2016, Number 2
<< Back Next >>
Gac Med Mex 2016; 152 (2)
Use of alternative and complementary medicine in pediatric cancer: investigation of 100 cases at a level III care institute
Isaac-Otero G, Molina-Alonso D, Asencio-López L, Leal-Leal CA
Language: Spanish
References: 29
Page: 196-201
PDF size: 93.16 Kb.
ABSTRACT
Introduction: Alternative medicine is well accepted and widely used in Mexico so we researched the frequency and reasons
for the use of alternative or complementary treatment (ACT) in pediatric oncologic patients at the Instituto Nacional de
Pediatría (INP).
Methods: One hundred questionnaires were applied to caregivers of children with cancer in a course of 100 hundred
consecutive patients.
Results: Fifty-one percent of caregivers interviewed accepted the use of some kind of ACT; biological
therapies were the most frequent treatments used, and 73% felt satisfied with the results. Caregivers told their physicians
they were using ACT in 35% of the questionnaires analyzed, and only 2% of the physicians asked directly about its use. None
of the caregivers substituted or stopped allopathic treatment. Analysis: These questionnaires reveal that more than a half of
the caregivers use ACT. We believe superstitious and cultural beliefs, as well as the desire of the caregivers to participate
actively in their patient’s treatment, are the main reasons for the use of ACT; nevertheless, some caregivers do not notify their physicians and this may affect chemotherapy treatment in ways not investigated yet.
Conclusion: The wide use of ACT in
Mexico obliges every physician to enquire into it intentionally. It is therefore necessary to establish a stratification risk according
to the combination of ACT and allopathic treatment used.
REFERENCES
Posadzki P, Watson L, Alotaibi A, Ernst E. Prevalence of complementary and alternative medicine (CAM)-use in UK paediatric patients: a systematic review of surveys. Complement Ther Med. 2013;21(3):224-31.
Dh N, Ej L, Bao Y, et al. Use of complementary and alternative medicine among children, adolescent, and young adult cancer survivors: a survey study. J Pediatr Hematol Oncol. 2013;35(4):318290.
Längler A, Zuzak TJ. Complementary and alternative medicine in paediatrics in daily practice--a European perspective. Complement Ther Med. 2013 ;21 Suppl 1:S26-33.
Zuzak TJ, Boˇnková J, Careddu D, et al. Use of complementary and alternative medicine by children in Europe: published data and expert perspectives. Complement Ther Med. 2013;21 Suppl 1:S34-47.
WHO. Estrategia de la OMS sobre medicina tradicional. 2005. p. 1-78.
Gómez-Martínez R, Tlacuilo-Parra A, Garibaldi-Covarrubias R. Use of complementary and alternative medicine in children with cancer in Occidental, Mexico. Pediatr Blood Cancer. 2007;49(6):820-3.
Gerson-Cwilich R, Serrano-Olvera A, Villalobos-Prieto A. Complementary and alternative medicine (CAM) in Mexican patients with cancer. Clin Transl Oncol. 2006;8(3):200-7.
Molassiotis A, Fernadez-Ortega P, Pud D, et al. Use of complementary and alternative medicine in cancer patients: a European survey. Ann Oncol. 2005;16(4):655-63.
[Internet] Disponible en: http://nccam.nih.gov/health/whatiscam/#definingcam
Habermann TM, Thompson CA, LaPlant BR, et al. Complementary and alternative medicine use among long-term lymphoma survivors: a pilot study. Am J Hematol. 2009;84(12):795-8.
Er O, Mistik S, Ozkan M, Ozturk A, Altinbas M. Factors related to complementary/ alternative medicine use among cancer patients in central. Tumori. 2008;94(6):833-7.
Ezeome ER, Anarado AN. Use of complementary and alternative medicine by cancer patients at the University of Nigeria Teaching Hospital, Enugu, Nigeria. BMC Complement Altern Med. 2007;7:28.
Wells M, Sarna L, Cooley ME, Brown JK, Chernecky C. Use of Complementary and Alternative Medicine Therapies to Control Symptoms in Women Living With Lung Cancer. Cancer Nurs. 2007;30(1):45-55.
Robles-Zepeda RE, Valenzuela-Antelo O, Garibay-Escobar A, et al. Use of complementary and alternative medicine in a region of northwest Mexico. J Altern Complement Med. 2011;17(9):787-8.
Jc J, Lj M. Use of complementary and alternative medicine by patients with hematological diseases experience at a university hospital in northeast Mexico. Rev Bras J Hematol Hemoter. 2012;34(2):103-8.
Rahman Zamani A. Medicina Alternativa. California Childcare Health Program. 1997;3212.
Clerici CA, Veneroni L, Giacon B, Mariani L, Fossati-Bellani F. Complementary and alternative medical therapies used by children with cancer treated at an Italian pediatric oncology unit. Pediatr Blood Cancer. 2009;53(4):599-604.
Ballvé-Moreno JL. ¿Quién utiliza las medicinas no convencionales y por qué? Humanit HUMANIDADES MÉDICAS. 2003;1(2):31-40.
Hamidah A, Za R, Am T, La Z, Zs Z, Jamal R. Prevalence and parental perceptions of complementary and alternative medicine use by children with cancer in a multi- ethnic Southeast Asian population. Pediatr Blood Cancer. 2009;52(1):21798.
Lim J, Wong M, Chan MY, Paeds M, Uk M, Tan AM. Use of Complementary and Alternative Medicine in Paediatric Oncology Patients in. Ann Acad Med. 2006;35(11):753-8.
Rey JM, Walter G, Soh N. Complementary and Alternative Medicine (CAM) treatments and pediatric psychopharmacology. J Am Acad Child Adolesc Psychiatry. 2008;47(4):364-8.
López-Guevara V, Rodriguez-Pérez ML, Treviño-Garza C. Medicina complementaria y alternativa. Med Univ. 2004;6(25):2005.
Berenzon-Gorn S, Ito-Sugiyama E, Vargas-Guadarrama LA. [Diseases and illnesses for which help is sought from traditional healers in Mexico City]. Salud Publica Mex. 2006;48(1):45-56.
Nigenda G, Mora-Flores G, Aldama-López S, Orozco-Núñez E. [Practice of traditional medicine in Latin America and the Caribbean: the dilemma between regulation and tolerance]. Salud Publica Mex. 2001; 43(1):41-51.
Shelley BM, Sussman AL, Williams RL, Segal AR, Crabtree BF; Rios Net Clinicians. «They don’t ask me so I don’t tell them»: patient-clinician communication about traditional, complementary, and alternative medicine. Ann Fam Med. 2009;7(2):139-47.
Zebracki K, Holzman K, Bitter KJ, Feehan K, Miller ML. Brief Report: Use of Complementary and Alternative Medicine and Psychological Functioning in Latino Children with Juvenile Idiopathic Arthritis or Arthralgia. J Pediatr Psychol. 2007;32(8):1006-10.
Duleba K, Wysocki M, Styczynski J. Physicians attitudes towards complementary and alternative medicine in patients with cancer: preliminary report from pediatric and oncology centers. Med Wieku Rozwoj. 2008;12(4):2008.
Roth M, Lin J, Kim M, Moody K. Pediatric oncologists’ views toward the use of complementary and alternative medicine in children with cancer. J Pediatr Hematol Oncol. 2009;31(3):177-82.
Kemper KJ, O’Connor KG. Pediatricians’ recommendations for complementary and alternative medical (CAM) therapies. Ambul Pediatr. 2004;4(6):482-7.