{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T18:06:13Z","timestamp":1784657173047,"version":"3.55.0"},"reference-count":69,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Integrative and Complementary Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hidradenitis suppurativa (HS) is a chronic autoinflammatory skin condition that significantly impacts quality of life and causes comorbidities. Current clinical guidelines focus on antibiotic and biological therapies, which face limitations in efficacy, access, and concerns with antibiotic resistance. This has led patients to seek complementary and alternative medicine (CAM) treatments, often without the guidance of CAM practitioners. Moreover, there is also a significant gap in assessing treatment efficacy of CAM practitioners for HS through validated measures and mental health support in routine care. This is the first Australian survey on the naturopathic treatment of HS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted in July 2025 targeting Australian naturopaths. The self-administered, anonymous, 36-item questionnaire investigated the knowledge, treatment strategies, referral practices, and treatment efficacy of naturopaths treating HS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 29 respondents, most were female (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 28,96.6%) and held a bachelor\u2019s degree (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 18, 62.1%). Half had treated HS clinically, primarily via nutritional\/dietary modification (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12, 92.3%), customized herbal formulations (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 9, 69.2%), and lifestyle counseling (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 9, 69.2%). Systemic inflammation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12, 92.3%) and wound healing (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10, 76.9%) were the highest priority treatment aims. Interdisciplinary referrals for general practitioners (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 7, 77.7%) and acupuncturists (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5, 55.5%) were frequent, but rarely reciprocal. Treatment efficacy was tracked mainly by patient self-report (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12, 92.3%) and clinical observation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 7, 53.8%), with no use of validated patient-reported outcome measures (PROMs).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A percentage of Australian naturopaths demonstrated substantial awareness and engagement with HS management, emphasizing individualized care through systemic inflammation reduction, wound healing, and targeted nutritional and herbal medicine interventions. Their approaches align with current understanding of HS pathophysiology and patient needs, but notable gaps remain in incorporating validated PROMs and integrating mental health support as a treatment priority. Further research into whole systems naturopathic practices will strengthen the evidence base and enhance multidisciplinary care for patients with HS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27683605261469650","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T07:02:51Z","timestamp":1784530971000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Naturopathic Knowledge and Approaches to Managing Hidradenitis Suppurativa: A Cross-Sectional Survey of Australian Naturopaths"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5970-3192","authenticated-orcid":false,"given":"Norelle","family":"Hentschel","sequence":"first","affiliation":[{"name":"Faculty of Health, National Centre for Naturopathic Medicine, Southern Cross University, Lismore, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Schloss","sequence":"additional","affiliation":[{"name":"Faculty of Health, National Centre for Naturopathic Medicine, Southern Cross University, Lismore, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0200683"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjd\/ljad345"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2024.08.052"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms24098428"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCID.S402453"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13555-023-01032-9"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjd\/ljac027"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.14388"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2024.03.028"},{"key":"e_1_3_2_11_1","article-title":"Disease burden, associated mortality and economic impact of antimicrobial resistant infections in Australia","volume":"27","author":"Wozniak TM","year":"2022","unstructured":"10.Wozniak TM, , Dyda A, , Merlo G, , Hall L. 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