Pediatric integrative medicine: pediatrics' newest subspecialty?

Vohra, Sunita; Surette, Soleil; Mittra, Deepika; Rosen, Lawrence D.; Gardiner, Paula; Kemper, Kathi J.

doi:10.1186/1471-2431-12-123

Cited by 45 publications

(30 citation statements)

References 16 publications

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“…2 More randomized controlled trials of CAM therapies are emerging, 14,15 along with new recommendations for methodologic approaches to the study of CAM. 16 CAM research and knowledge are advocated by the American Academy of Pediatrics and are being implemented for physicians in training; 17 thus, promotion of research and knowledge has become more feasible.…”

Section: Discussionmentioning

confidence: 99%

Parental Perspectives on Use, Benefits, and Physician Knowledge of Complementary and Alternative Medicine in Children with Autistic Disorder and Attention-Deficit/Hyperactivity Disorder

Huang

Seshadri²,

Matthews³

et al. 2013

The Journal of Alternative and Complementary Medicine

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Background: Complementary and alternative medicine (CAM) use appears to be increasing in children with developmental disorders. However, it is not clear whether parents perceive their healthcare providers as resources who are knowledgeable about CAM therapies and are interested in further developing their knowledge. Objectives: (1) To establish and compare use of, and perceived satisfaction with, traditional medicine and CAM in children with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorders (ASDs) and (2) to assess parental perceptions of physician knowledge of CAM and physician interest in continuing education about CAM for the two groups of parents. Methods: Families of children with a diagnosis of ADHD or ASD were surveyed regarding the frequency of use of traditional treatment and CAM, parental perceptions of the helpfulness of each therapy, parental perceptions regarding physicians' knowledge level about CAM, and physician interest in continuing education. Results: Thirty-six percent (n = 135) of 378 surveys were returned: 41 contained a diagnosis of ADHD and 22 of ASD. Traditional therapies were used by 98% of children with ADHD and 100% of those with ASD. Perceived helpfulness of medication was 92% for children with ADHD and 60% for children with ASD ( p < 0.05). CAM was used for 19.5% of children with ADHD and 82% of children with ASD. Perceived satisfaction for any form of CAM in the children with ADHD was at an individual patient level. Satisfaction for two of the most commonly used CAM treatments in children with ASD ranged from 50% to 78%. In children with ASD (the diagnostic group with the highest use of and satisfaction with CAM), physician's perceived knowledge of CAM was lower (14% versus 38%; p < 0.05), as was perceptions of the physician's interest in learning more ( p < 0.05). Conclusion: CAM use is significant, especially in children with ASD. Physicians are not perceived as a knowledgeable resource.

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Section: Discussionmentioning

confidence: 99%

Parental Perspectives on Use, Benefits, and Physician Knowledge of Complementary and Alternative Medicine in Children with Autistic Disorder and Attention-Deficit/Hyperactivity Disorder

Huang

Seshadri²,

Matthews³

et al. 2013

The Journal of Alternative and Complementary Medicine

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“…Observational studies reported that TCM is a popular treatment in children [1, 2]. In addition, there is increasing demand of complementary and alternative medicine (CAM) treatments in the pediatric population [3–7]. This trend towards CAM might be explained by dissatisfaction with conventional medicine as well as positive reports from friends and family [8–10].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Acupuncture in Preterm and Term Infants

Raith

Urlesberger

Schmölzer

2013

Evidence-Based Complementary and Alternative Medicine

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The aim of the paper was to review the literature about safety and efficiency of acupuncture therapy in term and preterm infants. We searched Medline, EMBASE, and Cochrane Central Register of Controlled Trials using a predefined algorithm, reviewed abstracts from the Pediatric Academic Society annual meetings (2000–2012), and performed a manual search of references in narrative and systematic reviews. A total of 26 studies identified met our search criteria. Only 6 of these studies met our inclusion criteria; however, two studies had to be excluded because the manuscripts were published in Chinese. Hence, only four studies were included in our analysis. Three of the four studies evaluated the effects of acupuncture on infantile colic, and one assessed pain reduction during minor painful procedures in preterm babies. The limited data available suggests that acupuncture could be a safe nonpharmacologic treatment option for pain reduction in term and preterm infants and could also be a non-pharmacologic treatment option to treat infantile colic. Currently acupuncture in infants should be limited to clinical trials and studies evaluating short- and long-term effects and should be performed only by practitioners with adequate training and experience in neonatal/pediatric acupuncture.

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“…6,7 To date, consumer interest in and use of complementary therapies has outpaced training options in pediatric integrative medicine, leaving pediatricians with a desire for more training and familiarity with resources. 8 For example, a 2012 survey of academic pediatric training programs revealed that only 16 of 143 programs reported having an integrative medicine program. 8 National initiatives to introduce pediatric integrative medicine into conventional pediatric residency training include programs such as the Pediatric Integrative Medicine in Residency program through the University of Arizona, initiated in 2012.…”

mentioning

confidence: 99%

Pediatric Integrative Medicine

et al. 2017

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The American Academy of Pediatrics is dedicated to optimizing the well-being of children and advancing family-centered health care. Related to this mission, the American Academy of Pediatrics recognizes the increasing use of complementary and integrative therapies for children and the subsequent need to provide reliable information and high-quality clinical resources to support pediatricians. This Clinical Report serves as an update to the original 2008 statement on complementary medicine. The range of complementary therapies is both extensive and diverse. Therefore, in-depth discussion of each therapy or product is beyond the scope of this report. Instead, our intentions are to define terms; describe epidemiology of use; outline common types of complementary therapies; review medicolegal, ethical, and research implications; review education and training for select providers of complementary therapies; provide educational resources; and suggest communication strategies for discussing complementary therapies with patients and families.

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Pediatric integrative medicine: pediatrics' newest subspecialty?

Cited by 45 publications

References 16 publications

Parental Perspectives on Use, Benefits, and Physician Knowledge of Complementary and Alternative Medicine in Children with Autistic Disorder and Attention-Deficit/Hyperactivity Disorder

Parental Perspectives on Use, Benefits, and Physician Knowledge of Complementary and Alternative Medicine in Children with Autistic Disorder and Attention-Deficit/Hyperactivity Disorder

Efficacy and Safety of Acupuncture in Preterm and Term Infants

Pediatric Integrative Medicine

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