[Omeo33] Art 1022 - JACM, 2009, 15 (5), 551-555

[Gino Santini]

A Survey of Complementary and Alternative Medicine (CAM) Awareness  
Among Neurosurgeons in Washington State
Cecilia Wu, Wendy Weber, Leila Kozak, Leanna J. Standish, Jeff G.  
Ojemann, Richard G. Ellenbogen, Anthony M. Avellino

Objectives: Use of complementary and alternative medicine (CAM) by the  
U.S. population increased significantly in the past 2 decades. To  
maximize a patient's recovery from a neurosurgical procedure, it is  
critical that neurosurgeons be aware of the benefits and potential  
adverse complications of CAM therapies. The survey's purpose was to  
assess the current patterns of CAM utilization by neurosurgery  
patients and neurosurgeon knowledge of CAM therapies among Washington  
State Association of Neurological Surgeons (WSANS) members.
Methods: Members of the WSANS were surveyed in 2005. The survey was  
sent via e-mail and the data were anonymously collected using an  
online survey tool, Catalyst WebQ.
Results: The majority of responses (79%) stated that their  
neurosurgery practice was ≥75% adults. Acupuncture, herbs, massage  
therapy, prayer, and yoga were the most common CAM treatments patients  
used or discussed with their neurosurgeon. Fifty percent (50%) of  
neurosurgeons discussed the use of acupuncture among their colleagues.  
Concerning prayer and spirituality, 38% of the surveyed neurosurgeons  
stated that ≥25% of their patients have disclosed that they pray for  
their health; 42% stated that spirituality and prayer may affect  
neurosurgery outcome; and 38% stated that they pray for their  
patients. Overall, 63% of surveyed neurosurgeons stated that CAM  
treatments have a role in neurosurgery.
Conclusions: The use of CAM may influence neurosurgical care; and the  
role of spirituality and prayer should be further explored. Because  
CAM utilization is ubiquitous, open discussion and familiarity with  
CAM treatments are becoming increasingly important in the field of  
neurosurgery.

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