Published online December 1, 2008
PEDIATRICS Vol. 122 No. 6 December 2008, pp. 1374-1386 (doi:10.1542/peds.2008-2173)
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CLINICAL REPORT

The Use of Complementary and Alternative Medicine in Pediatrics

Kathi J. Kemper, MD, MPH, Sunita Vohra, MD, Richard Walls, MD, PhD the Task Force on Complementary and Alternative Medicine the Provisional Section on Complementary, Holistic, and Integrative Medicine

The American Academy of Pediatrics is dedicated to optimizing the well-being of children and advancing family-centered health care. Related to these goals, the American Academy of Pediatrics recognizes the increasing use of complementary and alternative medicine in children and, as a result, the need to provide information and support for pediatricians. From 2000 to 2002, the American Academy of Pediatrics convened and charged the Task Force on Complementary and Alternative Medicine to address issues related to the use of complementary and alternative medicine in children and to develop resources to educate physicians, patients, and families. One of these resources is this report describing complementary and alternative medicine services, current levels of utilization and financial expenditures, and associated legal and ethical considerations. The subject of complementary and alternative medicine is large and diverse, and consequently, an in-depth discussion of each method of complementary and alternative medicine is beyond the scope of this report. Instead, this report will define terms; describe epidemiology; outline common types of complementary and alternative medicine therapies; review medicolegal, ethical, and research implications; review education and training for complementary and alternative medicine providers; provide resources for learning more about complementary and alternative medicine; and suggest communication strategies to use when discussing complementary and alternative medicine with patients and families.


Key Words: complementary • alternative • patient-centered • communication • ethics • epidemiology • health services • integrative

Abbreviations: NCCAM—National Center for Complementary and Alternative Medicine • NIH—National Institutes of Health • CAM—complementary and alternative medicine • AAP—American Academy of Pediatrics • TCM—traditional Chinese medicine • FDA—Food and Drug Administration • DSHEA—Dietary Supplements Health and Education Act • RCT—randomized, controlled trial



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