1. What do Cochrane systematic reviews say about new practices on integrative medicine?
- Author
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Vania Mozetic, Edivando de Moura Barros, Letícia de Freitas Leonel, Ana Luiza Cabrera Martimbianco, Tatiana de Bruyn Ferraz Teixeira, Luana Pompeu dos Santos Rocha, Lucas Riguete Pereira de Lima, Daniel Damasceno Bernardo, Rafael Leite Pacheco, Anderson Adriano Leal Freitas da Costa, Miguel Lins Quintella, Carolina de Oliveira Cruz, Rodrigo Cesar de Sá Suetsugu, Daniela Vianna Pachito, Nicole Dittrich, Barbara Caon Kruglensky, Vinícius Lopes Braga, Jessica Chiu Hsu, Maria Regina Torloni, Vicente Penido da Silveira, Rachel Riera, Álvaro Nagib Atallah, Luísa Avelar Fernandes de Andrade, and Luciana Di Giovanni Marques da Silva
- Subjects
Evidence-based medicine ,medicine.medical_specialty ,Aromatherapy ,Apitherapy ,Psychological intervention ,MEDLINE ,lcsh:Medicine ,03 medical and health sciences ,0302 clinical medicine ,Ozone ,Public health administration ,parasitic diseases ,medicine ,Humans ,030212 general & internal medicine ,Integrative medicine ,Chromotherapy ,Integrative Medicine ,Evidence-Based Medicine ,business.industry ,lcsh:R ,General Medicine ,Health policy ,Review Literature as Topic ,Systematic review ,Family medicine ,business ,030217 neurology & neurosurgery ,Hypnosis ,Review [publication type] - Abstract
BACKGROUND: This study identified and summarized all Cochrane systematic reviews (SRs) on the effects of ten integrative practices that were recently added to the Brazilian public healthcare system (SUS). DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp). METHODS: Review of Cochrane SRs on the following interventions were identified, summarized and critically assessed: apitherapy, aromatherapy, bioenergetics, family constellation, flower therapy, chromotherapy, geotherapy, hypnotherapy, hand imposition or ozone therapy. RESULTS: We included a total of 16 SRs: 4 on apitherapy, 4 on aromatherapy, 6 on hypnotherapy and 2 on ozone therapy. No Cochrane SR was found regarding bioenergetics, family constellation, chromotherapy, clay therapy, flower therapy or hand imposition. The only high-quality evidence was in relation to the potential benefit of apitherapy, specifically regarding some benefits from honey dressings for partial healing of burn wounds, for reduction of coughing among children with acute coughs and for preventing allergic reactions to insect stings. CONCLUSION: Except for some specific uses of apitherapy (honey for burn wounds and for acute coughs and bee venom for allergic reactions to insect stings), the use of ten integrative practices that have recently been incorporated into SUS does not seem to be supported by evidence from Cochrane SRs.
- Published
- 2018