Healthy Skepticism Library item: 8819

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Franck L, Chantler C, Dixon M.
Should NICE evaluate complementary and alternative medicine?
BMJ 2007 Mar 10; 334:(7592):506
http://www.bmj.com/cgi/content/full/334/7592/506

Abstract:

Demand for complementary and alternative medicine is high despite limited evidence. Linda Franck and colleagues believe that a thorough review by NICE would benefit the NHS and patients, but David Colquhoun argues that it cannot afford to re-examine evidence that has shown little benefit

The National Institute for Health and Clinical Excellence (NICE) guidance is built on the rigorous appraisal of scientific evidence and the evaluation of the cost effectiveness of diagnostics and treatments.12 The Secretary of State for Health refers topics for development of guidance based on national priorities.3 NICE has received international recognition for its topic selection and appraisal processes and “commitment to using the best available evidence for decision making.“4

Complementary and alternative medicine covers a heterogeneous group of therapies that share a focus on, or integration of, treatment of mind and spirit as well as body.5 The main goals of these treatments are often framed in terms of feeling better (that is, relief of symptoms) or prevention (promotion of general health and wellbeing) rather than cure.67 They may therefore be particularly relevant for patients with long term disease, who account for 80% of . . .

Explanations

Benefits of review