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The population-based estimate of the prevalence of pediatric complementary and alternative medicine (CAM) use in the United States by Davis and Darden1 based on the 1996 Medical Expenditure Panel Survey is interesting but I believe underestimates the problem. In the past decade, the national expenditure on CAM services has increased annually, as has the amount spent on herbals and dietary supplements (H/DS). These H/DS are reported to be the most commonly used CAM therapies in the United States.2 This increased use has been particularly noted in those patients with incurable, chronic, and recurrent medical conditions.
Ente G. Prevalence of Complementary and Alternative Medicine Use in US Children. Arch Pediatr Adolesc Med. 2004;158(3):292. doi:10.1001/archpedi.158.3.292