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German physicians' perceptions and views on complementary medicine in pediatric oncology: a qualitative study
Pia Klatt1, Christin Kohrs1, Barbara Stein1
1Universitätsklinik für Psychosomatische Medizin und Psychotherapie, Paracelsus Medizinische Privatuniversität, Klinikum Nürnberg, Nürnberg, Germany.
Pediatric Hematology and Oncology
|September 12, 2022
Summary
Pediatric oncologists have varied understanding and approaches to complementary and alternative medicine (CAM) discussions with families. Developing professional standards is crucial for addressing CAM in pediatric cancer care.
Area of Science:
- Pediatric Oncology
- Complementary and Alternative Medicine (CAM)
- Healthcare Communication
Background:
- Complementary and alternative medicine (CAM) use is prevalent in pediatric cancer patients.
- Pediatric oncologists (POs) encounter challenges discussing CAM due to knowledge gaps and professional behavior concerns.
Purpose of the Study:
- To explore German POs' understanding, attitudes, and challenges regarding CAM discussions with parents of children with cancer.
- To identify strategies for managing CAM discussions in pediatric oncology.
Main Methods:
- Qualitative thematic analysis of 14 semi-structured interviews with POs.
- Interdisciplinary interpretation of findings by experts in oncology, psychology, and ethics.
Main Results:
- POs exhibit heterogeneous understanding and evaluation of CAM, influenced by personal views and plausibility.
- CAM discussions are seen as supportive but face implementation limitations.
- Uncertainty exists regarding POs' professional duties when CAM is raised.
Conclusions:
- There is a need to develop consensus on minimal professional standards for addressing CAM in pediatric oncology.
- Standardized approaches are required to support POs in CAM discussions.
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