Volume 40 Supplement 1

70th Congress of the Italian Society of Pediatrics

Open Access

Complementary medicine and chronic disease: preliminary results

  • Gianfranco Trapani1Email author,
  • Luisella Zanino1,
  • Gianna Gabbanelli1,
  • Stefano Gandus1,
  • Maurizio Annibalini1,
  • Pietro Prandi1,
  • Gaetano M Miccichè1,
  • Maurizio Calzavara1,
  • Domenico Careddu2,
  • Sara Griseri2,
  • Mariuccia Ventura2,
  • Isabella Villa2,
  • Illary Sbizzera3 and
  • GianPaolo Salvioli4
Italian Journal of Pediatrics201440(Suppl 1):A70

https://doi.org/10.1186/1824-7288-40-S1-A70

Published: 11 August 2014

Background

The Study Group in Complementary and Alternative Medicines of the Italian Society of Pediatrics (SIP) has an ongoing study to assess how the relationship between families and pediatricians, who also prescribe Complementary and Alternative Medicine (CAM) affect on therapies of children with Chronic Diseases (CD) The study, which began in January 2014, will end in July 2014.

Materials and methods

Pediatricians administered a questionnaire to families with children affected by CD when they go into ambulatory. The questionnaire assesses the role of CAM requested by the family with regard to the natural history of the disease and the possible Adverse Effect (EA).

They came to our observation (March 2014) 121 Questionnaires. Among these, 109 (90.1%) were found to be suitable for the study. The diseases most frequently identified were: diabetes, inflammatory bowel disease (IBD), cancers, celiac disease, rheumatic diseases, disorders of conduct (DC) such as ADHD, autism, and other DC, cystic fibrosis, and epilepsy.

In addition, 27 families had 36 children (33.0% of cases) affected by other diseases, among them S. Peutz Jeghers, S. Kartegener, primary TBC complex, visually impaired ocular albinism (X gene locus 22), acute lymphoblastic leukemia with removal of colon and rectal anastomosis ileum, Beta sarcoglycanopathy, May Hegglin syndrome (hereditary thrombocytopenia).

Results

The families who consulted a pediatrician expert in CAM and conventional therapies (CT) have associated the two therapeutic techniques in 80, 7% (88 of 109 cases). 19.3% (21 of 109 cases) decided to leave temporarily or permanently therapies that followed, replacing them with the CAM. Of the 21 families who have abandoned CT, 13 (61.9%) had children with ADHD, autism and other DC, others have declared that have not been proposed therapies, but recommended "watchful waiting" (IBD, autoimmune inflammation of the thyroid, thrombocytopenia).

Of the 109 cases, 31.1% of parents [1] used CAM to enhance the effect of conventional therapy on the disease. 30.2% were not satisfied with the results obtained with the TC on the disease . 37.6% preferred to use CAM during acute illnesses not to take too many drugs .

Conclusion

Unlike the literature [2, 3] No EA was observed for CAM use in 109 cases observed

Authors’ Affiliations

(1)
Pediatra - Società di Medicina Bioterapica - SMB Italia
(2)
Pediatra di Libera scelta
(3)
Dottore in Scienze Statistiche
(4)
Professore Emerito Di Pediatria all'Università di Bologna

References

  1. Vlieger AM, van de Putte EM, Hoeksma H: The use of complementary and alternative medicine in children at a general paediatric clinic and parental reasons for use. Ned Tijdschr Geneeskd. 2006, 150: 625-30.PubMedGoogle Scholar
  2. Lim A, Cranswick N, South M: Adverse events associated with the use of complementary and alternative medicine in children. Arch Dis Child. 2011, 96: 297-300. 10.1136/adc.2010.183152.View ArticlePubMedGoogle Scholar
  3. Ernst E: Serious adverse effects of unconventional therapies for children and adolescents: a systematic review of recent evidence. Eur J Pediatr. 2003, 162: 72-80.PubMedGoogle Scholar

Copyright

© Trapani et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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