title: Complementary and alternative medicine use by pediatric specialty outpatients.
abstract: OBJECTIVE
  Complementary and alternative medicine (CAM) use is high among children and youth with chronic illnesses. The objective of this study was to assess the prevalence and patterns of CAM use in 10 subspecialty clinics in Canada and to compare CAM use between 2 geographically diverse locations.
  
  
  METHODS
  This survey was carried out at 1 Children's Hospital in western Canada (Edmonton) and 1 Children's Hospital in central Canada (Ottawa). Questionnaires were completed by parents in either French or English.
  
  
  RESULTS
  Although demographic characteristics of the 2 populations were similar, CAM use at the western hospital was 71% (n = 704) compared with 42% (n = 222) at the central hospital (P < .0001). Most respondents agreed or strongly agreed that they feel comfortable discussing CAM in their clinic. The most common CAM products currently used were multivitamins/minerals, herbal products, and homeopathic remedies. The most common CAM practices currently used were massage, chiropractic, relaxation, and aromatherapy. Eighty adverse effects were reported, and 55 (68.8%) of these were self-assessed as minor.
  
  
  CONCLUSIONS
  Results of this study indicate that CAM use is high among pediatric specialty clinic outpatients and is much greater in the western than in the central hospital. Most respondents felt that their CAM use was helpful with few or no harms associated. Many patients, using CAM alongside their conventional medicines, are still not discussing their CAM use with their physicians and are increasing the likelihood for potential interactions and preventable harms.
authors: Department of Pediatrics, Faculty of Medicine & Dentistry and School of Public Health, University of Alberta, 8B19-11111 Jasper Ave, Edmonton General Hospital, Edmonton, AB, Canada T5K 0L4.svohra@ualberta.ca
authors: Denise
authors: D
authors: Adams
authors: Simon
authors: S
authors: Dagenais
authors: Tammy
authors: T
authors: Clifford
authors: Lola
authors: L
authors: Baydala
authors: W James
authors: WJ
authors: King
authors: Marilou
authors: M
authors: Hervas-Malo
authors: David
authors: D
authors: Moher
authors: Sunita
authors: S
authors: Vohra
mesh_terms: D000293:Adolescent; D000416:Alberta; D002648:Child; D002908:Chronic Disease / Q000453:epidemiology* / Q000628:therapy*; D003131:Combined Modality Therapy / Q000706:statistics & numerical data; D000529:Complementary Therapies / Q000009:adverse effects / Q000706:statistics & numerical data*; D003258:Consumer Behavior; D005260:Female; D006302:Health Services Research / Q000706:statistics & numerical data; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008511:Medicine / Q000706:statistics & numerical data*; D009864:Ontario; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data; D010372:Pediatrics / Q000706:statistics & numerical data*; D062606:Tertiary Care Centers / Q000706:statistics & numerical data; D014600:Utilization Review / Q000706:statistics & numerical data