Utilization of integrative medicine differs by age among pediatric oncology patients Journal Article
| Authors: | Yun, H.; Romero, S. A. D.; Record, B.; Kearney, J.; Raghunathan, N. J.; Sands, S.; Mao, J. J. |
| Article Title: | Utilization of integrative medicine differs by age among pediatric oncology patients |
| Abstract: | Purpose: Coping with symptoms related to cancer treatment is challenging for pediatric patients with cancer and their caregivers. Additionally, caring for pediatric patients requires specialized expertise to incorporate age-appropriate interventions to improve outcomes. Despite the increase in pediatric inpatient integrative medicine (IM) therapies, there is a paucity of knowledge about whether the utilization of IM therapies differs by patient age. Methods: We conducted a retrospective analysis on IM utilization among pediatric inpatients between 2008 and 2016 in a tertiary urban cancer center using electronic medical records. Multivariable logistic regression models examined the relationship between age and specific type of IM utilization, adjusting for specific demographic factors. Results: Between 2008 and 2016, the pediatric inpatient IM service had 20 686 visits and treated 1877 unique patients. A significant age difference (P < 0.001) by modality was noted: dance therapy (mean age ± standard deviation: 5.9 ± 5.3 years), music therapy (8.0±7.0 years), mind–body therapies (13.0 ± 7.7 years), massage (14.5 ± 7.8 years), and acupuncture (20.0 ± 7.9 years). In multivariable analysis, the association between age and use of specific IM therapies remained significant (P < 0.001 for all). Conclusion: Specific types of inpatient IM therapy usage significantly differed by the age of pediatric patients with cancer; therefore, designing and providing age-appropriate IM interventions with consideration for developmental stage are needed to ensure that the most appropriate and effective therapies are provided to children with cancer. © 2019 Wiley Periodicals, Inc. |
| Keywords: | child; music therapy; acupuncture; integrative medicine; massage; pediatric oncology; inpatients; dance therapy; mind–body therapies |
| Journal Title: | Pediatric Blood and Cancer |
| Volume: | 66 |
| Issue: | 6 |
| ISSN: | 1545-5009 |
| Publisher: | Wiley Periodicals, Inc |
| Date Published: | 2019-06-01 |
| Start Page: | e27639 |
| Language: | English |
| DOI: | 10.1002/pbc.27639 |
| PROVIDER: | scopus |
| PUBMED: | 30706689 |
| PMCID: | PMC6866674 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 May 2019 -- Source: Scopus |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work