Position statement from the Spanish Association of Paediatrics Medicines Committee concerning the use of alternative medicine and pseudo-science in children

• Published in: Anales de Pediatría 2019-10, Vol.91 (4), p.272.e1-272.e5
• Main Authors: Piñeiro Pérez, Roi, Núñez Cuadros, Esmeralda, Rodríguez Marrodan, Belén, García Cabrera, Lourdes, Manzano Blanco, Santiago, Escrig Fernández, Raquel, Calvo, Cristina
• Format: Article
• Language: English
• Subjects: Alternative medicine; Child; Complementary therapies; Complementary Therapies - methods; Consenso; Consensus; Homeopatía; Homoeopathy; Humans; Medicina alternativa; Medicine, Traditional - methods; Niños; Pediatrics - methods; Spain; Terapias complementarias; Terminology as Topic
• ISSN: 2341-2879; 2341-2879
• DOI: 10.1016/j.anpede.2019.04.009

Currently, there are some therapies that are being practiced without adjusting to the available scientific evidence. The terminology is confusing, encompassing terms such as “alternative medicine”, “natural medicine”, “complementary medicine”, “pseudoscience” or “pseudo-therapies”. The Medicines Committee of the Spanish Association of Paediatrics considers that no health professional should recommend treatments not supported by scientific evidence. Also, diagnostic and therapeutic actions should be always based on protocols and clinical practice guidelines. Health authorities and judicial system should regulate and regularise the use of alternative medicines in children, warning parents and prescribers of possible sanctions in those cases in which the clinical evolution is not satisfactory, furthermore responsibilities are required for the practice of traditional medicine, for health professionals who act without complying with the “lex artis ad hoc”, and for the parents who do not fulfil their duties of custody and protection. In addition, it considers that, as already has happened, Professional Associations should also sanction, or at least reprobate or correct, those health professionals who, under a scientific recognition obtained by a university degree, promote the use of therapies far from the scientific method and current evidence, especially in those cases in which it is recommended to replace conventional treatment with pseudo-therapy, and in any case if said substitution leads to a clinical worsening that could have been avoided. En la actualidad existen numerosas terapias que se practican sin ajustarse a la evidencia científica disponible. La terminología es variada y confusa, englobando términos como «medicina alternativa», «medicina natural», «medicina complementaria», «seudociencias» o «seudoterapias». El Comité de Medicamentos de la Asociación Española de Pediatría considera que ningún profesional sanitario debe recomendar tratamientos no avalados por la evidencia científica, y que las actuaciones diagnósticas y terapéuticas deben estar siempre basadas en protocolos y guías de práctica clínica. Considera que es responsabilidad y obligación de las autoridades sanitarias y del sistema judicial reglamentar y regularizar el uso de medicinas alternativas en niños, advirtiendo a los padres y a los prescriptores de las posibles consecuencias en aquellos casos en los que la evolución clínica no sea satisfactoria. Se deberían exigir las mismas respon