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Riera R, Braga VL, Rocha LPDS, Bernardo DD, de Andrade LAF, Hsu JC, da Silva LDGM, Suetsugu RCDS, Dittrich NH, de Lima LRP, da Silveira VP, Kruglensky BC, Leonel LDF, Barros EDM, da Costa AALF, Quintella ML, Pacheco RL, Cruz CDO, Martimbianco ALC, Pachito DV, Mozetic V, Teixeira TDBF, Torloni MR, Atallah AN. What do Cochrane systematic reviews say about new practices on integrative medicine? SAO PAULO MED J 2018; 136:251-261. [PMID: 29947699 PMCID: PMC9907739 DOI: 10.1590/1516-3180.2018.0172170418] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Accepted: 04/17/2018] [Indexed: 11/22/2022] Open
Abstract
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.
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Affiliation(s)
- Rachel Riera
- 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.
| | - Vinícius Lopes Braga
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Luana Pompeu dos Santos Rocha
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Daniel Damasceno Bernardo
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Luísa Avelar Fernandes de Andrade
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Jessica Chiu Hsu
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | | | - Rodrigo Cesar de Sá Suetsugu
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Nicole Hosni Dittrich
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Lucas Riguete Pereira de Lima
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Vicente Penido da Silveira
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Barbara Caon Kruglensky
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Letícia de Freitas Leonel
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Edivando de Moura Barros
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | | | - Miguel Lins Quintella
- Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
| | - Rafael Leite Pacheco
- MD. Postgraduate Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp), and Assistant Researcher, Cochrane Brazil, São Paulo (SP), Brazil.
| | - Carolina de Oliveira Cruz
- MSc. Psychologist; Postgraduate Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp); and Assistant Researcher, Cochrane Brazil, São Paulo (SP), Brazil.
| | - Ana Luiza Cabrera Martimbianco
- MSc, PhD. Physiotherapist; Postdoctoral Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp); and Volunteer Researcher, Cochrane Brazil, São Paulo (SP), Brazil.
| | - Daniela Vianna Pachito
- MD, MSc. Neurologist; Postgraduate Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp); and Assistant Researcher, Cochrane Brazil, São Paulo (SP), Brazil.
| | - Vania Mozetic
- MD. Ophthalmologist; Postgraduate Student, Evidence-Based Health Program, Universidade Federal de São Paulo (Unifesp); and Volunteer, Cochrane Brazil, São Paulo (SP), Brazil.
| | - Tatiana de Bruyn Ferraz Teixeira
- 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.
| | - Maria Regina Torloni
- 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.
| | - Alvaro Nagib Atallah
- 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.
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