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

Authors

Keywords:

Review [publication type], Public health administration, Evidence-based medicine, Integrative medicine, Health policy

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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Author Biographies

Rachel Riera, Universidade Federal de São Paulo. Cochrane Brazil

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, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Luana Pompeu dos Santos Rocha, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Daniel Damasceno Bernardo, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Luísa Avelar Fernandes de Andrade, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Jessica Chiu Hsu, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Luciana Di Giovanni Marques da Silva, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Rodrigo Cesar de Sá Suetsugu, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Nicole Hosni Dittrich, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Lucas Riguete Pereira de Lima, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Vicente Penido da Silveira, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Barbara Caon Kruglensky, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Letícia de Freitas Leonel, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Edivando de Moura Barros, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Anderson Adriano Leal Freitas da Costa, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Miguel Lins Quintella, Universidade Federal de São Paulo. Cochrane Brazil

Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Rafael Leite Pacheco, Universidade Federal de São Paulo. Cochrane Brazil

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, Universidade Federal de São Paulo. Cochrane Brazil

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, Universidade Federal de São Paulo. Cochrane Brazil

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, Universidade Federal de São Paulo. Cochrane Brazil

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, Universidade Federal de São Paulo. Cochrane Brazil

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, Universidade Federal de São Paulo. Cochrane Brazil

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, Universidade Federal de São Paulo. Cochrane Brazil

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, Universidade Federal de São Paulo. Cochrane Brazil

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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Published

2018-06-07

How to Cite

1.
Riera R, Braga VL, Rocha LP dos S, Bernardo DD, Andrade LAF de, Hsu JC, Silva LDGM da, Suetsugu RC de S, Dittrich NH, Lima LRP de, Silveira VP da, Kruglensky BC, Leonel L de F, Barros E de M, Costa AALF da, Quintella ML, Pacheco RL, Cruz C de O, Martimbianco ALC, Pachito DV, Mozetic V, Teixeira T de BF, Torloni MR, Atallah AN. What do Cochrane systematic reviews say about new practices on integrative medicine?. Sao Paulo Med J [Internet]. 2018 Jun. 7 [cited 2025 Mar. 9];136(3):251-6. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/1338

Issue

Vol. 136 No. 3 (2018)

Section

Narrative Review

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