Perceptions of Complementary, Alternative, and Integrative Medicine: Insights from a Large-scale International Cross-sectional Survey of Surgery Researchers and Clinicians

Overview

Journal Heliyon

Specialty Social Sciences

Date 2025 Feb 21

PMID 39981363

Authors

Jeremy Y Ng

Brenda X Lin

Holger Cramer

Affiliations

Soon will be listed here.

Abstract

Background: Given the potential benefits of complementary, alternative, and integrative medicine (CAIM) in perioperative care and the high prevalence of their use alongside conventional treatments, understanding perceptions of CAIM during surgery is important.

Methods: A survey was conducted among authors who published in surgery journals. 40 074 clinicians and researchers were invited to participate. The survey included questions about demographics and CAIM perceptions.

Results: The survey received 599 responses, with most identifying as both researchers and clinicians (n = 331, 55.3 %). Mind-body therapies (n = 212, 47.1 %) were considered the most promising CAIM areas for surgery. Most respondents believed CAIM therapies are safe (n = 184, 46.2 %) but were uncertain about their effectiveness (n = 153, 38.6 % disagreed and n = 169, 42.7 % were neutral). Many agreed on the value of CAIM research (n = 310, 77.9 %), increased funding (n = 224, 55.9 %), and clinician training through formal (n = 215, 52.9 %) and supplementary (n = 246, 61.8 %) education.

Conclusions: Surgery clinicians and researchers show strong interest in more CAIM education and research. This study's findings can guide the development of resources and training programs to improve CAIM knowledge and perceptions.

References

ORegan P, Wills T . The growth of complementary therapies: and their benefits in the perioperative setting. J Perioper Pract. 2010; 19(11):382-6. DOI: 10.1177/175045890901901102. View

Cutshall S, Khalsa T, Chon T, Vitek S, Clark S, Blomberg D . Curricular Development and Implementation of a Longitudinal Integrative Medicine Education Experience for Trainees and Health-Care Professionals at an Academic Medical Center. Glob Adv Health Med. 2019; 8:2164956119837489. PMC: 6444766. DOI: 10.1177/2164956119837489. View

Levy I, Attias S, Ben-Arye E, Goldstein L, Matter I, Somri M . Perioperative Risks of Dietary and Herbal Supplements. World J Surg. 2016; 41(4):927-934. DOI: 10.1007/s00268-016-3825-2. View

Kallush A, Riley C, Kacker A . Role of Complementary and Alternative Medicine in Otolaryngologic Perioperative Care. Ochsner J. 2018; 18(3):253-259. PMC: 6162121. DOI: 10.31486/toj.18.0014. View

Zhang N, Daly D, Terblanche M, Joshi S, Tacey M, Vesty G . Doctors' and Nurses' Attitudes of Acupuncture and Acupressure use in Perioperative Care: An Australian National Survey. Pain Manag Nurs. 2022; 23(6):800-810. DOI: 10.1016/j.pmn.2022.08.008. View

Ng J, Kochhar J, Cramer H . An international, cross-sectional survey of psychiatry researchers and clinicians: perceptions of complementary, alternative, and integrative medicine. Front Psychiatry. 2024; 15:1416803. PMC: 11349733. DOI: 10.3389/fpsyt.2024.1416803. View

Soos S, Jeszenoi N, Darvas K, Harsanyi L . Complementary and alternative medicine: attitudes, knowledge and use among surgeons and anaesthesiologists in Hungary. BMC Complement Altern Med. 2016; 16(1):443. PMC: 5100213. DOI: 10.1186/s12906-016-1426-0. View

Ng J, Kochhar J, Cramer H . Oncology researchers' and clinicians' perceptions of complementary, alternative, and integrative medicine: an international, cross-sectional survey. Support Care Cancer. 2024; 32(9):615. PMC: 11358342. DOI: 10.1007/s00520-024-08785-9. View

Waterbrook A, Southall J, Strout T, Baumann M . The knowledge and usage of complementary and alternative medicine by emergency department patients and physicians. J Emerg Med. 2008; 39(5):569-75. DOI: 10.1016/j.jemermed.2008.01.007. View

10.

Lee M, Benn R, Wimsatt L, Cornman J, Hedgecock J, Gerik S . Integrating complementary and alternative medicine instruction into health professions education: organizational and instructional strategies. Acad Med. 2007; 82(10):939-45. DOI: 10.1097/ACM.0b013e318149ebf8. View

11.

Ng J, Li S, Cramer H . Perceptions and attitudes regarding complementary, alternative, and integrative medicine among published neurology authors: a large-scale, international cross-sectional survey. BMC Neurol. 2024; 24(1):215. PMC: 11194990. DOI: 10.1186/s12883-024-03661-9. View

12.

Davrieux C, Palermo M, Serra E, Houghton E, Acquafresca P, Finger C . STAGES AND FACTORS OF THE "PERIOPERATIVE PROCESS": POINTS IN COMMON WITH THE AERONAUTICAL INDUSTRY. Arq Bras Cir Dig. 2019; 32(1):e1423. PMC: 6368165. DOI: 10.1590/0102-672020180001e1423. View

13.

Ebrahimi A, Eslami J, Darvishi I, Momeni K, Akbarzadeh M . Investigation of the Role of Complementary Medicine on Anxiety of Patients Before and After Surgery: A Review Study. Holist Nurs Pract. 2020; 34(6):365-379. DOI: 10.1097/HNP.0000000000000414. View

14.

Baldwin A, Hammerschlag R . Biofield-based therapies: a systematic review of physiological effects on practitioners during healing. Explore (NY). 2014; 10(3):150-61. DOI: 10.1016/j.explore.2014.02.003. View

15.

Gannotta R, Malik S, Chan A, Urgun K, Hsu F, Vadera S . Integrative Medicine as a Vital Component of Patient Care. Cureus. 2018; 10(8):e3098. PMC: 6173273. DOI: 10.7759/cureus.3098. View

16.

Arruda A, Zhang Y, Gomaa H, Bergamaschi C, Guimaraes C, Righesso L . Herbal medications for anxiety, depression, pain, nausea and vomiting related to preoperative surgical patients: a systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2019; 9(5):e023729. PMC: 6538060. DOI: 10.1136/bmjopen-2018-023729. View

17.

Wu C, Weber W, Kozak L, Standish L, Ojemann J, Ellenbogen R . A survey of complementary and alternative medicine (CAM) awareness among neurosurgeons in Washington State. J Altern Complement Med. 2009; 15(5):551-5. DOI: 10.1089/acm.2008.0427. View

18.

von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007; 370(9596):1453-7. DOI: 10.1016/S0140-6736(07)61602-X. View

19.

Bell I, Caspi O, Schwartz G, Grant K, Gaudet T, Rychener D . Integrative medicine and systemic outcomes research: issues in the emergence of a new model for primary health care. Arch Intern Med. 2002; 162(2):133-40. DOI: 10.1001/archinte.162.2.133. View

20.

Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M . Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2017; 166(7):493-505. DOI: 10.7326/M16-2459. View