Integrative Medicine Across the Pediatric Cancer Care Trajectory: A Narrative Review.

IF 4.7 2区 医学 Q1 ONCOLOGY Current Oncology Reports Pub Date : 2024-06-01 Epub Date: 2024-05-11 DOI:10.1007/s11912-024-01538-1
Eran Ben-Arye, Noah Samuels, Georg Seifert, Orit Gressel, Raviv Peleg, Miek Jong
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Abstract

Purpose of the review: Children and adolescents with cancer, along with their parents and other informal caregivers, often report using complementary and alternative medicine (CAM) during active oncology and hemato-oncology treatment. Some adopt an "alternative" approach to conventional medical care, which often entails the use of these practices without the knowledge of the treating pediatrician. In contrast, many others search for consultation provided by a pediatric integrative oncology (IO) practitioner working with the conventional medical team. IO seeks to provide evidence-based complementary medicine therapies, many of which have been shown to augment conventional supportive and palliative care, while ensuring the patient's safety. The present narrative review examines the current state of and future direction for the IO setting of care.

Recent findings: A large body of published clinical research supports the effectiveness of leading Pediatric IO modalities, while addressing potential safety-related concerns. Despite the growing amount of clinical research supporting the beneficial effects and implementation of Pediatric IO models of care, there is still a need for further studies in order to establish clinical guidelines in the treatment of children and adolescents with cancer. Such IO-directed guidelines will need to address both the effectiveness and the safety of the CAM modalities being used in pediatric oncology and hemato-oncology settings, promoting a better understanding among pediatric healthcare professionals and helping them understand the indications for referral to the IO treatment service.

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儿科癌症护理轨迹中的整合医学:叙述性综述。
综述目的:患有癌症的儿童和青少年,以及他们的父母和其他非正式护理人员,经常报告在积极的肿瘤学和血液肿瘤学治疗期间使用补充和替代医学(CAM)。有些人采用 "替代 "传统医疗的方法,这往往需要在儿科医生不知情的情况下使用这些方法。与此相反,其他许多人则寻求儿科肿瘤综合治疗(IO)医生与传统医疗团队合作提供的咨询。综合肿瘤学旨在提供以证据为基础的补充医学疗法,其中许多疗法已被证明能够增强常规支持性治疗和姑息治疗,同时确保患者的安全。本叙述性综述探讨了IO护理的现状和未来发展方向:大量已发表的临床研究支持主要儿科 IO 方式的有效性,同时解决了潜在的安全相关问题。尽管越来越多的临床研究支持儿科 IO 护理模式的有益效果和实施,但仍有必要开展进一步研究,以制定治疗儿童和青少年癌症患者的临床指南。这种以 IO 为导向的指南需要同时解决儿科肿瘤学和血液肿瘤学环境中使用的 CAM 模式的有效性和安全性问题,促进儿科医疗保健专业人员更好地理解并帮助他们了解转诊至 IO 治疗服务的适应症。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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