Expert consensus-based clinical recommendation for an integrative anthroposophic treatment of acute bronchitis in children: A Delphi survey.

Autor: Wopker PM; Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313, Herdecke, Germany; Witten/Herdecke University, Faculty of Health, Alfred-Herrhausen-Straße 50, 58455, Witten, Germany., Schwermer M; Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313, Herdecke, Germany; Witten/Herdecke University, Faculty of Health, Alfred-Herrhausen-Straße 50, 58455, Witten, Germany. Electronic address: M.Schwermer@gemeinschaftskrankenhaus.de., Sommer S; Department of Pediatrics, Vestische Kinder- und Jugendklinik Datteln, Dr.-Friedrich-Steiner-Straße 5, 45711, Datteln, Germany., Längler A; Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313, Herdecke, Germany; Witten/Herdecke University, Faculty of Health, Alfred-Herrhausen-Straße 50, 58455, Witten, Germany., Fetz K; Department of Psychology, Chair of Research Methodology and Statistics in Psychology, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58455, Witten, Germany., Ostermann T; Department of Psychology, Chair of Research Methodology and Statistics in Psychology, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58455, Witten, Germany., Zuzak TJ; Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Gerhard-Kienle-Weg 4, 58313, Herdecke, Germany; Department of Pediatric Oncology and Hematology, University of Duisburg-Essen, Hufelandstr.55, 45147, Essen, Germany.
Jazyk: angličtina
Zdroj: Complementary therapies in medicine [Complement Ther Med] 2021 Aug; Vol. 60, pp. 102736. Date of Electronic Publication: 2021 May 28.
DOI: 10.1016/j.ctim.2021.102736
Abstrakt: Background: Acute bronchitis is one of the most common pediatric diseases. In addition to conventional therapies, a frequent use of complementary and alternative medicine (CAM) has been stated. Anthroposophic medicine (AM) is one of the most practiced complementary and integrative medicine (CIM) approaches in Central Europe but hitherto no consensus-based clinical recommendations or guidelines are available. Therefore, a consensus-based recommendation leading to an informed and reasonable use of AM in the treatment of acute bronchitis in pediatrics was developed.
Methods: A total of 61 physicians in Germany with expertise in the field of anthroposophic pediatrics was invited to complete an online multistep Delphi process. Two independent reviewers quantitatively and qualitatively evaluated the results. The survey was completed when >75 % consensus was achieved.
Results: The clinical recommendation comprises 15 subitems related to treatment as well as clinical and psychosocial aspects. All items reached strong consensus (>90 %; N = 9) or consensus (75-90 %; N = 6).
Conclusion: The comprehensive clinical recommendation creates a scientific base for the anthroposophic integrative treatment of acute bronchitis in children in Germany. It will make the anthroposophic approach more applicable, understandable and comparable to a wider public of physicians and other health professionals in Germany.
(Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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