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Use of Complementary and Alternative Medicine Among Pediatric Ophthalmology Patients in San Diego, California
Abstract
Objectives: Complementary and Alternative Medicine (CAM) has become increasingly common in pediatrics. While previous studies have evaluated pediatric CAM use across various subspecialties, estimates regarding pediatric CAM use in ophthalmology are lacking. This study explores CAM use among pediatric ophthalmology patients in a pediatric ophthalmology practice.
Methods: 609 self-report questionnaires were distributed to parents whose children were seen at the University of California, San Diego / Ratner Children’s Eye Center between July 2009 and January 2010. The survey included questions regarding demographic information of the parent, eye condition of the child, and CAM use by the child. The two main outcomes were CAM use in the past and preference for CAM use in the future.
Results: 126 surveys were included in the final analysis. Overall, 11% of parents reported previous CAM use for their child’s eye condition, and 44% of parents indicated a preference for CAM use for their child’s eye condition, depending on the side effects. Logistic regression revealed that past CAM use was not associated with the parent’s race, gender, or level of education. However, CAM preference was negatively associated with the parent’s level of education (p = 0.045).
Discussion: As with other pediatric subspecialties, treatment of children with CAM is common in pediatric ophthalmology. Given the significant number of parents who reported using CAM and/or a preference for CAM, our results emphasize the need for all pharmacists, ophthalmologists, and pediatricians to discuss CAM use with patients and their families.
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References
What is Complementary and Alternative Medicine? [Internet]. Bethesda (MD): National Center for Complementary and Alternative Medicine; 2008 [updated 2012 May; cited 2 June 2012]. Available from http:nccam.nih.gov.
Barnes, P.M., Bloom, B. & Nahin, R.L. (2008). Complementary and alternative medicine among adults and children: United States, 2007. National Health Statistics Report 12 (12) 1-23.
Pitetti, R., Singh, S., Hornyak, D., Garcia, S.E. & Herr, S. (2001). Complementary and alternative medicine use in children. Pediatric Emergency Care 17 (3) 165-169.
Sawni, A., Ragothaman, R., Thomas, R.L. & Mahajan, P. (2007). The use of complementary/alternative therapies among children attending an urban pediatric emergency department. Clinical Pediatrics 46 (1) 36-41.
Loman, D.G. (2003). The use of complementary and alternative health care practices among children. Journal of Pediatric Health Care 17 (2) 58-63.
Ottolini, M.C., Hamburger, E.K., Loprieato, J.O., Coleman, R.H., Sachs, H.C., Madden, R. & Brasseux, M.A. (2001). Complementary and alternative medicine use among children in the Washington, DC Area. Ambulatory Pediatrics 1 (2)122-125.
Sawni-Sikand, A., Schubiner, H. & Thomas, R.L. (2002). Use of complementary/alternative therapies among children in primary care pediatrics. Ambulatory Pediatrics 2 (2) 99-103.
McCann, L.J. & Newell, S.J. (2006). Survey of paediatric complementary and alternative medicine use in health and chronic illness. Archives of Disease in Childhood 91 (2)173-174.
Ball, S.D., Kertesz, D. & Moyer-Mileur, L.J. (2005). Dietary supplement use is prevalent among children with a chronic illness. Journal of the American Dietetic Association 105 (1) 78-84.
Kemper, K.J., Vohra, S. & Walls, R. (2008). The use of complementary and alternative medicine in pediatrics. Pediatrics 122 (6) 1374-1386.
Verd, S. (2007). Switch from antibiotic eye drops to instillation of mother's milk drops as a treatment of infant epiphora. Journal of Tropical Pediatrics 53 (1) 68-69.
Schlager, A., Boehler, M. & Puhringer, F. (2000). Korean hand acupressure reduces postoperative vomiting in children after strabismus surgery. British Journal of Anaesthesia 85 (2) 267-270.
Zhao, J., Lam, D.S., Chen, L.J., Wang, Y., Zheng, C., Lin, Q., Rao, S.K., Fan, D.S., Zhang, M., Leung, P.C. & Ritch, R. (2010). Randomized controlled trial of patching vs acupuncture for anisometropic amblyopia in children aged 7 to 12 years. Archives of Ophthalmology 128 (12) 1510-1517.
Lam, D.S., Zhao, J., Chen, L.J., Wang, Y., Zheng, C., Lin, Q., Rao, S.K., Fan, D.S., Zhang, M., Leung, P.C. & Ritch, R. (2011). Adjunctive effect of acupuncture to refractive correction on anisometropic amblyopia: one-year results of a randomized crossover trial. Ophthalmology 118 (8) 1501-1511.
Gunasekera, V., Ernst, E. & Ezra, D.G. (2008). Systematic internet-based review of complementary and alternative medicine for glaucoma. Ophthalmology 115, 435-439.
Fraunfelder, F.W. (2004). Ocular side effects from herbal medicines and nutritional supplements. American Journal of Ophthalmology 138 (4) 639-647.
Kang, K.D., Kang, S.M. & Yim, H.B. (2008). Herbal medication aggravates cataract formation: a case report. Journal of Korean Medical Science 23 (3) 537-539.
Yorston, D. & Foster, A. (1994). Traditional eye medicines and corneal ulceration in Tanzania. American Journal of Tropical Medicine and Hygiene 97 (4) 211-214.
Foster, A. & Johnson, G.G. (1994). Traditional eye medicines - good or bad news? British Journal of Ophthalmology 78 (11) 807.
Lewallen, S. & Courtright, P. (1995). Peripheral corneal ulcers associated with use of African traditional eye medicines. British Journal of Ophthalmology 79 (4) 343-346.
Foster, A. & Sommer, A. (1987). Corneal ulceration, measles, and childhood blindness in Tanzania. British Journal of Ophthalmology 71 (5) 331-343.
Ukponmwan, C.U. & Momoh, N. (2010). Incidence and complications of traditional eye medications in Nigeria in a teaching hospital. Middle East African Journal of Ophthalmology 17 (4) 315-319.
Chana, H.S., Schwab, L. & Foster, A. (1994). With an eye to good practice: traditional healers in rural communities. World Health Forum 15 (2) 144-146.
West, A.L., Fetters, M.D., Hemmila, M.R., Gorenflo, D.W., Kiyota, A. & Moroi-Fetters, S. (2005). Herb and vitamin supplementation use among a general ophthalmology practice population. American Journal of Ophthalmology 139 (3) 522-529.
Wan, M.J., Daniel, S., Kassam, F., Mutti, G., Butty, Z., Kasner, O., Trope, G.E. & Buys, Y.M. (2012). Survey of complementary and alternative medicine use in glaucoma patients. Journal of Glaucoma 21 (2) 79-82.
Rhee, D.J., Spaeth, G.L., Myers, J.S., Steinmann, W.C., Augsburger, J.J., Shatz, L.J., Terebuh, A.K., Ritner, J.A. & Katz, L.J. (2002). Prevalence of the use of complementary and alternative medicine for glaucoma. Ophthalmology 109 (3) 438-443.
Ritch, R. (2005). Complementary therapy for the treatment of glaucoma: a perspective. Ophthalmology Clinics of North America 18 (4) 597-609.
Mozaffarieh, M., Grieshaber, M.C., Orgul, S. & Flammer, J. (2008). The potential value of natural antioxidative treatment in glaucoma. Survey of Ophthalmology 53 (5) 479-505.
Krishnadev, N., Meleth, A.D. & Chew, E.Y. (2010). Nutritional supplements for age-related macular degeneration. Current Opinion in Ophthalmology 21 (3)184-189.
West, A.L., Oren, G.A. & Moroi, S.E. (2006). Evidence for the use of nutritional supplements and herbal medicines in common eye diseases. American Journal of Ophthalmology 141 (1) 157-166.
Age-Related Eye Disease Study Research Group. (2011). A randomized, placebo-controlled, clinical trial of high-dose supplementation with vitamins C and E, beta carotene, and zinc for age-related macular degeneration and vision loss: AREDS report no. 8. Archives of Ophthalmology 119, 1417-1436.
Birdee, G.S., Phillips, R.S., Davis, R.B. & Gardiner, P. (2010). Factors associated with pediatric use of complementary and alternative medicine. Pediatrics 125 (2) 249-256.
DOI: http://dx.doi.org/10.5750/ejpch.v2i3.738
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