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[The use of complementary and alternative medicine in children: how to advise the parents?]
1VU Medisch Centrum, Instituut voor Extramuraal Geneeskundig Onderzoek, Amsterdam. hcw.devet@vumc.nl
Insights
Complementary or alternative medicine (CAM) is used by 30% of children, and parents seek pediatrician advice. More research is needed on CAM effectiveness for informed decisions.
Area of Science:
- Pediatric Health
- Complementary and Alternative Medicine (CAM)
Background:
- CAM use is prevalent in approximately 30% of pediatric patients.
- Parents desire guidance from pediatricians regarding CAM use.
- There is a significant lack of scientific evidence on CAM effectiveness.
Purpose of the Study:
- To address the ambiguity surrounding CAM in pediatric care.
- To explore the basis for pediatricians to advise on CAM.
- To highlight the need for evidence-based decision-making regarding CAM.
Main Methods:
- Review of existing literature on CAM prevalence and effectiveness in pediatrics.
- Analysis of parental and societal attitudes towards CAM.
- Assessment of the current scientific evidence base for CAM.
Main Results:
- Significant utilization of CAM among pediatric populations.
- Parental requests for professional medical advice on CAM.
- Limited published data and scientific evidence on CAM efficacy and safety.
- Societal and medical ambiguity regarding CAM acceptance and integration.
Conclusions:
- Evidence-based decision-making is crucial for addressing CAM in pediatric settings.
- Further research into the effectiveness and safety of CAM is warranted.
- Clear guidelines are needed for pediatricians to advise parents on CAM use.
Abstract:
Recently it has been shown that complementary or alternative medicine (CAM) is used in about 30% of paediatric patients. Is this a problem? It has also been shown that most parents would like their paediatrician to advise them on the subject. But what can be the basis of such advice? Little is known and less has been published regarding the effectiveness of CAM. Society and the medical profession are notoriously ambiguous on the subject. Sound scientific evidence is advocated to make bold decisions on whether to allow and reimburse the use of CAM.
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