Integrative Medicine and Healthcare
in the EU

www.cam-europe.eu

CAM-Interest Group

Seminars in the EU-Parliament

Further information, programms, presentations, publications etc...

CAM Conferences in the EU-Parliament

Conference 9.10.2012

Further information, programme, presentations, publications etc...

EUROCAM on Facebook
News and discussion


Research

www.cambrella.eu

Read more: Final conference presentations, reports, publications


CAM Doctors


www.camdoc.eu

Publications


CONFERENCES

8th European Congress for Integrative Medicine ECIM 2015


Global Summit on Integrative Medicine and Healthcare
Exploring the Evidence Base for Integrated and Sustainable Research, Healthcare and Workforce for Patients

Greater Copenhagen, Denmark

September 25-27th, 2015

Call for abstracts: Deadline July 14th

See Program

ECIM 2015 Global Summit Keynote Speakers

Abstracts online!

 


Suomeksi


Integrative Medicine and Healthcare in Finland

Research

Research Symposium
CAM - Complementary and Alternative Medicine -
The challenges of scientific research in Finland

University of Tampere, Dept. of Health Sciences
13.11. 2015

Programm
Presentations
Abstracts
Printed material
Reports, Interviews etc.
read more...

Discussion in
social media

Facebook: Täydentävät terveysnäkemykset

Bloggi: Täydentävät terveysnäkemykset

National and international conferences

International Congress for Integrative Health & Medicine, Suttgart, Germany. 9.-11. June 2016
Further information http://www.icihm.org/en

9th European Congress for Integrative Medicine (ECIM). The Future of Comprehensive Patient Care.
Budapest, Hungary, September 10-11th 2016

http://www.ecim-congress.org/


Peer-review journals publishing research on Integrative medicine

A covering overview of almost all CAM journals can be found at:

Complementary Therapies Journals Links


Examples of freqently cited CAM journals:

Forschende Komplementärmedizin / Research in Complementary Medicine

Advances in Integrative Medicine

BMC Complementary and Alternative Medicine

Complementary Therapies in Medicine

Complementary Therapies in Clinical Practice

European Journal of Integrative Medicine

Evidence-Based Complementary and Alternative Medicine eCAM

Global Advances in Health and Medicine

Integrative Medicine Insights

Journal of Alternative and Complementary Medicine


Current Issues Integrative Medicine

Editorial: A Roadmap for CAM Research towards the Horizon of 2020. Walach H and Pietikäinen S. Forsch Komplementmed 2014;21:80–81
“…We propose an EU-funded European Centre for CAM (ECCAM) research to foster high quality robust research based on pan-European collaboration. We wish to establish a solid foundation for CAM research to adequately inform health care and health decision-making throughout the EU. A European research centre would support our vision of a common, strategic and scientifically rigorous approach to CAM research…read more…

Why we need integrative medicine? Roberti di Sarsina P and Iseppato I. EPMA Journal (2011) 2:5–7 DOI 10.1007/s13167-011-0065-2
“…Over the last few years the scientific debate on Non Conventional Medicines and their integration with the academic or dominant medicine in our western society has activated a cultural transformation process. This article discusses the main reasons of the need for an integration between the supposed only scientific, mainstream medicine and other cheaper, more holistic, more person-centred expertise…”

Safety:

Accidental intakes of remedies from complementary and alternative medicine in children—analysis of data from the Swiss Toxicological Information Centre. Zuzak TJ, Rauber-Lüthy C and Simões-Wüst AP: Eur J Pediatr (2010) 169:681–688 DOI 10.1007/s00431-009-1087-9
“…There was no accidental intake of CAM remedies leading to severe signs or symptoms. Concerning the herbal remedies, three intoxications of moderate and 28 of minor severity were reported. Nine children with intoxication from homeopathic remedies were reported, with minor symptoms only. All other accidental intakes of CAM remedies did not lead to intoxications and evolved without manifestations…”

Cost Effectiveness

Are complementary therapies and integrative care cost-effective? A systematic review of economic
Evaluations.
Herman PM, Poindexter BL, Witt CM, Eisenberg DM (2012): BMJ Open 2012;2:e001046. doi:10.1136/bmjopen-2012-001046.
“…Conclusions: This comprehensive review identified many CIM economic evaluations missed by previous reviews and emerging evidence of cost-effectiveness and possible cost savings in at least a few clinical populations. Recommendations are made for future studies…“

Patients whose GP knows complementary medicine tend to have lower costs and live longer. Peter Kooreman P and Baars EW (2010): Eur J Health Econ DOI 10.1007/s10198-011-0330-2
“…Results Patients whose GP has additional CAM training have 0–30% lower healthcare costs and mortality rates, depending on age groups and type of CAM. The lower costs result from fewer hospital stays and fewer prescription drugs…”

Cost effectiveness of complementary medicines. Report by Access Economics Pty Limited for The National Institute of Complementary Medicine (2010). (The National Institute of Complementary Medicine (NICM) was established with seed funding provided by the Australian  Government  (Commonwealth  Department of  Health and Ageing) and the NSW State Government  (NSW Office of Science and Medical Research) and is hosted by the University of Western Sydney.

Development of Costs for Complementary Medicine after Provisional Inclusion into the Swiss Basic Health Insurance. Studera HP and Busato A: Forsch Komplementmed 2011;18:15–23 Published online: January 22, 2011. DOI: 10.1159/000323735
“…Conclusion: The inclusion of 5 complementary disciplines into the Swiss basic health insurance led to an increase of costs, which was, however, much lower than predicted…”

Reviews

Integrative Medicine in America: How Integrative Medicine Is Being Practiced in Clinical Centers Across the United States. Horrigan B, Lewis S, Abrams D, Pechura C. The Bravewell Collaborative 2012.
nes PM, Bloom B, Nahin R. CDC National Health Statistics Report #12.

Complementary therapy systems and their integrative evaluation. Kienle GS, Albonico H-U, Fischer L, Martin Frei-Erb M, Hamre HJ, Heusser P, Matthiessen PF, Renfer and Kiene H. Explore 2011; 7:175-187. doi:10.1016/j.explore.2011.02.001.
Abstract: "Complementary and alternative medicine (CAM) is becoming an integral part of modern medicine. Complementary and alternative medicine therapy systems include natural medicinal products, nonpharmacological treatments, and counselling on health and lifestyle issues. Complementary and alternative medicine concepts are often elaborate, transcending biophysical models and employing the principles of salutogenesis. Evaluations of CAM therapy systems need to be integrative and cover the dimensions of: (1) therapeutic professionalism; (2) patient perspective and public demand; (3) conceptuality; (4) safety, effectiveness, and costs. Complex research strategies are required, which reverse the phases of conventional drug assessment. The predominant use of randomized trials would introduce structural bias and create an artifical picture. Important are evaluations of the whole system in real-world conditions, and surveys on component evaluations. Systemic CAM assessments should consist of a broad array of high-quality research methods: well-conducted randomized and nonrandomized studies, cohort studies, qualitative research, high-quality case reports and case series, studies on patient perspective, safety analyses, economic analyses, etc. Good clinical judgement, a core epistemic element of medicine based on nonstochastic principles, should also be integrated and could reflect routine patient care”

Complementary and Alternative Medicine Survey of Hospitals: Summary of Results.Ananth S. 2010.
Health Forum (American Hospital Association) and the Samueli Institute. September 2011.
https://www.samueliinstitute.org/File%20Library/Our%20Research/OHE/CAM_Survey_2010_oct6.pdf

The efficacy and cost effectiveness of integrative medicine: a review of the medical and corporate literature. Guarneri E, Horrigan BJ and Pechura. Explore 2010; 6:308-312. doi:10.1016/j.explore.2010.06.012
Abstract: “The integrative approaches being studied place the patient at the center of the care
and address the full range of physical, emotional, mental, social, spiritual, and environmental influences that affect a person’s health. Most importantly, they promote prevention by engaging
the whole person in the attainment of a personalized lifestyle that supports health. A review of the medical, corporate, and payer literature reveals that, to start, immediate and significant health
benefits and cost savings could be realized throughout our healthcare system by utilizing three integrative strategies: (1) integrative lifestyle change programs for those with chronic disease, (2) integrative interventions for people experiencing depression, and (3) integrative preventive strategies to support wellness in all populations”

The Use of Complementary and Integrative Oncology for the Whole Person: A Multidimensional Approach to Cancer Care. Geffen JR. Integr Cancer Ther 2010 9: 105. DOI: 10.1177/1534735409355172.
The online version of this article can be found at: http://ict.sagepub.com/content/9/1/105
Abstract: "Today, more than ever before, millions of people are seeking an approach to medicine and health care that is more comprehensive, more holistic and integrative, and more compassionate and sensitive to their needs as a whole person. This is particularly true for those dealing with cancer. Changing patient demographics, heightened consumer demand for complementary and alternative medicine (CAM) products and services, advances in medical science and technology, expanding access to the Internet and health information, and other factors have contributed to a wave of transformation that is unprecedented in its impact on the entire health care system. These trends have fueled the emerging fields of integrative medicine and oncology, which are growing rapidly. As these fields continue to evolve, they will move beyond the present integrative model to a broader vision of whole-person, multidimensional care that will more fully and coherently address and embrace all dimensions of the human experience. This article describes 6 major driving forces behind the wave of transformation presently under way in medicine and health care. It provides a brief, historical overview of integrative medicine and oncology and summarizes the present status of these emerging fields. It discusses the future of integrative medicine and oncology, including a multidimensional approach to care, and highlights 5 key elements that underlie this approach. Finally, it describes The Seven Levels of Healing—a model of multidimensional care—and concludes with a discussion of 3 important challenges and opportunities for medicine and health care that lie on the horizon.”

Integrative Medicine Research: Context and Priorities. Commissioned for the IOM Summit on Integrative Medicine and the Health of the Public, February, 2009 Deng G, Weber W, Sood A and Kemper K.
Abstract: “Integrative medicine research is important for the understanding of and effective, timely implementation of this new paradigm of health care. Integrative medicine is prospective and holistic, while patient-centered and personalized at the same time, focusing on health and well-being in addition to disease management. The scope of research thus extends beyond evaluation of specific therapies,
including complementary and alternative medicine modalities, for safety and effectiveness in treating specific diseases. Integrative medicine research also includes evaluation of multi-modality whole system intervention, practitioner- patient relationship and partnership, patient goals and priorities in his sense of well-being, promotion of patient self-care and resilience, personalization of diagnostic and therapeutic measures to individual patients and the environmental/ societal consequence of health care. In this paper, we describe the state of science of integrative medicine research, research needs, and the opportunities offered by cutting edge research tools. We will propose a framework for setting
priorities in integrative medicine research, list areas for discussion, and pose a few questions on future research agenda…

Alternative Medicine in the United States. Findings from the 2007 National Health Interview Survey (NHIS) conducted by the National Center for Complementary and Alternative Medicine (NCCAM) and the National Center for Health Statistics. December 2008. http://nccam.nih.gov/news/camstats/2007/camsurvey_fs1.htm

Further study results

Opposite Drug Prescription and Cost Trajectories following Integrative and Conventional Care for Pain – A Case-Control Study. Sundberg, Petzold M, Kohls N and Falkenberg T. PLoS ONE 2014; 9(5): e96717. doi:10.1371/journal.pone.0096717. “…Pharmacotherapy may have a limited role in long-term pain management. Comparative trajectories of drug prescriptions and costs, two quality-of-care indicators for pain conditions, are largely unknown subsequent to conventional or integrative care (IC) management. The objectives of this study were to compare prescribed defined daily doses (DDD) and cost of first line drugs for pain patients referred to conventional or anthroposophic IC in Stockholm County, Sweden … Conclusions: Drug prescriptions and costs of analgesics increased following conventional care and decreased following IC, indicating potentially fewer adverse drug events and beneficial societal cost savings with IC…”read more…

Use and Perceived Benefits of Complementary Therapies by Cancer Patients Receiving Conventional Treatment in Italy. Bonacchi A, Fazzi L, Toccafondi A, Cantore M, Mambrini A, Muraca MG, Banchelli G, Panella M, Focardi F, Calosi R, Di Costanzo F, Rosselli M, and Miccinesi G. J Pain Symptom Manage 2014;47:26e34. http://dx.doi.org/10.1016/j.jpainsymman.2013.03.014
“…Overall prevalence of CTs among Italian cancer patients is high and is in accordance with the European average. In addition to clinical and sociodemographic factors, the resilience trait SOC also was associated with CT use…”

Network Oncology (NO) – a Clinical Cancer Register for Health Services Research and the Evaluation of Integrative Therapeutic Interventions in Anthroposophic Medicine. Schad F, Axtner J, Happe A, Breitkreuz T, Paxino C, Gutsch J, Matthes B,  Debus M, Kröz M, Spahn G, Riess H, von Laue H and Matthes H.  Forsch Komplementmed 2013;20:353–360 Published online: October 24, 2013. DOI: 10.1159/000356204.
“…Integrative oncological approaches attract a great number of patients visiting AM institutions. The NO provides an infrastructure to evaluate integrative interventions in AM, allows comparison to other clinical registers, and thus can contribute to health service research in this field…”