Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study

Autor: César Pacheco-Tena, Greta Reyes-Cordero, Susana Aideé González-Chávez, Adelfia Urenda-Quezada, Ingris Peláez-Ballestas, Everardo Álvarez-Hernández, Claudia Isabel Caballero-Hernández
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Complementary Therapies
Male
Cross-sectional study
Health Care Providers
Alternative medicine
Disease
Ointments
Surveys and Questionnaires
Prevalence
Medicine and Health Sciences
Medical Personnel
Family history
Topical Medications
education.field_of_study
Multidisciplinary
Library Science
biology
Drugs
Middle Aged
Professions
Treatment Outcome
Behavioral Pharmacology
Medicine
Female
Research Article
Adult
Computer and Information Sciences
medicine.medical_specialty
Patients
Science
Immunology
Population
MEDLINE
Rheumatoid Arthritis
Truth Disclosure
Autoimmune Diseases
Rheumatology
Complementary and Alternative Medicine
Rheumatic Diseases
Recreational Drug Use
Physicians
medicine
Humans
Adverse effect
education
Mexico
Cannabis
Pharmacology
Physician-Patient Relations
business.industry
Arthritis
Biology and Life Sciences
Patient Acceptance of Health Care
biology.organism_classification
Health Care
Cross-Sectional Studies
Family medicine
People and Places
Perception
Population Groupings
Clinical Immunology
Catalogs
Clinical Medicine
business
Phytotherapy
Zdroj: PLoS ONE, Vol 16, Iss 9, p e0257319 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: Introduction Complementary and alternative medicine (CAM) is frequently used by patients with rheumatic diseases (RD) to improve their symptoms; however, its diversity and availability have increased notably while scientific support for its effectiveness and adverse effects is still scarce. Objective To describe the prevalence and diversity of CAM in patients with RD in Chihuahua, Mexico. Methods A cross-sectional study was conducted in 500 patients with RD who were interviewed about the use of CAM to treat their disease. The interview included sociodemographic aspects, characteristics of the disease, as well as a description of CAM use, including type, frequency of use, perception of the benefit, communication with the rheumatologist, among others. Results The prevalence of CAM use was reported by 59.2% of patients, which informed a total of 155 different therapies. The herbal CAM group was the most used (31.4%) and included more than 50 different therapies. The use of menthol-based and arnica ointments was highly prevalent (35%). Most patients (62.3%) reported very little or no improvement in their symptoms. Only a fourth of the patients informed the rheumatologist of the use of CAM. The use of CAM was influenced by female sex, university degree, diagnosis delay, lack adherence to the rheumatologist’s treatment, family history of RD, and orthopedic devices. Conclusion The use of CAM in our population is highly prevalent and similar to reports in different populations suggesting a widespread use in many different societies. We found high use of herbal remedies; however, there were many different types suggesting a lack of significant effect. Patients continue using CAM despite a perception of no-effectiveness. Recurrent use of CAM is explained by factors other than its efficacy.
Databáze: OpenAIRE
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