Adverse effects of unconventional therapies in the elderly: A systematic review of the recent literature

Ernst, Edzard

doi:10.1007/s11357-002-0002-3

Cited by 47 publications

(51 citation statements)

References 63 publications

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“…39,40 Furthermore, there are no mandatory quality standards for many CAM products, 14 and a number of such products can be harmful when taken by children. 4,41,42 Interactions between CAM products and prescription drugs exist and can have serious clinical consequences, [43][44][45] and this issue has not been examined formally in pediatrics. 46,47 Some of the products that parents reported their children were taking have the potential to produce adverse effects, and excess use of any vitamin supplements can produce toxicity.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Pediatric and Adolescent Patients Attending a Naturopathic College Clinic in Canada

Wilson¹,

Busse

Gilchrist

et al. 2005

Pediatrics

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ABSTRACT. Objectives. The use of complementary and alternative medicine (CAM) has grown substantially in North America and has drawn the attention of conventional-medicine practitioners. Conventional-medicine practitioners have expressed concern about the potential for unregulated CAM therapies to cause harm, the sometimes-uncertain cost-benefit ratios associated with these therapies, and the possibility that some CAM providers might advise against established conventional therapies, such as vaccination. These concerns are heightened with respect to the pediatric use of CAM products. To address this issue, we conducted a systematic audit of pediatric and adolescent case files at a large, college-based, Canadian naturopathic teaching clinic. We specifically sought to describe the demographic characteristics, reasons for presentation, use of CAM products, and vaccinations status of children presenting for naturopathic assessment. We also determined factors associated with the use of CAM products and vaccination status.Methods. We identified all charts for children (<18 years of age) who presented to the Robert Schad Naturopathic Clinic, the teaching clinic of the Canadian College of Naturopathic Medicine, between February 1 and May 31, 2002. Data were abstracted directly from the standardized patient intake forms and from clinical notes recorded during the patient's initial visit to the clinic. The following data were obtained: age, gender, chief presenting complaints reported by parents, CAM product use at presentation, vaccination status, and reactions to vaccination. We conducted logistic regression analyses to identify factors associated with both CAM product use and vaccination status.Results. A total of 482 charts were identified. The mean age of patients was 6.5 years (95% confidence interval [CI]: 1.6 -11.4 years). The ratio of female subjects to male subjects was 1.09:1 (248:227). The most common reasons for presentation were skin disorders (23%), gastrointestinal complaints (17%), and psychiatric/behavioral disorders (15%). Thirty-five percent of children were using CAM products at presentation (21.2% when both vitamins and minerals were excluded). Vitamins were the most commonly used products (34.6%), followed by herbal remedies (14.9%), oil blends/fats (7.2%), minerals (5.6%), probiotics (4.5%), and homeopathic remedies (3.7%). Of charts with vaccination information, 8.9% indicated that children had not been vaccinated; possible vaccine-associated adverse events were reported for 27% of those who had been vaccinated.

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Section: Discussionmentioning

confidence: 99%

Characteristics of Pediatric and Adolescent Patients Attending a Naturopathic College Clinic in Canada

Wilson¹,

Busse

Gilchrist

et al. 2005

Pediatrics

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“…J Orthop Sports Phys Ther 2014;44 (1): [19][20][21][22][23][24][25][26][27][28][29] describes the physiologic events associated with analgesia following intervention for people with LBP; that is, it is unclear why some patients report symptom reduction following a given treatment and other clinically similar patients do not. This inability to clearly determine the mechanism by which a treatment yields a favorable outcome makes it impossible to provide a basis on which to develop new treatments and to refine current treatments.…”

Section: T T Conclusionmentioning

confidence: 99%

“…We chose to investigate this treatment because SMT is frequently used by physical therapists and others to treat patients with LBP, it has a low risk of adverse events, and some (but not all) patients are likely to have favorable within-session responses to this treatment. 12,16,25,31,36,37,39,45,47,62 SMT is performed by applying 1 or more shortamplitude, high-velocity thrusts at various angles to the spine and/or pelvis of a prepositioned patient. 47 It is hypothesized, but not definitely proven, that these thrusts create a stimulus to spinal tissues that may result in analgesia.…”

Section: T T Conclusionmentioning

confidence: 99%

The Within-Session Change in Low Back Pain Intensity Following Spinal Manipulative Therapy Is Related to Differences in Diffusion of Water in the Intervertebral Discs of the Upper Lumbar Spine and L5-S1

Beattie¹,

Butts²,

Donley³

et al. 2014

J Orthop Sports Phys Ther

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“…e present study showed that CAM modalities were common in this pediatric population, with nearly half of the respondents using CAM when their child was sick (38%). Several studies reported this rate to be in 18.4-49% range in healthy children [6,7,11]. e American Academy of Pediatrics reported that 20-40% of healthy children and 50% of children with chronic, recurrent or incurable diseases used CAM [5].…”

Section: Discussionmentioning

confidence: 99%

Use of complementary and alternative medicine in a pediatric population in southern Turkey

Araz¹,

Bülbül²

2011

CIM

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Purpose: e use of complementary and alternative medicine (CAM) in children is becoming increasingly acceptable and popular. e aim of this questionnaire-based study was to determine the prevalence, patterns of use, types, perceived e ectiveness and associated factors of CAM in children.Methods: Parents of children (n= 268) who attended the Pediatric Outpatient Department of the Faculty of Medicine at Gaziantep University in June and July 2008 were asked to complete a questionnaire.Results: e prevalence of CAM use, at least once in the previous year, was 58.6%. e most commonly used CAM modality was herbal preparations (82.7%), which were used to treat cough (42.0%), diarrhea (30.0%) and gas (colic) pains (34.4%). ese products were recommended by the respondents' mother/mother-in-law (52.5%), neighbors (20.0%), friends (14.7%) and doctors (12.8%). Only 31.6% (61) of these parents informed their doctor about their use of CAM to treat their children. irty-eight percent (n=102) of the participants stated that they preferred to use CAM modalities rather than referring to a doctor when their child was sick. While most of the families (57.7 %) stated that the method they used was "slightly" useful, 18.6% of them stated the method to be "fairly" useful. e parental use of CAM and the educational level of the parents were among the factors of a ecting the use of CAM in children. No correlation was found between the use of CAM and the sex, social security status, income level and other sociodemographic properties of the respondents.Conclusion: is study showed that a great majority of parents of children in this population used CAM modalities and that herbal products were preferred. Most parents did not inform their physicians of their use of CAM. In the light of these ndings, pediatricians should be prepared to discuss alternative therapies with parents, since talking about CAM may be helpful in minimizing associated risks.

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Adverse effects of unconventional therapies in the elderly: A systematic review of the recent literature

Cited by 47 publications

References 63 publications

Characteristics of Pediatric and Adolescent Patients Attending a Naturopathic College Clinic in Canada

Characteristics of Pediatric and Adolescent Patients Attending a Naturopathic College Clinic in Canada

The Within-Session Change in Low Back Pain Intensity Following Spinal Manipulative Therapy Is Related to Differences in Diffusion of Water in the Intervertebral Discs of the Upper Lumbar Spine and L5-S1

Use of complementary and alternative medicine in a pediatric population in southern Turkey

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