SciELO - Scientific Electronic Library Online

vol.136 issue3Coarse particles and hospital admissions due to respiratory diseases in children. An ecological time series studyMetastatic adenocarcinoma involving the right ventricle and pulmonary artery leading to right heart failure: case report author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Sao Paulo Medical Journal

Print version ISSN 1516-3180On-line version ISSN 1806-9460


RIERA, Rachel et al. What do Cochrane systematic reviews say about new practices on integrative medicine?. Sao Paulo Med. J. [online]. 2018, vol.136, n.3, pp.251-261.  Epub June 25, 2018. ISSN 1806-9460.


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.

Keywords : Review [publication type]; Public health administration; Evidence-based medicine; Integrative medicine; Health policy.

        · text in English     · English ( pdf )