Nem konvencionális gyógymódok használata sebészeti                     betegek között

Soós, Sándor Árpád; Jeszenői, Norbert; Darvas, Katalin; Harsányi, László

doi:10.1556/650.2016.30543

Cited by 8 publications

(16 citation statements)

References 24 publications

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“… 2 15 21 22 Soós et al found an even lower rate of 20% in surgical patients. 17 In our study, just a few patients told their attending surgeons about CAM, often because they thought that there is no time for it. Whether this is a safety risk or not can, to the present knowledge, only be speculated, because reliable data on the risk of non-communicated CAM are lacking.…”

Section: Discussionmentioning

confidence: 93%

“…18 Soós et al found a current CAM usage rate of patients underwent surgery at the Department of Surgery of the Semmelweis University, Hungary of 27%, whereof higher rates were observed in patients with cancer. 17 An American survey showed a current CAM usage rate of 25% in surgical patients. 19 Summing up, it appears that nearly a third of surgical patients use CAM even during surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

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Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs

et al. 2020

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ObjectivesComplementary and alternative medicine (CAM) is frequently used in Western countries within general medicine and internal medicine. Information on the use in orthopaedic and trauma surgery is widely lacking. The aim of this study was to investigate usage and needs regarding CAM for these patients.DesignProspective paper-based, pseudoanonymous, cross-sectional survey.SettingFrom August to December 2018, a questionnaire composed of 17 questions was distributed to all eligible patients.ParticipantsIn-house patients in orthopaedic and trauma surgery at a high-volume medical centre in Germany.Primary and secondary outcome measuresPrevious or current usage of CAM, interest and requests towards CAM as well as communication about CAM.ResultsOverall, 457 orthopaedic and trauma surgical patients took part in the survey. They were on average 52 years old and 54% were male. Most of the patients were admitted due to bone fractures and most underwent operative therapy. Previous or current CAM usage was stated by 76% and 30% of patients, respectively. Most of the patients stated to be interested in usage of CAM and demanded for more clinical usage of CAM and reliable information about CAM. More than 90% of patients did not discuss CAM interest or usage with their treating physicians. Patients stated that physicians should have knowledge about CAM. They wish to be treated in a holistic manner and want to strengthen self-efficacy.ConclusionsUsage of CAM of patients in orthopaedic and trauma surgery appears to be high. Only a few patients discuss their interest and usage of CAM with their treating physician. Therefore, surgeons should ask their patients about CAM and should consider evidence-based CAM approaches for complementary treatment.Trial registration numberDRKS0001544.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs

et al. 2020

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“…Previous publications were focused on the herb consumption of patients waiting for elective surgery [19] and the attitude of surgery patients towards CAM [20]. In the near future, we are going to survey the attitude towards CAM of healthcare professionals working in perioperative care as well.…”

Section: Methodsmentioning

confidence: 99%

Complementary and alternative medicine: attitudes, knowledge and use among surgeons and anaesthesiologists in Hungary

Soós

Jeszenői

Darvas

et al. 2016

BMC Complement Altern Med

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BackgroundDespite their worldwide popularity the question of using non-conventional treatments is a source of controversy among medical professionals. Although these methods may have potential benefits it presents a problem when patients use non-conventional treatments in the perioperative period without informing their attending physician about it and this may cause adverse events and complications. To prevent this, physicians need to have a profound knowledge about non-conventional treatments.MethodsAn anonymous questionnaire was distributed among surgeons and anaesthesiologists working in Hungarian university clinics and in selected city or county hospitals. Questionnaires were distributed by post, online or in person. Altogether 258 questionnaires were received from 22 clinical and hospital departments.ResultsAnaesthesiologists and surgeons use reflexology, Traditional Chinese Medicine, herbal medicine and manual therapy most frequently in their clinical practice. Traditional Chinese Medicine was considered to be the most scientifically sound method, while homeopathy was perceived as the least well-grounded method. Neural therapy was the least well-known method among our subjects.Among the subjects of our survey only 3.1 % of perioperative care physicians had some qualifications in non-conventional medicine, 12.4 % considered themselves to be well-informed in this topic and 48.4 % would like to study some complementary method. Women were significantly more interested in alternative treatments than men, p = 0.001427; OR: 2.2765. Anaesthesiologists would be significantly more willing to learn non-conventional methods than surgeons. 86.4 % of the participants thought that non-conventional treatments should be evaluated from the point of view of evidence. Both surgeons and anaesthesiologists accept the application of integrative medicine and they also approve of the idea of teaching these methods at universities.ConclusionsAccording to perioperative care physicians, non-conventional methods should be evaluated based on evidence. They also expressed a willingness to learn about those treatments that meet the criteria of evidence and apply these in their clinical practice.Electronic supplementary materialThe online version of this article (doi:10.1186/s12906-016-1426-0) contains supplementary material, which is available to authorized users.

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“…Herbal preparations can be a safety hazard in everyday clinical practice, as they are often taken by patients without consulting a physician (1,3). Some substances, such as St. John's wort, have a significant interaction risk (22,23).…”

Section: Risks Of Naturopathic Treatment and Complementary Medicinementioning

confidence: 99%

Naturopathic Treatment and Complementary Medicine in Surgical Practice

Lederer

Schmucker

Kousoulas

et al. 2018

Deutsches Ärzteblatt International

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omplementary medicine (CM) and naturopathic treatments (NT) are relevant topics for clinically active physicians. Many patients either would like to have advice about CM/NT or are already using them on their own for mostly harmless and self-limiting diseases (1). Indeed, more than 50% of cancer patients report using CM/NT. This not only affects primary care physicians, but also oncologists, radiotherapists, anesthesiologists, palliative care physicians, and surgeons (1). Nonetheless, little-to-no efforts seem to have been made at integrating CM/NT into everyday surgical routines. Surgeons are confronted not only with the needs of cancer patients but also with those of non-cancer patients undergoing surgery, as up to 30% of patients in this group also report using CM/NT (2, 3). Furthermore, although up to 60% of patients who undergo surgery would like complementary medical advice, almost none of them discuss this with the treating surgeon (3). This is a critical point, as self-medication with herbal supplements can lead to interactions with other drugs and cause risks, such as interference with blood clotting. This article therefore aims to give an overview of possible supportive CM/NT approaches in surgery while at the same time addressing their risks. Methods After evaluation of typical postoperative problems by the authors, a systematic literature review was conducted via Medline, Web of Science, and the Cochrane Library. Randomized controlled trials (RCTs) and experimental human studies, as well as systematic reviews, were included. Detailed information on the methodology is presented in the eMethods section and in the eBox. This review was prospectively registered in PROSPERO (CRD42018095330). Results A total of 387 references were identified, of which 76 were suitable for evaluation after checking the inclusion and exclusion criteria (eFigure). Improvement of gastrointestinal function Three systematic reviews (two of high quality) were identified that reported the use of acupuncture and acupressure for impaired gastrointestinal function Summary Background: Many patients in Germany use naturopathic treatments and complementary medicine. Surveys have shown that many also use them as a concomitant treatment to surgery. Methods: Multiple databases were systematically searched for systematic reviews, controlled trials, and experimental studies concerning the use of naturopathic treatments and complementary medicine in the management of typical postoperative problems (PROSPERO CRD42018095330). Results: Of the 387 publications identified by the search, 76 fulfilled the inclusion criteria. In patients with abnormal gastrointestinal activity, acupuncture can improve motility, ease the passing of flatus, and lead to earlier defecation. Acupuncture and acupressure can reduce postoperative nausea and vomiting, as well as pain. Moreover, aromatherapy and music therapy seem to reduce pain, stress and anxiety and to improve sleep. Further studies are needed to determine whether phytotherapeutic treatments are effective for...

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Nem konvencionális gyógymódok használata sebészeti betegek között

Cited by 8 publications

References 24 publications

Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs

Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs

Complementary and alternative medicine: attitudes, knowledge and use among surgeons and anaesthesiologists in Hungary

Naturopathic Treatment and Complementary Medicine in Surgical Practice

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