Evidence map›Paper›PMID 24736474›Full record

ArticlePloS one2014

CAM use in pediatric neurology: an exploration of concurrent use with conventional medicine.

Elaine Galicia-Connolly, Denise Adams, Justin Bateman, Simon Dagenais, Tammy Clifford, Lola Baydala, W James King, Sunita Vohra

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Elaine Galicia-ConnollyCARE Program, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Denise AdamsCARE Program, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Justin BatemanFaculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Simon DagenaisPalladian Health, West Seneca, New York, United States of America.
Tammy CliffordDepartments of Pediatrics and of Epidemiology & Community Medicine, University of Ottawa, Ottawa, Ontario, Canada; Canadian Agency for Drugs and Technologies in Health, Ottawa, Ontario, Canada; Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Lola BaydalaDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
W James KingDivision of Pediatric Medicine, Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada; Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Sunita VohraCARE Program, PedCAM Network, Department of Pediatrics, Faculty of Medicine & Dentistry and School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
University of Alberta · CACanadian Agency for Drugs and Technologies in Health · CAChildren's Hospital of Eastern Ontario · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have found that up to 60% of children with neurologic conditions have tried complementary and alternative medicine (CAM).

objectiveTo assess the use of CAM among patients presenting to neurology clinics at two academic centers in Canada.

methodsA 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.

resultsOverall 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.

conclusionCAM 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.

Indexed as

Complementary TherapiesPediatricsAcademic Medical CentersAdolescentCanadaChildChild, PreschoolDatabases, FactualFemaleHealth Care SurveysHospitals, PediatricHumansMaleNervous System DiseasesOntario

Identifiers

PMID24736474
PMCPMC3988088
OpenAlexW2036785231

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.