannabis Use and Symptom Burden Among Patients With Cancer Receiving Palliative Care.

The American journal of hospice & palliative care • • Moderately Relevant
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AI Summary

This study examined cannabis use patterns among cancer patients receiving palliative care, finding that approximately 11% of palliative care patients self-reported using cannabis products. The research compared symptom profiles between cannabis users and non-users, revealing important patterns about who turns to cannabis during end-of-life care. The data came from 100 cannabis-using patients and 300 non-users evaluated at a major U.S. cancer center in 2024, making this a contemporary snapshot of real-world cannabis adoption in oncology care.

The findings revealed that patients with higher symptom burden were significantly more likely to use cannabis, particularly those experiencing pain, anxiety, and appetite disturbance. Conversely, certain demographics showed lower cannabis use rates: women, older adults, and Black or African American patients reported using cannabis less frequently, suggesting potential disparities in either access, cultural attitudes, or clinical recommendations across different populations. These demographic patterns highlight an important gap in understanding how cannabis is being integrated into cancer care across diverse communities.

The study underscores a critical need for universal screening and patient education about cannabis in palliative care settings. As patients increasingly self-select cannabis to manage multiple symptoms simultaneously, oncology teams need evidence-based guidance to help patients make informed decisions. This research demonstrates that cannabis use in cancer care isn't random—it's driven by specific symptom profiles—making standardized screening and counseling essential components of comprehensive palliative care.

📄 Original Abstract

BackgroundPatients are increasingly using cannabis products to manage a wide range of symptoms; however, few studies have examined the symptom burden of patients with cancer receiving palliative care who self-report using cannabis products.ObjectivesThe purpose of this investigation was to compare the symptom burden of palliative care patients with cancer who self-reported using cannabis products vs those who did not.DesignRetrospective study.Setting/Participants100 patients who self-reported using cannabis products and 300 patients who did not were randomly selected as the case and control groups, respectively. All participants were evaluated during their first consultation at a supportive clinic in a tertiary cancer center in the United States between January 1 and December 31, 2024.MeasurementsData collected included self-reported cannabis use, demographics, primary cancer diagnosis, cancer treatment, symptoms, performance status, and medications.ResultsThe proportion of patients who self-reported using cannabis products was 11.14%. Multivariate logistic regression analysis showed that female sex, older age, and Black or African American race were associated with lower odds of self-reported cannabis use. In contrast, living alone, higher levels of pain, anxiety, and appetite disturbance, were associated with increased odds of cannabis use.ConclusionsPatients with higher symptom burden are more likely to report cannabinoid use. Universal screening accompanied by patient education is important in palliative care.

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