title: Complementary and Alternative Medicine Use in Pediatric Hematology/Oncology Patients at the University of Mississippi Medical Center.
abstract: OBJECTIVE
  To examine the prevalence and modalities of complementary and alternative medicine (CAM) use in children with cancer and sickle cell disease; the reasons for use of CAM; and the use of CAM before, during, and after treatment in children with cancer.
  
  
  METHODS
  This single-center, observational study administered caregivers a written questionnaire regarding the use of CAM therapies.
  
  
  RESULTS
  A total of 101 caregivers completed questionnaires. Including prayer, total CAM use in oncology and sickle cell disease was 64% and 63%, respectively. Non-prayer CAM use was 30% in oncology and 23% in sickle cell disease. Of respondents who reported using any CAM, the three most commonly used types were prayer (62.3% oncology; 60.0% sickle cell disease), vitamins/minerals (14.8% oncology; 10.0% sickle cell disease), and massage (9.8% oncology; 7.5% sickle cell disease). The primary reasons for using CAM were to provide hope, to improve quality of life, and to lessen adverse effects. In oncology patients, CAM use tended to increase during treatment compared with before and after treatment.
  
  
  CONCLUSIONS
  The reported prevalence of non-prayer CAM use was lower (23%-30%) in this sample than has been reported in national samples or other geographic regions of the United States. Nonetheless, participants reported many positive reasons for using CAM, including to gain hope, improve quality of life, and control pain. Thus, CAM use appears to be an important aspect of medical care for many pediatric hematology/oncology families and should be a consideration when providers are discussing treatment and quality of care with families.
authors: 1 Department of Pediatrics, University of Mississippi Medical Center , Jackson, MS.
authors: Hanny C
authors: HC
authors: Sanchez
authors: 1 Department of Pediatrics, University of Mississippi Medical Center , Jackson, MS.
authors: Cynthia W
authors: CW
authors: Karlson
authors: 2 Department of Internal Medicine, Division of Hematology/Oncology, University of Mississippi , Medical Center, Jackson, MS.
authors: Johann H
authors: JH
authors: Hsu
authors: 1 Department of Pediatrics, University of Mississippi Medical Center , Jackson, MS.
authors: Andrew
authors: A
authors: Ostrenga
authors: 1 Department of Pediatrics, University of Mississippi Medical Center , Jackson, MS.
authors: Catherine
authors: C
authors: Gordon
mesh_terms: D000046:Academic Medical Centers / Q000706:statistics & numerical data*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008922:Mississippi; D009369:Neoplasms / Q000453:epidemiology / Q000628:therapy*; D016522:Oncology Service, Hospital / Q000706:statistics & numerical data*; D010372:Pediatrics / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires