Adverse events associated with pediatric complementary and alternative medicine in the Netherlands: a national surveillance study

Vos, Björn O; Rake, Jan Peter; Vlieger, Arine M.

doi:10.1007/s00431-020-03899-8

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…Indirect harm may be associated with CAM due to beliefs of efficacy causing a delay in the diagnosis or treatment of a medical condition, cessation of prescription drugs, social withdrawal, and extreme restrictive diets [22,36,37]. Direct clinical harm may be associated with the CAM therapy itself, for example by ingestion or topical application, interactions with conventional medications, incorrect diagnosis by CAM specialist, or body manipulation methods [22,36,37]. In the current study.…”

Section: Discussionmentioning

confidence: 77%

“…However, while it may be considered that CAM such as spiritual practices (prayer and meditation in the current study) are relatively 'hands-off', the use of all types of CAM may have direct or indirect safety issues [36]. Indirect harm may be associated with CAM due to beliefs of efficacy causing a delay in the diagnosis or treatment of a medical condition, cessation of prescription drugs, social withdrawal, and extreme restrictive diets [22,36,37]. Direct clinical harm may be associated with the CAM therapy itself, for example by ingestion or topical application, interactions with conventional medications, incorrect diagnosis by CAM specialist, or body manipulation methods [22,36,37].…”

Section: Discussionmentioning

confidence: 92%

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Point Prevalence of Complementary or Alternative Medicine Use among Children Attending a Tertiary Care Hospital

2023

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Background: Complementary or alternative medicine (CAM) describes products/practices outside conventional medical care. CAM may be used to support or replace conventional/prescribed therapies. The aim of this study was to determine patterns of CAM use among children attending a tertiary care hospital in New Zealand (NZ) and measure parental opinion about CAM. Methods: Prospective survey-based study among children and their parents attending inpatient and outpatient clinical areas. Surveys collected demographic and health variables, current CAM use, and parental opinions on CAM. Results: Of the 236 children participating: 41% female, mean age 6.8 years (SD5), 76 (32%) with a chronic illness. CAM was used by 132 (56%) children, the most common being: oral supplements, body manipulation methods, or holistic practices. CAM use was associated with lower child health rating (p = 0.001), Māori ethnicity (p = 0.03), parent education level (p = 0.002), and family member CAM use (p < 0.001). Opinion survey results revealed CAM use was most strongly related to doctors recommending CAM, information on CAM, and CAM cost. There was a 31% CAM disclosure rate to the child’s medical team. Conclusions: This study highlights cultural differences in CAM use not previously reported among children in NZ. Parental opinion regarding CAM influences use for their child and disclosure rates.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 92%

Point Prevalence of Complementary or Alternative Medicine Use among Children Attending a Tertiary Care Hospital

2023

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“…Despite many AH practices being physically harmless, some do entail significant risks of adverse events [ 2 , 10 , 11 ]. Research suggests that people are now more frequently engaging in AH practices that involve risk, such as utilizing unproven therapeutics instead of medically established ones [ 2 , 11 , 12 ]. This trend has significant health policy and practice implications.…”

Section: Introductionmentioning

confidence: 99%

Demographic and psychometric predictors associated with engagement in risk-associated alternative healthcare behaviours

Garrett,

Caulfield,

Musoke

et al. 2023

PLoS ONE

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This paper builds on prior work exploring the use of risk-associated alternative healthcare (RAAH) in Canada. RAAH uptake was surveyed to explore the characteristics of adult RAAH users and the value of established psychometric instruments previously used in alternative healthcare studies in predicting RAAH behaviours: the Control Beliefs Inventory (CBI), the Reward Responsiveness Behavioural Activation System (RBAS) scale, the Positive Attitudes to Science (PAS) scale, the Satisfaction with Orthodox Medicine (SOM) scale, and the brief version of the Susceptibility to Persuasion-II (StP-II-B) scale. Findings suggest RAAH is influenced by gender, age, income, education, employment, chronic illness status, and ethnicity. Engagement in some form of RAAH was common (around 40%) and the most common types of RAAH use reported were physical manipulation and herbal/nutritional supplement use. Other higher-risk AH activities (such as use of toxins and physically invasive procedures) were also reported by about 5% of respondents. The StP-II-B and PAS instruments were predictive of the likelihood of engagement in RAAH behaviours, as illustrated by higher risk tolerance, desire for novelty, positive attitude to advertising and social influence, and positive beliefs about science. The CBI, RBAS, and SOM instruments were not predictive overall. However, the CBI and SOM instruments were predictive of engagement with physical manipulative RAAH activities, while the RBAS was predictive of herbal/nutritional RAAH engagement. These findings can help inform health professionals’ understanding of public health-seeking behaviours with respect to risk.

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“…Furthermore, evidence from clinical trials suggests a high degree of variation in terms of quality of data/ evidence [35] and scientifically proven efficacy for different types of CAMs [33]. Poor efficacies across populations increase the risk of unintended adverse reactions [36][37][38][39]. Hence, there is an urgent need to optimize the use of CAMs by identifying their potential-if any-for treatment, as well as identify any associated risks [35].…”

Section: Introductionmentioning

confidence: 99%

Profiling the Use of Complementary Alternative Medicines among Inflammatory Bowel Disease Patients: Results from a Single Center Survey

et al. 2022

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Background. Complementary and alternative medicines (CAMs) are used by patients with chronic disorders, such as inflammatory bowel disease (IBD), with a desire to manage their disease. Methods. Patients visiting an IBD outpatient clinic and infusion unit in a tertiary referral center were surveyed through an anonymized Dutch version of the international questionnaire to measure the use of CAMs. Results. Of the 467 IBD patients who responded to the survey, 41.8% ( n = 195 ) reported the use of CAMs. Gender ( p = 0.03 , higher in females), educational qualification ( p = 0.02 , higher in more educated patients), and number of prior IBD medical treatments ( p = 0.05 , higher in patients having received more than one therapy) were significantly associated with CAM usage. Overall, there was no significant difference in CAM-usage between UC (45.3%) and CD (38.2%) patients. Over two-thirds of patients reported using CAMs to alleviate IBD-related symptoms. The most prevalent reason for CAM-usage was to minimize stress and symptoms. The top five nonsupplemental CAMs used by IBD patients included probiotics, curcumin, yoghurt, homeopathy, and yoga. Among CAMs with a minimum of 25 users, yoga (93.5%), cannabis (87.5%), and mindfulness (84.6%) had high self-reported efficacy indices. Fifty-six percent of the patients who affirmed the economic worthiness of CAMs expressed their interest to consult with their gastroenterologist about CAM-conventional therapy interactions. Conclusion. CAM usage in IBD patients is highly prevalent, and consultation of the patients with the gastroenterologist about the use of CAMs is warranted. Since CAMs can interact with conventional therapies, a debate could help optimizing CAM use, eventually resulting in better disease management.

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Adverse events associated with pediatric complementary and alternative medicine in the Netherlands: a national surveillance study

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Cited by 8 publications

References 14 publications

Point Prevalence of Complementary or Alternative Medicine Use among Children Attending a Tertiary Care Hospital

Point Prevalence of Complementary or Alternative Medicine Use among Children Attending a Tertiary Care Hospital

Demographic and psychometric predictors associated with engagement in risk-associated alternative healthcare behaviours

Profiling the Use of Complementary Alternative Medicines among Inflammatory Bowel Disease Patients: Results from a Single Center Survey

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