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NCCAM Plays Key Role in Integrative Medicine Task Force
The National Center for Complementary and Alternative Medicine (NCCAM) is the National Institutes of Health's (NIH) principal component for research on complementary and alternative medicine (CAM). The NIH Clinical Center is a hospital that combines medical research with patient care. Both have met and joined forces to develop a new Clinical Center Integrative Medicine Task Force--a project being chaired by Marc R. Blackman, M.D., NCCAM's clinical director and director of intramural research. Dr. Blackman describes integrative medicine as combining mainstream medical therapies and CAM therapies for which there is high-quality scientific evidence of safety and effectiveness. Within the past few years, CAM has become a more visible presence at NIH, as illustrated by the establishment of NCCAM as well as the Office of Cancer Complementary and Alternative Medicine at the National Cancer Institute, and the growth of CAM activities (primarily education- or patient-care-oriented) within some Clinical Center departments. An increasing number of Clinical Center patients use, and/or request, CAM modalities as part of their treatment while taking part in research studies at NIH.
The task force offers a new opportunity to expand and evaluate the Clinical Center's ongoing CAM efforts; to gather knowledge from invited experts (inside and outside NIH) on issues in the CAM field, such as credentialing and licensure, quality assurance, and education; and to plan and create a state-of-the-art clinical consult service on CAM. This service will be made up of an interdisciplinary group of experts in various fields of CAM who will provide information on a patient's case on request from the patient's health care team. Dr. Blackman intends to create a "contemporary, meaningful" service, one that balances the patient's needs and desires regarding possible use of a CAM therapy with the highest level of evidence regarding the therapy's safety and effectiveness. In addition, the work of the task force will be evaluated in the context of a clinical research study. The hope is to obtain knowledge that will ultimately benefit the CAM community at large, including researchers, mainstream health care practitioners, CAM practitioners, and patients. Dr. Blackman expects the task force to produce an initial concept paper, which he hopes to submit to a medical journal by the end of 2002. Work on setting up the CAM clinical consult service would begin at or before that time. It is anticipated that the first detailed report on the success of the consult service will appear in 3 to 5 years. "Part of NCCAM's mandate from Congress," says Dr. Blackman, "is to increase and disseminate new knowledge related to CAM. Our goal in this task force is to do just that. We believe that we have an opportunity to contribute to CAM clinical care, education, and research at the NIH; to communicate our experience to other institutions around the Nation; and to provide the public with reliable information for decisionmaking about CAM use and CAM care." 10 Things To Know About Evaluating Medical Resources on the WebThe number of Web sites offering health-related resources grows every day. Many sites provide valuable information, while others may have information that is unreliable or misleading. The following are questions you should consider as you look for health information online. Answering these questions when you visit a new site will help you evaluate the information you find.
Any credible health site asking for this kind of information should tell you exactly what they will and will not do with it. Be certain that you read and understand any privacy policy or similar language on the site, and don't sign up for anything that you are not sure you fully understand. Excerpted from the NCCAM fact sheet "10 Things To Know About Evaluating Medical Resources on the Web." News for ResearchersNCCAM Grantees HonoredThree NCCAM grantees were among those honored for best presentations at the International Scientific Conference on Complementary, Alternative and Integrative Medicine, held April 12-14, 2002, in Boston, Massachusetts. They were George P. Kudolo, Ph.D., University of Texas Health Science Center, "In vitro effects of ginkgo biloba extract on collagen-induced aggregation and thromboxan B2 synthesis in platelets from type 2 diabetic subjects"; Peter M. Wolsko, M.D., M.P.H., Harvard Medical School, "Randomized double-blind placebo-controlled pilot trial of static magnetic therapy for knee osteoarthritis"; and Philippe O. Szapary, M.D., University of Pennsylvania, "A double-blind, randomized, placebo-controlled clinical trial of guggul extract with hypercholesterolemia." In addition, the data set used by another awardee, Gloria Yeh, M.D., was drawn from NCCAM-supported research. Dr. Yeh spoke on "Complementary and alternative therapy use among persons with diabetes mellitus in a national survey." Research Funding OpportunitiesVisit nccam.nih.gov/research on the Web for more information on the following and other NCCAM funding opportunities.
Other InformationWHO Releases Global Plan on CAM IssuesOn May 16, 2002, the World Health Organization (WHO) announced a global plan to address issues in what it calls traditional medicine (TM) and complementary/alternative medicine (CAM; see WHO's Web site, given below, for definitions of these terms). WHO, a branch of the United Nations, is the world's leading international health agency. In its plan, WHO discusses its role and strategies to assist countries, focusing on areas such as national policies; regulatory issues; safety, efficacy, and quality of TM and CAM therapies; access; and "therapeutically sound" use. Needs, challenges (ranging from standardizing botanical products to preserving historical knowledge of TM), and opportunities in both developing and developed countries are discussed. This formal entry of WHO into the TM/CAM arena is widely viewed as significant. To view WHO's plan and related documents, visit www.who.int. NIH Publishes Second Annual Bibliography of Dietary Supplement ResearchThe Office of Dietary Supplements (ODS) at the National Institutes of Health has released the second Annual Bibliography of Significant Advances in Dietary Supplement Research. Developed as a joint effort of ODS and the Consumer Healthcare Products Association, it presents a selection of significant research in the dietary supplement field from peer-reviewed journals during 2000. Contents include vitamins, minerals, fats and fatty acids, fat substitutes, fiber and soy, botanicals, and other supplements, such as glucosamine and chondroitin. Copies may be downloaded from the ODS Web site at ods.od.nih.gov/publications/publications.html; single copies may be requested by e-mail (ods@nih.gov, provide your postal address). Calendar of EventsThis calendar lists meetings on complementary and alternative medicine (CAM) that are sponsored or organized by NCCAM or other components of NIH. Agendas for NCCAM events are posted at nccam.nih.gov. The information line for NCCAM meetings is 301-594-9632.
July 2002
August 2002 From the Clearinghouse
Any of the above information may also be obtained by contacting the Clearinghouse. Web Site NewsNCCAM Launches Redesigned SiteThe NCCAM Web site, nccam.nih.gov, has been redesigned to better serve all users. The new design, launched in May 2002, offers a fresh new look and many improvements. Changes include easier navigation, fewer clicks to access important information, and new links and content. In addition, the content has been reorganized so that finding information is more intuitive. To create the new design, NCCAM recruited likely users--consumers, researchers, physicians, and CAM practitioners--to test the old site and a prototype of the new site, then incorporated the results. We invite you to visit the NCCAM Web site. Let us know what you think! NCCAM Site Named One of the Top 100Yahoo! Internet Life magazine has named NCCAM's Web site as one of its "100 Best Sites for '02." NCCAM's site was cited for "Best Alternative Medical Information." This is the second year in a row that NCCAM has received this honor. Note: The PDF file requires a viewer such as Adobe Reader, which you can download free of charge from the Adobe Web site. |
Summer 2002
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