Evidence-based Integrative Medicine in Clinical Veterinary Oncology

Raditic, Donna M.; Bartges, Joseph W.

doi:10.1016/j.cvsm.2014.06.002

Cited by 15 publications

(9 citation statements)

References 140 publications

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“…Alternative or complementary therapies are broadly defined in human medical practice but may include nutrition, acupuncture, laser therapy, hyperbaric oxygen, rehabilitation, and other interventions not typically considered mainstream medical practice. Integrative veterinary medicine is poorly described both in definition and in practice although the term occasionally appears in the scientific literature [ 2 ]. However, a similar definition as to that used in integrative human medical practice characterizes the concept in veterinary medicine.…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Analysis of 5,195 Patient Treatment Sessions in an Integrative Veterinary Medicine Service: Patient Characteristics, Presenting Complaints, and Therapeutic Interventions

Shmalberg

Memon

2015

Veterinary Medicine International

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Integrative veterinary medicine, the combination of complementary and alternative therapies with conventional care, is increasingly prevalent in veterinary practice and a focus of clinical instruction in many academic teaching institutions. However, the presenting complaints, therapeutic modalities, and patient population in an integrative medicine service have not been described. A retrospective analysis of 5,195 integrative patient treatment sessions in a veterinary academic teaching hospital demonstrated that patients most commonly received a combination of therapeutic modalities (39% of all treatment sessions). The 274 patients receiving multiple modalities were most frequently treated for neurologic and orthopedic disease (50.7% versus 49.6% of all presenting complaints, resp.). Older neutered or spayed dogs (mean age = 9.0 years) and Dachshunds were treated more often than expected based on general population statistics. Acupuncture, laser therapy, electroacupuncture, and hydrotherapy were frequently administered (>50% patients). Neurologic patients were more likely to receive acupuncture, electroacupuncture, and therapeutic exercises but less likely than orthopedic patients to receive laser, hydrotherapy, or therapeutic ultrasound treatments (P < 0.05). The results suggest that the application of these specific modalities to orthopedic and neurologic diseases should be subjected to increased evidence-based investigations. A review of current knowledge in core areas is presented.

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Section: Introductionmentioning

confidence: 99%

A Retrospective Analysis of 5,195 Patient Treatment Sessions in an Integrative Veterinary Medicine Service: Patient Characteristics, Presenting Complaints, and Therapeutic Interventions

Shmalberg

Memon

2015

Veterinary Medicine International

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“…Veterinarians and owners increasingly employ herbal supplements, and the use of such products appears most prevalent in veterinary oncology (Lana et al, 2006;Raditic and Bartges, 2014;Shmalberg and Memon, 2015). Various traditional systems of medicine incorporate natural products into medical treatments, including Chinese, Western, Ayurvedic, and indigenous North American medicine.…”

Section: Botanical and Herbal Medicinementioning

confidence: 99%

Integrative veterinary medical education and consensus guidelines for an integrative veterinary medicine curriculum within veterinary colleges

et al. 2016

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Integrative veterinary medicine (IVM) describes the combination of complementary and alternative therapies with conventional care and is guided by the best available evidence. Veterinarians frequently encounter questions about complementary and alternative veterinary medicine (CAVM) in practice, and the general public has demonstrated increased interest in these areas for both human and animal health. Consequently, veterinary students should receive adequate exposure to the principles, theories, and current knowledge supporting or refuting such techniques. A proposed curriculum guideline would broadly introduce students to the objective evaluation of new veterinary treatments while increasing their preparation for responding to questions about IVM in clinical practice. Such a course should be evidence-based, unbiased, and unaffiliated with any particular CAVM advocacy or training group. All IVM courses require routine updating as new information becomes available. Controversies regarding IVM and CAVM must be addressed within the course and throughout the entire curriculum. Instructional honesty regarding the uncertainties in this emerging field is critical. Increased training of future veterinary professionals in IVM may produce an openness to new ideas that characterizes the scientific method and a willingness to pursue and incorporate evidence-based medicine in clinical practice with all therapies, including those presently regarded as integrative, complementary, or alternative.

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“…8,14,15 Furthermore, CAVM has also been described for oncology and geriatric patients. 8,[14][15][16][17][18][19][20] The reasons given for CAVM use included improvement of wellbeing, failure of traditional treatment, chronic illness, pain reduction and improvement of immune function. 7,8 Lafuente et al 21 surveyed clients about postoperative care after surgical repair for cranial cruciate ligament disease.…”

Section: Introductionmentioning

confidence: 99%

“…CAVM therapies have been described for several conditions in companion animals, such as musculoskeletal, neurologic and behavioural disorders and lower urinary tract diseases 8,14,15 . Furthermore, CAVM has also been described for oncology and geriatric patients 8,14–20 . The reasons given for CAVM use included improvement of wellbeing, failure of traditional treatment, chronic illness, pain reduction and improvement of immune function 7,8 .…”

Section: Introductionmentioning

confidence: 99%

Surveying dog owners' use and understanding of, and communication with veterinarians about, complementary and alternative veterinary medicine

2022

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Background: Complementary and alternative veterinary medicine (CAVM) seems to be gaining acceptance by pet owners. Client-veterinarian communication about CAVM is important to explore client perceptions and facilitate open exchange of ideas between owners and veterinarians. Methods: This study includes an online, cross-sectional survey of dog owners to evaluate CAVM use and client-veterinarian communication about CAVM. Based on the extended theory of planned behaviour, factors influencing the intention to use CAVM were evaluated. Results: Past CAVM use was reported by 45.3% clients based on 1000 valid surveys. The attitude towards CAVM was generally positive. Perceived knowledge about CAVM positively predicted perceived behavioural control and attitude towards CAVM. Both were the strongest predictors of future CAVM use. Around 45.7% of clients had already talked to their veterinarian about CAVM. This conversation was mainly initiated by the owner (66.3%). Owners expected the veterinarian to have knowledge about CAVM (91.5%) and offer referral (71.5%). Limitations: The limitation is difficulty in classifying and defining CAVM modalities. Conclusions: Owners' perceived behavioural control and attitude towards CAVM predict CAVM use. Failure to engage in a conversation about CAVM hampers clients to partner with veterinarians to discuss the treatment approach and maximise patient outcome. The veterinarian plays an essential role in providing objective accurate information about CAVM.

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Evidence-based Integrative Medicine in Clinical Veterinary Oncology

Cited by 15 publications

References 140 publications

A Retrospective Analysis of 5,195 Patient Treatment Sessions in an Integrative Veterinary Medicine Service: Patient Characteristics, Presenting Complaints, and Therapeutic Interventions

A Retrospective Analysis of 5,195 Patient Treatment Sessions in an Integrative Veterinary Medicine Service: Patient Characteristics, Presenting Complaints, and Therapeutic Interventions

Integrative veterinary medical education and consensus guidelines for an integrative veterinary medicine curriculum within veterinary colleges

Surveying dog owners' use and understanding of, and communication with veterinarians about, complementary and alternative veterinary medicine

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