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Correspondence: Kara M. Kelly, MD, Columbia University Medical Center, Division of Pediatric Oncology, 161 Fort Washington Avenue, Irving Pavilion 7, New York, NY 10032; Phone: (212) 305-5808; Fax: (212) 305-5848; e-mail: kk291{at}columbia.edu
Abstract
Evidence for integrative therapies (IT) in children with hematological malignancies is slowly evolving. The ideal model of integrative pediatric oncology would offer IT modalities that are deemed safe and effective in conjunction with effective conventional medical treatments. Because of potential interactions, herbs and other dietary supplements should be used with caution, especially during active therapy. Health and wellness should be the emphasis, with IT therapies supporting health promotion and key disease prevention strategies for childhood cancer survivors. All uses, responses, and effects of IT therapies should be carefully documented. A desire to use IT therapies may be an effort to become an active participant in the healing process. Health care providers should encourage, not discourage, this partnership.
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