What do Cochrane systematic reviews say about new practices on integrative medicine?

Autor:	Riera R; MD, MSc, PhD. Rheumatologist; Adjunct Professor, Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp); and Researcher, Cochrane Brazil, São Paulo (SP), Brazil., Braga VL; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Rocha LPDS; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Bernardo DD; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Andrade LAF; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Hsu JC; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Silva LDGMD; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Suetsugu RCS; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Dittrich NH; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Lima LRP; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Silveira VPD; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Kruglensky BC; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Leonel LF; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Barros EM; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Costa AALFD; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Quintella ML; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil., Pacheco RL; MD. Postgraduate Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp), and Assistant Researcher, Cochrane Brazil, São Paulo (SP), Brazil., Cruz CO; MSc. Psychologist; Postgraduate Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp); and Assistant Researcher, Cochrane Brazil, São Paulo (SP), Brazil., Martimbianco ALC; MSc, PhD. Physiotherapist; Postdoctoral Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp); and Volunteer Researcher, Cochrane Brazil, São Paulo (SP), Brazil., Pachito DV; MD, MSc. Neurologist; Postgraduate Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp); and Assistant Researcher, Cochrane Brazil, São Paulo (SP), Brazil., Mozetic V; MD. Ophthalmologist; Postgraduate Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp); and Volunteer, Cochrane Brazil, São Paulo (SP), Brazil., Teixeira TBF; Journalist; Professor, Fundação Casper Libero, São Paulo (SP); Postgraduate Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp); and Volunteer, Cochrane Brazil, São Paulo (SP), Brazil., Torloni MR; MD, MSc, PhD. Obstetrician; Affiliated Professor, Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp); and Researcher, Cochrane Brazil, São Paulo (SP), Brazil., Atallah AN; MD, MSc, PhD. Nephrologist; Full Professor, Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp); and Director, Cochrane Brazil, São Paulo (SP), Brazil.
Jazyk:	angličtina
Zdroj:	Sao Paulo medical journal = Revista paulista de medicina [Sao Paulo Med J] 2018 May-Jun; Vol. 136 (3), pp. 251-261. Date of Electronic Publication: 2018 Jun 25.
DOI:	10.1590/1516-3180.2018.0172170418
Abstrakt:	Background: This study identified and summarized all Cochrane systematic reviews (SRs) on the effects of ten integrative practices that were recently added to the Brazilian public healthcare system (SUS). Design and Setting: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp). Methods: Review of Cochrane SRs on the following interventions were identified, summarized and critically assessed: apitherapy, aromatherapy, bioenergetics, family constellation, flower therapy, chromotherapy, geotherapy, hypnotherapy, hand imposition or ozone therapy. Results: We included a total of 16 SRs: 4 on apitherapy, 4 on aromatherapy, 6 on hypnotherapy and 2 on ozone therapy. No Cochrane SR was found regarding bioenergetics, family constellation, chromotherapy, clay therapy, flower therapy or hand imposition. The only high-quality evidence was in relation to the potential benefit of apitherapy, specifically regarding some benefits from honey dressings for partial healing of burn wounds, for reduction of coughing among children with acute coughs and for preventing allergic reactions to insect stings. Conclusion: Except for some specific uses of apitherapy (honey for burn wounds and for acute coughs and bee venom for allergic reactions to insect stings), the use of ten integrative practices that have recently been incorporated into SUS does not seem to be supported by evidence from Cochrane SRs.
Databáze:	MEDLINE
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