Perceptions of complementary, alternative, and integrative medicine: Insights from a large-scale international cross-sectional survey of surgery researchers and clinicians.

Background: Given the potential benefits of complementary, alternative, and integrative medicine (CAIM) in perioperative care and the high prevalence of their use alongside conventional treatments, understanding perceptions of CAIM during surgery is important. Methods: A survey was conducted among authors who published in surgery journals. 40 074 clinicians and researchers were invited to participate. The survey included questions about demographics and CAIM perceptions. Results: The survey received 599 responses, with most identifying as both researchers and clinicians (n = 331, 55.3 %). Mind-body therapies (n = 212, 47.1 %) were considered the most promising CAIM areas for surgery. Most respondents believed CAIM therapies are safe (n = 184, 46.2 %) but were uncertain about their effectiveness (n = 153, 38.6 % disagreed and n = 169, 42.7 % were neutral). Many agreed on the value of CAIM research (n = 310, 77.9 %), increased funding (n = 224, 55.9 %), and clinician training through formal (n = 215, 52.9 %) and supplementary (n = 246, 61.8 %) education. Conclusions: Surgery clinicians and researchers show strong interest in more CAIM education and research. This study's findings can guide the development of resources and training programs to improve CAIM knowledge and perceptions.