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Differences in use of complementary and alternative medicine between children and adolescents with cancer in Germany: a population based survey.
- Source :
-
Pediatric blood & cancer [Pediatr Blood Cancer] 2014 Mar; Vol. 61 (3), pp. 488-92. Date of Electronic Publication: 2013 Sep 13. - Publication Year :
- 2014
-
Abstract
- Background: Use of complementary and alternative medicine (CAM) in children with cancer is common and probably increasing. However, data concerning differences between children and adolescents focusing on prevalence, reasons for use/non-use, costs, adverse effects, and socio-demographic factors are lacking.<br />Procedure: A population-based survey over a 1 year period with 497 participants was conducted.<br />Results: Of the 457 respondents (92%) 322 were children and 135 adolescents (>16 years of age) with malignancies. 31% reported CAM use from the time when being diagnosed, compared to an overall lifetime prevalence rate of 41% before cancer diagnosis. Among CAM users the most prevalent therapies were homeopathy, massage, anthroposophic medicine, acupuncture, and Bach flowers. The main reasons for use were to reduce therapy-related side effects, to strengthen the immune system, to achieve physical stabilization and to increase healing chances. Socio-demographic factors associated with CAM use were higher parental education and higher family income. A majority of CAM users (97%) would recommend CAM use. Most users (78%) informed a physician about CAM use. Side effects were rarely reported (5%), minor and self-limiting.<br />Conclusions: The high prevalence rates seem to represent the parental or patients needs for additional treatment perceived as successful and devoid of side-effects. Clinical care and the physician-patient relation would profit from an enhanced understanding of CAM and a greater candidness towards the parental needs. Safety and efficacy - especially of CAM with high prevalence rates - should be studied in rigorous basic and clinical research.<br /> (© 2013 Wiley Periodicals, Inc.)
Details
- Language :
- English
- ISSN :
- 1545-5017
- Volume :
- 61
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Pediatric blood & cancer
- Publication Type :
- Academic Journal
- Accession number :
- 24038864
- Full Text :
- https://doi.org/10.1002/pbc.24769