title: How effective are spiritual care and body manipulation therapies in pediatric oncology? A systematic review of the literature.
abstract: BACKGROUND
  The effects of cancer and associated treatments have a considerable impact on the well-being and quality of life of pediatric oncology patients. To support children and their families, complementary and alternative medicines are seen by nurses and doctors as practical to integrate to the services offered by hospitals.
  
  
  OBJECTIVE
  The purpose of this paper is to examine if the practice of complementary and alternative medicine, specifically spiritual care and treatments based on body manipulation, is likely to improve the health and well-being of children suffering from cancer.
  
  
  METHODS
  This objective is achieved through a systematic review of the literature. The level of evidence associated with each practice of complementary and alternative medicine was assessed according to the methodological design used by the studies reviewed.
  
  
  CONCLUSIONS
  Studies reviewed are of a methodological quality that could be described as fair due to the small sample size of patients and the existence of a number of biases in the conduct and analysis of these studies. However, results obtained are consistent from one study to another, allowing us to make certain recommendations. It is thus advisable to consider the introduction of hypnotherapy in pediatric oncology services. Based on the data collected, it is the complementary and alternative medicine with the most evidence in favor of effectiveness of the well-being of pediatric oncology patients, especially during painful procedures. It is also recommended to use art therapy and music therapy. Conversely, too little evidence is present to be able to recommend the use of acupuncture, chiropractic or osteopathy.
authors.affiliation: UETMIS - CHUS. tpoder.chus@ssss.gouv.qc.ca.
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Poder
authors.forename: Renald
authors.initials: R
authors.lastname: Lemieux
mesh_terms: D000529:Complementary Therapies; D006801:Humans; D026201:Musculoskeletal Manipulations; D009369:Neoplasms / Q000628:therapy*; D010372:Pediatrics / Q000379:methods*; D026443:Spiritual Therapies