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.

摘要：
背景：本研究针对近期纳入巴西公共医疗体系（SUS）的10种整合医疗手段，检索并汇总了所有相关的科克伦系统评价（Cochrane Systematic Reviews, SRs）。
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（Universidade Federal de São Paulo, Unifesp）圣保罗医学院（Escola Paulista de Medicina, EPM）循证医学教研室开展。
方法：本研究对以下干预手段的科克伦系统评价进行检索、汇总与批判性评价：蜂针疗法（apitherapy）、芳香疗法（aromatherapy）、生物能量疗法（bioenergetics）、家庭系统排列（family constellation）、花卉疗法（flower therapy）、色彩疗法（chromotherapy）、土壤疗法（geotherapy）、催眠疗法（hypnotherapy）、手部按压疗法（hand imposition）及臭氧疗法（ozone therapy）。
结果：本研究共纳入16项系统评价：其中蜂针疗法相关4项、芳香疗法相关4项、催眠疗法相关6项、臭氧疗法相关2项。未检索到关于生物能量疗法、家庭系统排列、色彩疗法、土壤疗法、花卉疗法及手部按压疗法的科克伦系统评价。唯一具备高质量证据的场景为蜂针疗法的潜在获益，具体包括蜂蜜敷料对烧伤创面部分愈合的促进作用、缓解儿童急性咳嗽症状以及预防昆虫叮咬后的过敏反应。
结论：除蜂针疗法的部分特定用途（蜂蜜用于烧伤创面与急性咳嗽、蜂毒用于昆虫叮咬过敏反应）外，近期纳入巴西公共医疗体系（SUS）的10种整合医疗手段的临床应用，暂未得到科克伦系统评价证据的支持。