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KMID : 0363420200340020075
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Journal of Korean Oriental Pediatrics
2020 Volume.34 No. 2 p.75 ~ p.85
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The Current State of Clinical Practice Guidelines on Complementary and Alternative Medicine in Pediatrics in Countries except East Asia
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Shim Soo-Bo
Lee Ju-Ah
Lee Hye-Lim
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Abstract
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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.
Received: April 20, 2020 ? Revised: May 14, 2020 ? Accepted: May 18, 2020 Corresponding Author: Hye Lim Lee Department of Korean Pediatrics, Daejeon Korean Medicine Hospital of Daejeon, 75, Daedeok-daero 176beon-gil, Seo-gu, Daejeon, Republic of Korea Tel: +82-42-470-9138 / Fax: +82-42-477-9007 E-mail: hanilim03@gmail.com ⓒ The Association of Pediatrics of Korean Medicine. All rights reserved. This is an open-access article distributed under the tenus of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
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KEYWORD
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Clinical practice guideline, Korean medicine clinical practice guideline, Paediatric clinical practice guideline, Complementary and alternative medicine
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