Knowledge and use of complementary therapies in a tertiary care hospital in France

Michel-Cherqui, Mireille; Had-Bujon, Rebecca; Mongereau, Aurèlie; Delannoy, Caroline; Féliot, Elodie; Scotté, Florian; Fischler, Marc

doi:10.1097/md.0000000000023081

Cited by 8 publications

(6 citation statements)

References 17 publications

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“…This is a strong presence, in line with some previous studies (21,22,24,31,33,34) but higher than others (23,(27)(28)(29)32). Apart from regional differences due to HD patient's cultural background and access to both medical treatments and CAM, this partial discrepancy can be explained considering that the de nition of CAM is still discussed in the literature (30). Therefore, the rates of use may vary depending on which practices each de nition includes.…”

Section: Discussionsupporting

confidence: 85%

“…Putting aside the previously described degraded relationship that affects some HD units, this lack of communication is due to both a certain reticence by HD patients to speak of something that they consider disconnected from medical practices and to a lack of interest and/or competence by healthcare professionals to frame HD patients ' CAM use (22,27,29). This lack of communication can become a main issue for the e cacy of treatments and HD patients' safety (21) as the use of CAM may interfere with usual treatments or having other side effects, notably but not limited to hyperglycemia, hypokalemia, or low blood pressure (21,22,30,31).…”

mentioning

confidence: 99%

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Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland

Kemnitz

Antonini

Delmas

2023

Preprint

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Background Chronic renal disease is considered a main public health problem due to its high prevalence in the population. The solution of choice currently available is kidney transplantation but when this option is not available, blood purification treatments, notably haemodialysis (HD), are necessary. The presence of chronic renal disease combined with this demanding medical procedure leads to a hard symptomatology. To face this situation, HD patients often resort to complementary and alternative medicines (CAM) as they perceive that the healthcare professionals aren’t paying enough attention to their quality of life. Given this background, we aim to describe the prevalence and the type of the CAM used among HD patients and their possible relations with patients’ symptomatology and quality of life. Methods We interviewed 122 patients, undergoing hemodialysis in three hemodialysis centers in French-speaking Switzerland, about the presence of symptoms, their quality of life, and the possible use of CAM. Cluster analysis was used to create patients’ profiles about CAM use and regression analysis to explore the links between symptoms’ presence, patients’ quality of life, and CAM use. Results Our results show a large use of CAM: almost two HD patients out of three uses at least one CAM. Using cluster analysis, we were able to identify five patients’ profiles: non-users (37.5% of our sample), users of herbal medicine (20.5%), users of prayer-based practices (18.2%), people mainly using massages (9.1%), and a residual group including the users of other CAM, with a predominance of meditation (14.8%). As expected, we observe a negative relation between the number of declared symptoms and patients' quality of life. Contrarily, we observe no relation between the use of CAM and the presence of symptoms. Our results show a positive relationship between the use of CAM and patients’ overall perception of health as well as the psychological dimension of their quality of life. No relationship is observed with other dimensions of quality of life, notably the physical dimension. Conclusions Our results suggests that CAMs aren’t used as a substitute of official medicine but as a parallel support to HD patients’ quality of life.

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Section: Discussionsupporting

confidence: 85%

mentioning

confidence: 99%

Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland

Kemnitz

Antonini

Delmas

2023

Preprint

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“…The use of herbal medicine in the management of chronic diseases including T2DM is increasingly on the rise in both developing and developed nations [14] [15] [16] [17] [18]. This might be attributed to the fact that herbal extracts are believed to be safe [31] [32] [35], natural and effective in the relief of symptoms in patients [30].…”

Section: Discussionmentioning

confidence: 99%

“…Alternative medicines are widely used globally by patients with chronic diseases including patients with T2DM. The use of herbal medicine in the management of diabetes is currently on the rise [14] [15] [16] [17] [18]. A report by WHO [13] in 2019 estimated that about 80% of people in developing countries including sub-Saharan Africa and Asia were using traditional and alternative medicines mostly plant based.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Herbal Medicine Use amongst Adults with Type 2 Diabetes in an Urban Setting in Cameroon

Niba¹,

Dzekem²,

Navti³

et al. 2023

JBM

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Background: Type 2 diabetes mellitus (T2DM) is currently a major global public health burden associated with elevated blood glucose. The use of herbal medicine in the management of type 2 diabetes is currently on the rise both in developed and developing countries. This study sets out to determine the prevalence of herbal medicine use and to identify the factors associated with herbal medicine use amongst type 2 diabetes patients. Methods: A community based cross-sectional study involves 123 adults living with type 2 diabetes (90 males and 30 females), mean age 58.7 ± 9.5 years in the Bamenda III health district of the North West Region of Cameroon. Data on the different types of herbs used, frequency and mode of herbal medicine use as well as reasons for using herbal medicines in the management of T2DM were assessed using a structured questionnaire. Anthropometric and diabetes related measurements were carried out following standard procedures. Logistic regression analysis was used to identify the independent predictors of herbal medicine use. Results: The prevalence of herbal medicine use was 24.4% (n = 30) amongst which 37.4 % used both herbs and orthodox medicine. A higher proportion of diabetic males used herbal medicines compared to females and this difference was significant (X 2 = 5.243, p < 0.027). Also, a higher proportion of patients who had attained secondary/tertiary education used herbal medicine compared to those who had attained only primary education and this difference was significant (X 2 = 10.75, p = 0.005). The most commonly used herbs were Vernonia amygdalina leaves (19.10%), Aloe vera (13.48%), Mangifera indica leaves (11.24%) including its bark and Carica papaya leaves (8.99%). Bivariate analysis indicated that being male (OR 2.8, 95% CI, 1.14 -6.79) and having attained secondary/tertiary education

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“…Putting aside the previously described degraded relationship that affects some HD units, this lack of communication is due to both a certain reticence by HD patients to speak of something that they consider disconnected from medical practices and to a lack of interest and/or competence by healthcare professionals to frame HD patients’ CAM use [ 22 , 27 , 29 ]. This lack of communication can become a main issue for the efficacy of treatments and HD patients’ safety [ 21 ] as the use of CAM may interfere with usual treatments or having other side effects, notably but not limited to hyperglycemia, hypokalemia, or low blood pressure [ 21 , 22 , 30 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland

Kemnitz

Antonini

Delmas

2023

BMC Complement Med Ther

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Background Chronic renal disease is considered a main public health problem due to its high prevalence in the population. The solution of choice currently available is kidney transplantation but when this option is not available, blood purification treatments, notably haemodialysis (HD), are necessary. The presence of chronic renal disease combined with this demanding medical procedure leads to a hard symptomatology. To face this situation, HD patients often resort to complementary and alternative medicines (CAM) as they perceive that the healthcare professionals aren’t paying enough attention to their quality of life. Given this background, we aim to describe the prevalence and the type of the CAM used among HD patients and their possible relations with patients’ symptomatology and quality of life. Methods We interviewed 88 patients, undergoing hemodialysis in three hemodialysis centers in French-speaking Switzerland, about the presence of symptoms, their quality of life, and the possible use of CAM. Cluster analysis was used to create patients’ profiles about CAM use and regression analysis to explore the links between symptoms’ presence, patients’ quality of life, and CAM use. Results Our results show a large use of CAM: almost two HD patients out of three uses at least one CAM. Using cluster analysis, we were able to identify five patients’ profiles: non-users (37.5% of our sample), users of herbal medicine (20.5%), users of prayer-based practices (18.2%), people mainly using massages (9.1%), and a residual group including the users of other CAMs, with a predominance of meditation (14.8%). As expected, we observe a negative relation between the number of declared symptoms and patients' quality of life. Contrarily, we observe no relation between the use of CAM and the presence of symptoms. Our results show a positive relationship between the use of CAM and patients’ overall perception of health as well as the psychological dimension of their quality of life. No relationship is observed with other dimensions of quality of life, notably the physical dimension. Conclusions Our results suggests that CAMs aren’t used as a substitute of official medicine but as a parallel support to HD patients’ quality of life.

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Knowledge and use of complementary therapies in a tertiary care hospital in France

Abstract: Supplemental Digital Content is available in the text

Cited by 8 publications

References 17 publications

Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland

Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland

Predictors of Herbal Medicine Use amongst Adults with Type 2 Diabetes in an Urban Setting in Cameroon

Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland

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