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

ABSTRACT BACKGROUND: 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). DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp). METHODS: 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. RESULTS: 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. CONCLUSION: 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.

背景：本研究对近期纳入巴西公共医疗体系（SUS）的10种整合疗法的所有考克兰系统评价（SRs）进行了识别与总结。设计与研究场景：本研究为系统评价再评价，由圣保罗联邦大学（Unifesp）圣保罗医学院（EPM）循证医学学科开展。方法：本研究对以下干预措施相关的考克兰系统评价进行了识别、总结与批判性评估：蜂疗、芳香疗法、生物能量疗法、家庭系统排列、花卉疗法、色彩疗法、地疗法、催眠疗法、手部按压疗法及臭氧疗法。结果：本研究共纳入16篇系统评价：其中蜂疗相关4篇、芳香疗法相关4篇、催眠疗法相关6篇、臭氧疗法相关2篇。未检索到与生物能量疗法、家庭系统排列、色彩疗法、黏土疗法、花卉疗法及手部按压疗法相关的考克兰系统评价。仅蜂疗存在高质量证据支持其潜在获益，具体包括蜂蜜敷料可促进烧伤创面部分愈合、缓解急性咳嗽患儿的咳嗽症状、预防昆虫叮咬引发的过敏反应。结论：除蜂疗的部分特定用途（蜂蜜用于烧伤创面与急性咳嗽、蜂毒用于预防昆虫叮咬过敏反应）外，近期纳入巴西公共医疗体系（SUS）的10种整合疗法的临床应用，暂未获得考克兰系统评价证据的支持。