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CAM Use in Pediatric Neurology: An Exploration of Concurrent Use with Conventional Medicine

BACKGROUND: Previous studies have found that up to 60% of children with neurologic conditions have tried complementary and alternative medicine (CAM). OBJECTIVE: To assess the use of CAM among patients presenting to neurology clinics at two academic centers in Canada. METHODS: A survey instrument wa...

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Autores principales: Galicia-Connolly, Elaine, Adams, Denise, Bateman, Justin, Dagenais, Simon, Clifford, Tammy, Baydala, Lola, King, W. James, Vohra, Sunita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3988088/
https://www.ncbi.nlm.nih.gov/pubmed/24736474
http://dx.doi.org/10.1371/journal.pone.0094078
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author Galicia-Connolly, Elaine
Adams, Denise
Bateman, Justin
Dagenais, Simon
Clifford, Tammy
Baydala, Lola
King, W. James
Vohra, Sunita
author_facet Galicia-Connolly, Elaine
Adams, Denise
Bateman, Justin
Dagenais, Simon
Clifford, Tammy
Baydala, Lola
King, W. James
Vohra, Sunita
author_sort Galicia-Connolly, Elaine
collection PubMed
description BACKGROUND: Previous studies have found that up to 60% of children with neurologic conditions have tried complementary and alternative medicine (CAM). OBJECTIVE: To assess the use of CAM among patients presenting to neurology clinics at two academic centers in Canada. METHODS: A survey instrument was developed to inquire about use of CAM products and therapies, including reasons for use, perceived helpfulness, and concurrent use with conventional medicine, and administered to patients or their parents/guardians at the Stollery Children's Hospital in Edmonton and the Children's Hospital of Eastern Ontario (CHEO) in Ottawa. RESULTS: Overall CAM use at the Stollery was 78%, compared to 48% at CHEO. The most common CAM products used were multi-vitamins (84%), vitamin C (37%), homeopathic remedies (24%), and fish oil/omega 3 s (22%). The most common CAM practices used were massage (47%), chiropractic (37%), faith healing (18%), aromatherapy (16%), homeopathy (16%), and relaxation (16%). Many patients used CAM products at the same time as conventional medicine but just over half (57%) discussed this concurrent use with their physician. CONCLUSION: CAM use is common in pediatric neurology patients and most respondents felt that it was helpful, with few or no harms associated. However, this use is often undisclosed, increasing possibility of interactions with conventional drugs. We urge clinicians to inquire about CAM use during routine history taking at every patient visit. Parents would clearly like more information about CAM from their specialty clinics; such information would be easier to share if more primary data were available about the safety and effectiveness of commonly used therapies.
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spelling pubmed-39880882014-04-21 CAM Use in Pediatric Neurology: An Exploration of Concurrent Use with Conventional Medicine Galicia-Connolly, Elaine Adams, Denise Bateman, Justin Dagenais, Simon Clifford, Tammy Baydala, Lola King, W. James Vohra, Sunita PLoS One Research Article BACKGROUND: Previous studies have found that up to 60% of children with neurologic conditions have tried complementary and alternative medicine (CAM). OBJECTIVE: To assess the use of CAM among patients presenting to neurology clinics at two academic centers in Canada. METHODS: A survey instrument was developed to inquire about use of CAM products and therapies, including reasons for use, perceived helpfulness, and concurrent use with conventional medicine, and administered to patients or their parents/guardians at the Stollery Children's Hospital in Edmonton and the Children's Hospital of Eastern Ontario (CHEO) in Ottawa. RESULTS: Overall CAM use at the Stollery was 78%, compared to 48% at CHEO. The most common CAM products used were multi-vitamins (84%), vitamin C (37%), homeopathic remedies (24%), and fish oil/omega 3 s (22%). The most common CAM practices used were massage (47%), chiropractic (37%), faith healing (18%), aromatherapy (16%), homeopathy (16%), and relaxation (16%). Many patients used CAM products at the same time as conventional medicine but just over half (57%) discussed this concurrent use with their physician. CONCLUSION: CAM use is common in pediatric neurology patients and most respondents felt that it was helpful, with few or no harms associated. However, this use is often undisclosed, increasing possibility of interactions with conventional drugs. We urge clinicians to inquire about CAM use during routine history taking at every patient visit. Parents would clearly like more information about CAM from their specialty clinics; such information would be easier to share if more primary data were available about the safety and effectiveness of commonly used therapies. Public Library of Science 2014-04-15 /pmc/articles/PMC3988088/ /pubmed/24736474 http://dx.doi.org/10.1371/journal.pone.0094078 Text en © 2014 Vohra et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Galicia-Connolly, Elaine
Adams, Denise
Bateman, Justin
Dagenais, Simon
Clifford, Tammy
Baydala, Lola
King, W. James
Vohra, Sunita
CAM Use in Pediatric Neurology: An Exploration of Concurrent Use with Conventional Medicine
title CAM Use in Pediatric Neurology: An Exploration of Concurrent Use with Conventional Medicine
title_full CAM Use in Pediatric Neurology: An Exploration of Concurrent Use with Conventional Medicine
title_fullStr CAM Use in Pediatric Neurology: An Exploration of Concurrent Use with Conventional Medicine
title_full_unstemmed CAM Use in Pediatric Neurology: An Exploration of Concurrent Use with Conventional Medicine
title_short CAM Use in Pediatric Neurology: An Exploration of Concurrent Use with Conventional Medicine
title_sort cam use in pediatric neurology: an exploration of concurrent use with conventional medicine
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3988088/
https://www.ncbi.nlm.nih.gov/pubmed/24736474
http://dx.doi.org/10.1371/journal.pone.0094078
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