Expert consensus-based clinical recommendation for an integrative anthroposophic treatment approach to acute tonsillitis in childhood

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2024-03-02 DOI:10.1016/j.ctim.2024.103031

Rebecca Büttner , Melanie Schwermer , Thomas Ostermann , Alfred Längler , Tycho Zuzak

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引用次数: 0

Abstract

Background

Medical guidelines are an important basis for qualitative and cost-effective patient care. However, there is a lack of clinical recommendations in anthroposophic medicine (AM), an integrative medicine approach frequently practised in Europe. Acute tonsillitis, which includes tonsillopharyngitis, is a common childhood disease. that is mostly caused by a viral infection. Symptomatic treatment is therefore of high importance, and AM can offer several therapy options.

Methods

53 physicians from Germany, Spain, Netherlands, Switzerland, Austria, and Hungary with at least one year of experience in anthroposophic paediatric medicine were invited to participate in an online Delphi process. The process comprises five survey rounds starting with open-ended questions and ending with final statements, which need 75% agreement of experts to reach consensus. Expert answers were evaluated by two independent reviewers using MAXQDA and Excel.

Results

Response rate was between 28% and 45%. The developed recommendation included 15 subtopics. These covered clinical, diagnostic, therapeutic and psychosocial aspects of acute tonsillitis. Six subtopics achieved a high consensus (>90%) and nine subtopics achieved consensus (75–90%).

Conclusion

The clinical recommendation for acute tonsillitis in children aims to simplify everyday patient care and provide decision-making support when considering and prescribing anthroposophic therapies. Moreover, the recommendation makes AM more transparent for physicians, parents, and maybe political stakeholders as well.

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基于专家共识的儿童急性扁桃体炎人类学综合治疗方法临床建议。

背景：医疗指南是为患者提供高质量、高成本效益医疗服务的重要依据。然而，欧洲经常采用的综合医学（CAIM）方法--人类医学（AM）却缺乏临床建议。急性扁桃体炎（包括扁桃体咽炎）是一种常见的儿童疾病，主要由病毒感染引起。方法：来自德国、西班牙、荷兰、瑞士、奥地利和匈牙利的 53 名医生应邀参加了在线德尔菲过程，他们至少有一年的人类学儿科医学经验。该过程包括五轮调查，从开放式问题开始，到最终陈述结束，需要 75% 的专家同意才能达成共识。专家答案由两名独立评审员使用 MAXQDA 和 Excel 进行评估：答复率介于 28% 和 45% 之间。制定的建议包括 15 个子主题。这些内容涉及急性扁桃体炎的临床、诊断、治疗和社会心理等方面。其中 6 个子主题达成了高度共识（>90%），9 个子主题达成了共识（75%-90%）：儿童急性扁桃体炎的临床建议旨在简化患者的日常护理，并在考虑和处方人类疗法时提供决策支持。此外，该建议使人类医学对医生、家长以及政治利益相关者更加透明。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.