Editor's Response
-
Gilbert E. D’Alonzo
Drs Hershey and Winner were shown this letter and declined to comment.
Dr Vasquez, a first-year osteopathic medical student, states that studies using such alternatives as spinal manipulation, coenzyme Q10, riboflavin, feverfew, Petasites hybridus, vitamin D, cobalamin, 5-hydroxytryptophan, and combination fatty acid therapy need to be replicated in children. The implication is that such studies have not been done in children. Therefore, had Drs Hershey and Winner mentioned these interventions, they would have been asked to document their efficacy for use in children with published studies. Without such documentation, they would have been referring to off-label treatment, thus failing to adhere to the topic of this JAOA supplement: “evidence-based medicine” in the treatment of patients with headache. One of the tenets of osteopathic medicine states: “The practice of medicine should be based on sound medical principles. Only therapies proven clinically beneficial in improving patient outcome should be recommended” (see http://www.osteopathic.org/index.cfm?PageID=ost_tenet). In addition, Dr Vasquez's reference 10 was published in February 2005 and therefore would not have been available to Drs Hershey and Winner via a literature search at the time they wrote their article (between the last week of January 2005 and the end of February 2005).
The American Osteopathic Association
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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- Interventions Need to Be Consistent With Osteopathic Philosophy
- Editor's Response
- CLINICAL PRACTICE
- Benign Joint Hypermobility Syndrome: Evaluation, Diagnosis, and Management
- ORIGINAL CONTRIBUTIONS
- Stretch Reflex and Hoffmann Reflex Responses to Osteopathic Manipulative Treatment in Subjects With Achilles Tendinitis
- Effect of Counterstrain on Stretch Reflexes, Hoffmann Reflexes, and Clinical Outcomes in Subjects With Plantar Fasciitis
- SPECIAL COMMUNICATIONS
- Osteopathic Medicine in Transition: Postmortem of the Osteopathic Medical Center of Texas
- REVIEW ARTICLES
- A Safety Review of Long-Acting β2-Agonists in Patients With Asthma
- MEDICAL EDUCATION
- How to Predict USMLE Scores From COMLEX-USA Scores: A Guide for Directors of ACGME-Accredited Residency Programs
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Artikel in diesem Heft
- LETTERS
- Postdoctoral Core Competencies in the Predoctoral Curriculum
- Interventions Need to Be Consistent With Osteopathic Philosophy
- Editor's Response
- CLINICAL PRACTICE
- Benign Joint Hypermobility Syndrome: Evaluation, Diagnosis, and Management
- ORIGINAL CONTRIBUTIONS
- Stretch Reflex and Hoffmann Reflex Responses to Osteopathic Manipulative Treatment in Subjects With Achilles Tendinitis
- Effect of Counterstrain on Stretch Reflexes, Hoffmann Reflexes, and Clinical Outcomes in Subjects With Plantar Fasciitis
- SPECIAL COMMUNICATIONS
- Osteopathic Medicine in Transition: Postmortem of the Osteopathic Medical Center of Texas
- REVIEW ARTICLES
- A Safety Review of Long-Acting β2-Agonists in Patients With Asthma
- MEDICAL EDUCATION
- How to Predict USMLE Scores From COMLEX-USA Scores: A Guide for Directors of ACGME-Accredited Residency Programs
- Computer-Assisted Instruction: A Survey on the Attitudes of Osteopathic Medical Students
