Prevalence of use of complementary and alternative medicine (CAM) by physicians in the UK: a systematic review of surveys

Posadzki, Paul; Alotaibi, Amani; Ernst, Edzard

doi:10.7861/clinmedicine.12-6-505

Cited by 48 publications

(38 citation statements)

References 27 publications

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“…It was reported in previous studies the prevalence of CAM use among women between the ages of 34-35 yearsold, with 16 years of education and above, is high (16,23). Posadzki and Ernst (23) reported that more than 50% of climacteric women used CAM treatments.…”

Section: Discussionmentioning

confidence: 99%

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Viewpoints of Patients in Qazvin Towards Complementary and Alternative Medicine

Barikani¹,

Beheshti²,

Javadi³

et al. 2016

Biotech Health Sci

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Background: We have little information on the degree of individuals' in Iran and their use of complementary and alternative medicine, its variations and the causes of people's tendency towards the treatments used in the methods mentioned above. Objectives: In 2012, we set out to study the viewpoints of patients in Qazvin, Iran, examining how they feel about complementary and alternative medicine. Patients and Methods:In a cross-sectional study, data were collected through the use of a questionnaire. A total of 293 patients who had been referred to the complementary and alternative medicine centers were surveyed. These centers practice methods such as cupping, homeopathy and acupuncture. The questionnaire was divided in two parts, demographic questions and main questions, in this particular study. The data were analyzed using SPSS software version 19 with P < 0.05. Results: The mean age of the participants was 37.2 ± 13.3, and 60.8 percent of them were men. In all, 70.6 percent and 24.4 percent of respondents were married and single, respectively. About 58 percent had completed their undergraduate education. The cause of 31.3 percent of the participants' visits was mental sicknesses, 20.2 percent attended due to rheumatologic diseases, and 8.2 percent applied to the mentioned treatment centers seeking relief from skin-related diseases. Ninety-one percent of the participants reported using alternative and complementary medicine for its efficiency. The levels of high satisfaction they reported gaining from the center's homeopathy, acupuncture, and phlebotomy services were 17.2%, 16.5%, and 18.2%, respectively. In addition, 70 percent of the patients found the new treatment method to be quite successful, while 27 percent found it to be less effective than other approaches they had tried. Conclusions:The people were receptive to the use of alternative and complementary medicine and their satisfaction level was high.

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Section: Discussionmentioning

confidence: 99%

“…Posadzki et al (16) has reported that acupuncture, homeopathy, and relaxation therapy were the most popular methods of CAM used by physicians between 1 January 1995 and 7 December 2011. In the UK, CAM is most marked by patients' and consumers' use of herbal medicine.…”

Section: Introductionmentioning

confidence: 99%

Viewpoints of Patients in Qazvin Towards Complementary and Alternative Medicine

Barikani¹,

Beheshti²,

Javadi³

et al. 2016

Biotech Health Sci

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“…Por otro lado, el saber popular es sin duda otro factor que facilita la recomendación del uso de ciertas terapias alternativas sin aprobación médica donde, en ocasiones, se corre el peligro de que puedan llegar a retrasar los esfuerzos del paciente por buscar tratamientos convencionales que hayan demostrado efectividad. Debido a que existen limitados estudios clínicos realizados en esta área, poco se sabe acerca del mecanismo de acción real de estas terapias, sus efectos adversos y los esquemas terapéuticos que se van a utilizar, entre otros; la evidencia de su eficacia a menudo proviene de los testimonios del paciente y de la familia que no son fácilmente verificables y reproducibles (22,23).…”

Section: Conceptos Básicos Sobre Terapias Alternativas Y Complementariasunclassified

Uso de terapias alternativas, desafío actual en el manejo del dolor

Sánchez

Domínguez

González

et al. 2014

Rev. Soc. Esp. Dolor

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Pain, defined as an unpleasant sensory or emotional experience from actual or potential tissue damage, it has been the subject of multiple investigations seeking to explain its pathophysiology, from their genetic and molecular bases until their physical and biological principles, in order to develop different therapeutic options that reduce or eradicate his presentation among the population. During recent decades, the use of complementary and alternative therapies has taken strength and gained popularity, being particularly useful in some specific groups of patients, like those who have chronic pain. These therapies are constituted by a wide and varied group of therapeutic interventions such as ayurvedic medicine, homeopathy, herbal, aromatherapy, among others; it is important that health professional know it and consider it as an option in the integral management of the pain. RESUMENEl dolor, definido como una experiencia sensorial o emocional desagradable de daño tisular real o potencial, ha sido motivo de múltiples investigaciones que buscan explicar su fisiopatología, desde sus bases genéticas y moleculares, hasta sus principios físicos y biológicos, con el fin de desarrollar diferentes opciones terapéuticas que permitan disminuir o erradicar su presentación entre la población. Durante las últimas décadas, el uso de las terapias complementarias y alternativas ha tomado fuerza y ganado popularidad, siendo particularmente útiles en algunos grupos específicos de pacientes, como aquellos que presentan dolor crónico oncológico. Estas terapias están constituidas por un amplio y variado grupo de intervenciones terapéuticas tales como medicina herbal, ayurvédica, homeopatía, aromaterapia, entre otras; es importante entonces que el personal de salud las conozca y las considere como una opción en el manejo integral del dolor.Palabras clave: Terapias complementarias. Dolor. Terapéu-tica. INTRODUCCIÓNLa Asociación Internacional para el Estudio del Dolor (IASP) define dolor como "una experiencia sensorial o emocional desagradable de daño tisular real o potencial, o una sensación descrita de forma similar a daño tisular" (1). El dolor crónico es aquel que dura más de 3 meses y ha sido catalogado como una enfermedad del cerebro, debido a los cambios significativos en la función, anatomía y en la química, que producen alteraciones fisiopatológicas en las rutas del dolor (1,2).Debido a su asociación con la gran mayoría de las enfermedades, la terapia del dolor se desarrolla de manera paralela al tratamiento de la enfermedad a la que se encuentre asociado (3). No obstante, el dolor crónico se puede asociar con fracaso terapéutico y con complicaciones como desórdenes del sueño, pérdida del apetito, fatiga crónica, dependencia a las drogas, estrés y depresión (4).En los últimos años se ha logrado aclarar que hay mecanismos genéticos implicados en este fenómeno, razón por la cual entre un ser humano y otro varía marcadamente laRecibido: 09-07-13. Aceptado: 20-09-14.

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“…This recommendation spurred reactions from patient groups and practitioners, 84 particularly because it is in contrast to the fact that, of the various forms of CAM, acupuncture is one of the most popular referrals (based on a review of three different surveys) and approximately 4 million sessions are provided annually in the UK each year. 1,261,262 In this chapter we address some of the concerns about the limitations in the published evidence base on CAM, particularly with regard to the role of acupuncture for osteoarthritis of the knee. The study featured in this chapter builds on the IPD meta-analysis of Chapter 2 in which we found that acupuncture was superior to both usual care and sham acupuncture for the treatment of back and neck pain, osteoarthritis of the knee, and chronic headaches and migraine.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for chronic pain and depression in primary care: a programme of research

MacPherson

Vickers

Bland

et al. 2017

Programme Grants Appl Res

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BackgroundThere has been an increase in the utilisation of acupuncture in recent years, yet the evidence base is insufficiently well established to be certain about its clinical effectiveness and cost-effectiveness. Addressing the questions related to the evidence base will reduce uncertainty and help policy- and decision-makers with regard to whether or not wider access is appropriate and provides value for money.AimOur aim was to establish the most reliable evidence on the clinical effectiveness and cost-effectiveness of acupuncture for chronic pain by drawing on relevant evidence, including recent high-quality trials, and to develop fresh evidence on acupuncture for depression. To extend the evidence base we synthesised the results of published trials using robust systematic review methodology and conducted a randomised controlled trial (RCT) of acupuncture for depression.Methods and resultsWe synthesised the evidence from high-quality trials of acupuncture for chronic pain, consisting of musculoskeletal pain related to the neck and low back, osteoarthritis of the knee, and headache and migraine, involving nearly 18,000 patients. In an individual patient data (IPD) pairwise meta-analysis, acupuncture was significantly better than both sham acupuncture (p < 0.001) and usual care (p < 0.001) for all conditions. Using network meta-analyses, we compared acupuncture with other physical therapies for osteoarthritis of the knee. In both an analysis of all available evidence and an analysis of a subset of better-quality trials, using aggregate-level data, we found acupuncture to be one of the more effective therapies. We developed new Bayesian methods for analysing multiple individual patient-level data sets to evaluate heterogeneous continuous outcomes. An accompanying cost-effectiveness analysis found transcutaneous electrical nerve stimulation (TENS) to be cost-effective for osteoarthritis at a threshold of £20,000 per quality-adjusted life-year when all trials were synthesised. When the analysis was restricted to trials of higher quality with adequate allocation concealment, acupuncture was cost-effective. In a RCT of acupuncture or counselling compared with usual care for depression, in which half the patients were also experiencing comorbid pain, we found acupuncture and counselling to be clinically effective and acupuncture to be cost-effective. For patients in whom acupuncture is inappropriate or unavailable, counselling is cost-effective.ConclusionWe have provided the most robust evidence from high-quality trials on acupuncture for chronic pain. The synthesis of high-quality IPD found that acupuncture was more effective than both usual care and sham acupuncture. Acupuncture is one of the more clinically effective physical therapies for osteoarthritis and is also cost-effective if only high-quality trials are analysed. When all trials are analysed, TENS is cost-effective. Promising clinical and economic evidence on acupuncture for depression needs to be extended to other contexts and settings. For the conditions we have investigated, the drawing together of evidence on acupuncture from this programme of research has substantially reduced levels of uncertainty. We have identified directions for further research. Our research also provides a valuable basis for considering the potential role of acupuncture as a referral option in health care and enabling providers and policy-makers to make decisions based on robust sources of evidence.Trial registrationCurrent Controlled Trials ISRCTN63787732.FundingThe National Institute for Health Research Programme Grants for Applied Research programme.

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Prevalence of use of complementary and alternative medicine (CAM) by physicians in the UK: a systematic review of surveys

Cited by 48 publications

References 27 publications

Viewpoints of Patients in Qazvin Towards Complementary and Alternative Medicine

Viewpoints of Patients in Qazvin Towards Complementary and Alternative Medicine

Uso de terapias alternativas, desafío actual en el manejo del dolor

Acupuncture for chronic pain and depression in primary care: a programme of research

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