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What do Cochrane systematic reviews say about new practices on integrative medicine?

Overview of attention for article published in Sao Paulo Medical Journal, June 2018
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What do Cochrane systematic reviews say about new practices on integrative medicine?
Published in
Sao Paulo Medical Journal, June 2018
DOI 10.1590/1516-3180.2018.0172170418
Pubmed ID

Rachel Riera, Vinícius Lopes Braga, Luana Pompeu dos Santos Rocha, Daniel Damasceno Bernardo, Luísa Avelar Fernandes de Andrade, Jessica Chiu Hsu, Luciana Di Giovanni Marques da Silva, Rodrigo Cesar de Sá Suetsugu, Nicole Hosni Dittrich, Lucas Riguete Pereira de Lima, Vicente Penido da Silveira, Barbara Caon Kruglensky, Letícia de Freitas Leonel, Edivando de Moura Barros, Anderson Adriano Leal Freitas da Costa, Miguel Lins Quintella, Rafael Leite Pacheco, Carolina de Oliveira Cruz, Ana Luiza Cabrera Martimbianco, Daniela Vianna Pachito, Vania Mozetic, Tatiana de Bruyn Ferraz Teixeira, Maria Regina Torloni, Alvaro Nagib Atallah


This study identified and summarized all Cochrane systematic reviews (SRs) on the effects of ten integrative practices that were recently added to the Brazilian public healthcare system (SUS). Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp). Review of Cochrane SRs on the following interventions were identified, summarized and critically assessed: apitherapy, aromatherapy, bioenergetics, family constellation, flower therapy, chromotherapy, geotherapy, hypnotherapy, hand imposition or ozone therapy. We included a total of 16 SRs: 4 on apitherapy, 4 on aromatherapy, 6 on hypnotherapy and 2 on ozone therapy. No Cochrane SR was found regarding bioenergetics, family constellation, chromotherapy, clay therapy, flower therapy or hand imposition. The only high-quality evidence was in relation to the potential benefit of apitherapy, specifically regarding some benefits from honey dressings for partial healing of burn wounds, for reduction of coughing among children with acute coughs and for preventing allergic reactions to insect stings. Except for some specific uses of apitherapy (honey for burn wounds and for acute coughs and bee venom for allergic reactions to insect stings), the use of ten integrative practices that have recently been incorporated into SUS does not seem to be supported by evidence from Cochrane SRs.

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Geographical breakdown

Country Count As %
Unknown 73 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 16 22%
Student > Master 11 15%
Researcher 10 14%
Student > Postgraduate 6 8%
Student > Doctoral Student 4 5%
Other 12 16%
Unknown 14 19%
Readers by discipline Count As %
Medicine and Dentistry 20 27%
Nursing and Health Professions 13 18%
Neuroscience 3 4%
Computer Science 2 3%
Agricultural and Biological Sciences 2 3%
Other 17 23%
Unknown 16 22%