Complementary and alternative medicine: attitudes, knowledge and use among surgeons and anaesthesiologists in Hungary.
BACKGROUND
Despite their worldwide popularity the question of using non-conventional treatments is a source of controversy among medical professionals. Although these methods may have potential benefits it presents a problem when patients use non-conventional treatments in the perioperative period without informing their attending physician about it and this may cause adverse events and complications. To prevent this, physicians need to have a profound knowledge about non-conventional treatments.


METHODS
An anonymous questionnaire was distributed among surgeons and anaesthesiologists working in Hungarian university clinics and in selected city or county hospitals. Questionnaires were distributed by post, online or in person. Altogether 258 questionnaires were received from 22 clinical and hospital departments.


RESULTS
Anaesthesiologists and surgeons use reflexology, Traditional Chinese Medicine, herbal medicine and manual therapy most frequently in their clinical practice. Traditional Chinese Medicine was considered to be the most scientifically sound method, while homeopathy was perceived as the least well-grounded method. Neural therapy was the least well-known method among our subjects. Among the subjects of our survey only 3.1 % of perioperative care physicians had some qualifications in non-conventional medicine, 12.4 % considered themselves to be well-informed in this topic and 48.4 % would like to study some complementary method. Women were significantly more interested in alternative treatments than men, p = 0.001427; OR: 2.2765. Anaesthesiologists would be significantly more willing to learn non-conventional methods than surgeons. 86.4 % of the participants thought that non-conventional treatments should be evaluated from the point of view of evidence. Both surgeons and anaesthesiologists accept the application of integrative medicine and they also approve of the idea of teaching these methods at universities.


CONCLUSIONS
According to perioperative care physicians, non-conventional methods should be evaluated based on evidence. They also expressed a willingness to learn about those treatments that meet the criteria of evidence and apply these in their clinical practice.
1st Department of Surgery, Semmelweis University, Budapest, Hungary. soossandormd@gmail.com.
Sándor Árpád
SÁ
Soós
MTA NAP-B Molecular Neuroendocrinology Group, Institute of Physiology, Szentágothai Research Centre, Centre for Neuroscience, University of Pécs, Pécs, Hungary.|Department of Genetics, Eötvös Loránd University, Budapest, Hungary.
Norbert
N
Jeszenői
1st Department of Surgery, Semmelweis University, Budapest, Hungary.|Department of Anaesthesiology and Intensive Therapy, Semmelweis University, Budapest, Hungary.
Katalin
K
Darvas
1st Department of Surgery, Semmelweis University, Budapest, Hungary.
László
L
Harsányi
D000328:Adult; D000758:Anesthesia; D000776:Anesthesiology; D001291:Attitude of Health Personnel; D000529:Complementary Therapies / Q000379:methods / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006814:Hungary; D055048:Integrative Medicine / Q000379:methods; D008297:Male; D008875:Middle Aged; D066231:Surgeons / Q000523:psychology*; D011795:Surveys and Questionnaires; D000078329:Workforce
Anaesthesiologist; CAM; Integrative medicine; Perioperative care; Surgeon