Acceptance and use of complementary and alternative medicine among medical specialists: a 15-year systematic review and data synthesis

Abstract Background Complementary and Alternative Medicine (CAM) has gained popularity among the general population, but its acceptance and use among medical specialists have been inconclusive. This systematic review aimed to identify relevant studies and synthesize survey data on the acceptance and use of CAM among medical specialists. Methods We conducted a systematic literature search in PubMed and Scopus databases for the acceptance and use of CAM among medical specialists. Each article was assessed by two screeners. Only survey studies relevant to the acceptance and use of CAM among medical specialists were reviewed. The pooled prevalence estimates were calculated using random-effects meta-analyses. This review followed both PRISMA and SWiM guidelines. Results Of 5628 articles published between 2002 and 2017, 25 fulfilled the selection criteria. Ten medical specialties were included: Internal Medicine (11 studies), Pediatrics (6 studies), Obstetrics and Gynecology (6 studies), Anesthesiology (4 studies), Surgery (3 studies), Family Medicine (3 studies), Physical Medicine and Rehabilitation (3 studies), Psychiatry and Neurology (2 studies), Otolaryngology (1 study), and Neurological Surgery (1 study). The overall acceptance of CAM was 52% (95%CI, 42–62%). Family Medicine reported the highest acceptance, followed by Psychiatry and Neurology, Neurological Surgery, Obstetrics and Gynecology, Pediatrics, Anesthesiology, Physical Medicine and Rehabilitation, Internal Medicine, and Surgery. The overall use of CAM was 45% (95% CI, 37–54%). The highest use of CAM was by the Obstetrics and Gynecology, followed by Family Medicine, Psychiatry and Neurology, Pediatrics, Otolaryngology, Anesthesiology, Internal Medicine, Physical Medicine and Rehabilitation, and Surgery. Based on the studies, meta-regression showed no statistically significant difference across geographic regions, economic levels of the country, or sampling methods. Conclusion Acceptance and use of CAM varied across medical specialists. CAM was accepted and used the most by Family Medicine but the least by Surgery. Findings from this systematic review could be useful for strategic harmonization of CAM and conventional medicine practice. Systematic review registration PROSPERO CRD42019125628 Graphical abstract

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Acceptance and Use of Complementary and Alternative Medicine Among Medical Specialists: A Systematic Review and Meta-analysis

10.21203/rs.3.rs-215114/v1 ◽

2021 ◽

Author(s):

Phanupong Phutrakool ◽

Krit Pongpirul

Keyword(s):

Internal Medicine ◽

Systematic Review ◽

Family Medicine ◽

Alternative Medicine ◽

Obstetrics And Gynecology ◽

Physical Medicine ◽

Medical Specialists ◽

Physical Medicine And Rehabilitation ◽

Significant Difference ◽

Neurological Surgery

Abstract BackgroundComplementary and Alternative Medicine (CAM) has gained popularity among the general population but its acceptance and use among medical specialists have been inconclusive.MethodsWe conducted a systematic literature search in PubMed and Scopus databases for the acceptance and use of CAM among medical specialists. Each article was assessed by two screeners. Only survey studies relevant to the acceptance and use of CAM among medical specialists were reviewed. The pooled prevalence estimates were calculated using random-effects meta-analyses.ResultsOf 5,628 articles published between 2002 and 2017, 25 fulfilled the selection criteria. Ten medical specialties were included: Internal Medicine (11 studies), Pediatrics (6 studies), Obstetrics and Gynecology (6 studies), Anesthesiology (4 studies), Surgery (3 studies), Family Medicine (3 studies), Physical Medicine and Rehabilitation (3 studies), Psychiatry and Neurology (2 studies), Otolaryngology (1 study), and Neurological Surgery (1 study). The overall acceptance of CAM was 52% (95%CI: 42-62%). Family Medicine reported the highest acceptance (67%; 95%CI: 60-73%), followed by Psychiatry and Neurology (64%; 95%CI: 35-85%), Neurological Surgery (63%; 95%CI: 43-79%), Obstetrics and Gynecology (62%; 95%CI: 36-82%), Pediatrics (60%; 95%CI: 41-77%), Anesthesiology (52%; 95%CI: 45-58%), Physical Medicine and Rehabilitation (51%; 95%CI: 42-61%), Internal Medicine (41%; 95%CI: 39-43%), and Surgery (26%; 95%CI: 22-30%). The overall use of CAM was 45% (95% CI: 37-54%). The highest use of CAM was by the Obstetrics and Gynecology (68%; 95%CI: 63-73%), followed by Family Medicine (63%; 95%CI: 58-68%), Psychiatry and Neurology (55%; 95%CI: 35-73%), Pediatrics (44%; 95%CI: 42-46%), Otolaryngology (43%; 95%CI: 30-57%), Anesthesiology (42%; 95%CI: 37-47%), Internal Medicine (38%; 95%CI: 36-41%), Physical Medicine and Rehabilitation (32%; 95%CI: 24-41%), and Surgery (25%; 95%CI: 22-29%). Based on the studies, meta-regression showed no statistically significant difference across geographic regions, economic levels of the country, or sampling methods.ConclusionAcceptance and use of CAM were moderate and varied across medical specialists.Systematic review registrationThis systematic review has been registered in PROSPERO (CRD42019125628) and the protocol can be accessed at http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42019125628.

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Nasce uma nova especialidade : osteopatia

Fisioterapia Brasil ◽

10.33233/fb.v2i3.635 ◽

2016 ◽

Vol 2 (3) ◽

Author(s):

Marco Antônio Guimarães Da Silva

Keyword(s):

Internal Medicine ◽

Emergency Medicine ◽

Preventive Medicine ◽

Rio De Janeiro ◽

Obstetrics And Gynecology ◽

Physical Medicine ◽

National Board ◽

Physical Medicine And Rehabilitation ◽

Allergy And Immunology ◽

Medical Examiners

Por circunstâncias relacionadas à minha titulação, acabei designado pela Universidade Castelo Branco do Rio de Janeiro (UCB) para avaliar uma parceria proposta pela Escola de Osteopatia de Madri (EOM). À época, em 1997, a EOM propunha que a UCB passasse a organizar academicamente os cursos de osteopatia que a referida Escola já vinha ministrando no Brasil, com vistas a, no futuro, torná-lo um curso de pós-graduação. Algumas viagens à Madri para observar a estrutura acadêmica e pedagógica da sede da EOM, condição imposta pela UCB para concretizar a parceria, me levaram a conhecer esta modalidade terapêutica, com resultados efetivamente comprovados através de trabalhos científicos.Realizadas as adaptações que se faziam necessárias, a UCB aprovou, em 2000, o curso de osteopatia, com uma carga horária de 1050 horas para a titulação de especialização acadêmica, nível Lato Sensu. A resolução do COFITO, que estabelece a osteopatia como uma especialidade da fisioterapia, levou-nos a propor ao CEPE da UCB uma complementação de 450 horas, alcançando, assim, as 1.500 horas, distribuídas ao longo de cinco anos, exigidas pela referida resolução do COFITO. A introdução desta técnica terapêutica no Brasil pela corrente Européia e a pronta intervenção do COFITO foram fatores decisivos para nos brindar com mais uma especialidade. Houvera sido a Osteopatia implantada no Brasil por influência da escola americana, talvez os rumos tomados fossem outros. Senão, vejamos. Nos EUA, a osteopatia é normalmente exercida pelo médico, que deve obter sua permissão através do National Board of Osteopatic Medical Examiners, e está dividida em Sociedades Osteopáticas que se distribuem por todas as modalidades médicas; a saber: Allergy and Immunology, Anesthesiology, Dermatology ,Emergency Medicine, Internal Medicine, Neurologists and Psychiatrists, Obstetrics and Gynecology, Occupational and Preventive Medicine, Ophthalmology and Otolaryngology, Orthopedics Pathology, Pediatrics Proctology, Radiology, Physical Medicine and Rehabilitation, Rheumatology Sports Surgery Medicine.Com o objetivo de incentivar as linhas de pesquisas na área da osteopatia, estará sendo criado, durante as III Jornadas Hispano-Lusas de Fisioterapia em Terapia Manual (Sevilha-Espanha, 5 de outubro de 2001), o Centro Internacional de Pesquisas em Osteopatia. O referido Centro, dirigido por um fisioterapeuta brasileiro com Doutorado, terá sua sede na Espanha e manterá núcleos, vinculados a Universidades, na Argentina, no Brasil, na Itália, em Portugal e na Venezuela. Esperamos, desta forma, ao lado do reconhecimento profissional já oferecido pela resolução COFITO, dar mais um passo na consolidação acadêmica da nossa mais nova modalidade terapêutica.

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