Expert consensus-based clinical recommendation for an integrative anthroposophic treatment approach to acute tonsillitis in childhood.

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dc.contributor.authorBüttner, Rebecca
dc.contributor.authorSchwermer, Melanie
dc.contributor.authorOstermann, Thomas
dc.contributor.authorLäengler, Alfred
dc.contributor.authorZuzak, Tycho Jan
dc.date.accessioned2025-02-09T18:42:25Z
dc.date.available2025-02-09T18:42:25Z
dc.date.issued2024-05
dc.description.abstractBackground: Medical guidelines are an important basis for qualitative and cost-effective patient care. However, there is a lack of clinical recommendations in anthroposophic medicine (AM), an integrative medicine approach frequently practised in Europe. Acute tonsillitis, which includes tonsillopharyngitis, is a common childhood disease. that is mostly caused by a viral infection. Symptomatic treatment is therefore of high importance, and AM can offer several therapy options. Methods: 53 physicians from Germany, Spain, Netherlands, Switzerland, Austria, and Hungary with at least one year of experience in anthroposophic paediatric medicine were invited to participate in an online Delphi process. The process comprises five survey rounds starting with open-ended questions and ending with final statements, which need 75% agreement of experts to reach consensus. Expert answers were evaluated by two independent reviewers using MAXQDA and Excel. Results: Response rate was between 28% and 45%. The developed recommendation included 15 subtopics. These covered clinical, diagnostic, therapeutic and psychosocial aspects of acute tonsillitis. Six subtopics achieved a high consensus (>90%) and nine subtopics achieved consensus (75-90%). Conclusion: The clinical recommendation for acute tonsillitis in children aims to simplify everyday patient care and provide decision-making support when considering and prescribing anthroposophic therapies. Moreover, the recommendation makes AM more transparent for physicians, parents, and maybe political stakeholders as well. Keywords: Acute tonsillitis; Anthroposophic medicine; Child; Complementary and alternative medicine; Consensus-based clinical recommendation; Delphi survey; Integrative medicine.
dc.identifier.citationBüttner, R., Schwermer, M., Ostermann, T., Längler, A., & Zuzak, T. (2024). Expert consensus-based clinical recommendation for an integrative anthroposophic treatment approach to acute tonsillitis in childhood. Complementary Therapies in Medicine, 81, 103031. https://doi.org/10.1016/j.ctim.2024.103031
dc.identifier.doihttps://doi.org/10.1016/j.ctim.2024.103031
dc.identifier.issn0965-2299
dc.identifier.other38432580
dc.identifier.urihttps://hdl.handle.net/20.500.14430/767
dc.language.isoen
dc.subjectAcute tonsillitis
dc.subjectAnthroposophic medicine
dc.subjectChild
dc.subjectConsensus-based clinical recommendation
dc.subjectDelphi survey
dc.subjectIntegrative medicine
dc.subjectCAM Complementary and alternative medicine
dc.subject.meshTonsillitis
dc.subject.meshAnthroposophy
dc.subject.meshIntegrative Medicine
dc.titleExpert consensus-based clinical recommendation for an integrative anthroposophic treatment approach to acute tonsillitis in childhood.
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleComplementary Therapies in Med
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