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The use of an integrative medicine (IM) approach\u2014combining complementary therapies with conventional treatments\u2014can support postoperative pain management and potentially reduce opioid consumption in adolescent patients undergoing this procedure. This scoping review examines the published literature addressing the use of IM modalities in adolescent patients undergoing MIRPE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A comprehensive search of MEDLINE, EMBASE, Web of Science Core Collection, and Google Scholar was conducted from inception through January 2024. Studies were included if they addressed the inclusion of at least one IM modality during the MIRPE perioperative to support pain management. These modalities could be delivered at any time during that period and used alongside any conventional analgesic methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Eleven studies met the inclusion criteria. Eight of these (72.7%) implemented an integrative modality in this population. Of these eight, the most common integrative modalities were mindfulness\/purposeful relaxation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5), self-hypnosis (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), cognitive-behavioral therapy (CBT) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), music\/music therapy (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), aromatherapy (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), and massage (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Only six studies described the use of an integrative modality as an experimental condition. Still, self-hypnosis (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), CBT (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), and virtual reality-guided relaxation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1) all augment postoperative pain management. While these studies have low levels of evidence and\/or small sample sizes, they still demonstrated reduced pain scores (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4) and opioid consumption (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2) without appreciable adverse effects.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is a paucity of literature examining the use of integrative modalities in adolescent patients undergoing MIRPE. The included studies demonstrate preliminary evidence of the positive outcomes associated with IM modalities overall and a low-risk profile. However, the small number of studies, observational and retrospective designs, limited sample sizes, and large heterogeneity across the studies demonstrate limited, low-level evidence, highlighting a need for further rigorous research to determine the efficacy of these modalities. Further investigation, especially in specific promising modalities such as hypnosis and guided relaxation, is warranted. Incorporating IM modalities into perioperative care for this population should be further explored.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27683605251366993","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T09:40:26Z","timestamp":1769161226000},"page":"27-39","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrative Medicine Modalities for Adolescent Patients Undergoing Minimally Invasive Repair of Pectus Excavatum: A Scoping Review"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5188-3065","authenticated-orcid":false,"given":"Jenna","family":"Ramji","sequence":"first","affiliation":[{"name":"Research Institute, BC Children\u2019s Hospital, Vancouver, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7507-8759","authenticated-orcid":false,"given":"Colleen","family":"Pawliuk","sequence":"additional","affiliation":[{"name":"Research Institute, BC Children\u2019s Hospital, Vancouver, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6953-6020","authenticated-orcid":false,"given":"Jennifer","family":"Rowe","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pharmacology, &amp; 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