Advising Patients Who Seek Alternative Medical Therapies

@article{Eisenberg1997AdvisingPW,
  title={Advising Patients Who Seek Alternative Medical Therapies},
  author={David M Eisenberg},
  journal={Annals of Internal Medicine},
  year={1997},
  volume={127},
  pages={61-69}
}
  • D. Eisenberg
  • Published 1 July 1997
  • Medicine
  • Annals of Internal Medicine
Alternative therapies can be defined as medical interventions that are neither taught widely in U.S. medical schools nor generally available in U.S. hospitals [1]. Examples include chiropractic, acupuncture, massage, and homeopathy. In 1993, my colleagues and I reported that an estimated 60 million Americans used alternative medical therapies in 1990 at an estimated cost of $13.7 billion, that the estimated number of annual visits to providers of alternative medicine (425 million) exceeded the… Expand
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The current scientific medical literature on complementary and alternative medical (CAM) therapies commonly used by persons with cancer is summarized, focusing on evidence about disease progression and palliation rather than cancer prevention. Expand
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It is found that claims against chiropractors, massage therapists, and acupuncturists occurred less frequently and typically involved injury that was less severe than claims against physicians during the same period. Expand
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A suggested framework is provided, including asking the following questions: Do parents elect to abandon effective care when the child's condition is serious or life-threatening, and will use of the CAM therapy otherwise divert the child from imminently necessary conventional treatment. Expand
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With chronic musculoskeletal conditions being the leading indication for the use of alternative and complementary therapies, rheumatologists must become experts on talking to patients and advising them about the use or avoidance of such therapies. Expand
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This work presents two prototypical cases that illustrate the challenges already discussed as well as other ethical challenges that will arise as use of CAM therapies in the United States becomes even more common. Expand
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Legal rules relevant to potential malpractice liability for complementary and integrative care, a framework in which physicians can assess liability risk, and specific strategies for liability management are proposed are proposed. Expand
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The term CAM (Complementary and Alternative Medicine) is frequently used in this chapter and may be defined as interventions neither taught widely in medical schools nor generally available in hospitals. Expand
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References

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The frequency of use of unconventional therapy in the United States is far higher than previously reported and expenditure associated with use in 1990 amounted to approximately $13.7 billion, comparable to the $12.8 billion spent out of pocket annually for all hospitalizations in theUnited States. Expand
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