Weyl Ben Arush Myriam, Geva Hana, Ofir Ruth, Mashiach Tania, Uziel Rachel, Dashkovsky Zana
Pediatric Hematology Oncology Department, Meyer Children's Hospital, Rambam Medical Center, Haifa, Israel.
J Pediatr Hematol Oncol. 2006 Mar;28(3):141-6. doi: 10.1097/01.mph.0000210404.74427.10.
Complementary alternative medicine (CAM) usage and physicians' attitude was evaluated by interviewing all 100 pediatric cancer patients' parents and adolescents seen in the last half of 2003 at Meyer Children's Hospital in Israel. Sixty-one percent of the patients used CAM, an average of 3 different treatments per patient. CAM use was higher: among parents having previous CAM experience (85% vs. 51%, P=0.001) and higher education (79% vs. 50%, P=0.024), and in nonreligious families (71% vs. 50%). Jews and Arabs had similar CAM use rates as with different types of therapies. Socioeconomic status does not affect the rate of CAM use (P=0.9) but does affect the type of treatments used: patients of the higher socioeconomic level mainly used chemi-biological remedies and homeopathy (24% and 28% of interviewees; P=0.002). Middle or lower socioeconomic patients mostly used traditional Arab treatments (32% and 54%, respectively; P=0.012). Only 36% discussed it with their physicians, and most discussions were initiated by parents (79%). Beneficial effect was reported by 69% of CAM users. Most interviewees were interested in getting CAM information and availability in the hospital. Most pediatric cancer patients, regardless of their ethnic origin, use CAM without informing their physicians. Physicians should be aware and know more about it, to be advisors for better integrated care.
通过对2003年下半年在以色列迈耶儿童医院就诊的100名儿科癌症患者的家长及青少年进行访谈，对补充替代医学（CAM）的使用情况及医生的态度进行了评估。61%的患者使用了补充替代医学，平均每名患者使用3种不同的治疗方法。补充替代医学的使用率在以下人群中更高：有补充替代医学既往经历的家长（85%对51%，P=0.001）、受过高等教育的家长（79%对50%，P=0.024）以及非宗教家庭（71%对50%）。犹太人和阿拉伯人在补充替代医学的使用率以及不同类型疗法的使用上相似。社会经济地位不影响补充替代医学的使用率（P=0.9），但会影响所使用治疗方法的类型：社会经济水平较高的患者主要使用化学 - 生物疗法和顺势疗法（分别占受访者的24%和28%；P=0.002）。社会经济水平中等或较低的患者大多使用传统阿拉伯疗法（分别为32%和54%；P=0.012）。只有36%的患者与医生讨论过补充替代医学，且大多数讨论由家长发起（79%）。69%的补充替代医学使用者报告有有益效果。大多数受访者有兴趣在医院获取补充替代医学的信息及相关服务。大多数儿科癌症患者，无论其种族出身如何，在未告知医生的情况下使用补充替代医学。医生应予以关注并更多了解这方面情况，以便成为提供更好综合治疗的顾问。
