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The Current State of Clinical Practice Guidelines on Complementary and Alternative Medicine in Paediatrics in Countries except East Asia

동아시아를 제외한 국가에서 보완대체의학 중재를 포함한 소아 대상 임상진료지침의 현황 보고

  • Shim, Soo Bo (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Lee, Ju Ah (Hwa-pyeong Institute of Integrative Medicine) ;
  • Lee, Hye Lim (Department of Pediatrics, College of Korean Medicine, Daejeon University)
  • 심수보 (대전대학교 한의과대학 한방소아과학교실) ;
  • 이주아 (화평통합의학연구소) ;
  • 이혜림 (대전대학교 한의과대학 한방소아과학교실)
  • Received : 2020.04.20
  • Accepted : 2020.05.18
  • Published : 2020.05.31

Abstract

Objectives Although clinical practice guidelines (CPGs) are becoming crucial in medical decision-making worldwide, there are very few development guidelines for children. Therefore, this preliminary study aimed to assess the status of worldwide except east asia-CPGs recommending complementary and alternative medicine interventions (CAM-i) in children worldwide except east asia in order to help developing Korean medicine CPGs (KMCPGs) for children. Methods To identify the current status of CPGs including CAM-i that have been developed so far, the author searched the related databases, and selected CPGs for children. The data related to the status of evidence-based CPGs, the materials related to the characteristics of CAM-i, and the details of recommendations for CAM-i were selected from the obtained findings. Results A total of 106 CPGs were identified based on the searches, of which 11 were finally selected as pediatric CPGs. These pediatric CPGs have been developed since 2007 to target various diseases. The countries developing these CPGs include the United Kingdom, Scotland, Australia, and the United States, with the U.K. having the largest share. The majority of CPGs used MEDLINE, Embase, and Cochrane library as databases. The most frequently recommended topic was acupuncture, followed by herbal medicine. Many CPGs suggested that more research was needed. Conclusions Through this study, the author was able to identify the characteristics of the developed pediatric CPGs that include CAM-i. More preceding studies are needed for the development of pediatric KMCPGs. It is hoped that this report can be used as the foundation for future development of pediatric KMCPGs.

Keywords

References

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