The use of ?Alternative treatments? by patients with rheumatoid arthritis

Struthers, G R; Scott, David

doi:10.1007/bf00541593

Cited by 32 publications

(18 citation statements)

References 4 publications

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“…Following the more recent interest in the use of CAM therapies in the population atlarge, a number of studies have focused on the use of CAM therapies by patients with specific medical problems. Research within this tradition has examined use of alternative therapies by patients with fibromyalgia, arthritis, cancer, and inflammatory bowel disease, to name but a few (Kronenfeld & Wasner 1982;Struthers et al 1983;Cronan et al 1989;Pioro-Boisset et al 1996;Nicassio et al 1997;Astin et al 1998;Ernst & Cassileth 1998;Rao et al 1999;Rawsthorne et al 1999;Lee et al 1995). These studies, however, do not address the prevalence of CAM use in the general population, our interest in this study.…”

Section: Use Of Cam Therapies In the Usamentioning

confidence: 88%

Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA

Keith¹,

Kronenfeld²,

Rivers³

et al. 2005

Ethnicity & Health

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The use of alternative and complementary therapies varied across racial/ ethnic groups. Evidence showed that individuals who were dissatisfied with the availability of conventional healthcare, who were in poor health, but very satisfied with their conventional provider were more likely to use complementary and alternative medicine (CAM) therapies. The addition of these variables to a logistic regression model did not change the findings for differential use by ethnicity, the relative ranking of groups, or the overall strength of the relationship.

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Section: Use Of Cam Therapies In the Usamentioning

confidence: 88%

Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA

Keith¹,

Kronenfeld²,

Rivers³

et al. 2005

Ethnicity & Health

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“…Fourteen surveys of rheumatological patients' use of CM were identified [7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Collectively they point to a high prevalence of CM use among this patient group, particularly in North America (Table 1).…”

Section: Patients' Use Of CMmentioning

confidence: 99%

“…Few surveys [11,13,14,18] have addressed the issue at all. The incidence of adverse events reported in these surveys is low; one report expressly states the total absence of adverse reactions [13].…”

Section: Patients' Use Of CMmentioning

confidence: 99%

Usage of complementary therapies in rheumatology: A systematic review

Ernst

1998

Clin Rheumatol

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Complementary medicine (CM) is more popular than ever before. Rheumatology patients seem particularly keen to try CM. In this paper, surveys on rheumatology patients' use of CM are reviewed. The issues of perceived effectiveness, safety and costs are also addressed. In addition surveys of doctors' attitudes towards CM in rheumatology are summarised. Fourteen surveys on patients' use of CM and three on patients' attitudes towards CM were found and analysed. The results imply that the prevalence of CM varies between 30% and nearly 100%. Overall, patients perceive CM as being moderately effective. The survey contains only few data on adverse events of CM as perceived by these patients; collectively they suggest that adverse events are uncommon. Data on costs are similarly sparse; they imply that expenditure for CM is rarely high. Physicians seem to be more sceptical about CM than are their patients. It is concluded that, on average, CM is frequently used by rheumatology patients. The patients' level of satisfaction with CM is often considerable and few adverse effects are being reported. On the basis of these findings, a rigorous investigation of the effectiveness, safety and costs of CM in rheumatology seems desirable.

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“…A recent report by Kajiyama et al [13] showed that 23.3% of Japanese patients with RA in the cohort from the Tokyo metropolitan area used dietary supplements, the highest prevalence among all kinds of CAM they investigated. The prevalence of DS/HF use in those with rheumatic disorders, as reported by others [2][3][4][5][6][7][8][9][10][11]13], varied from 5% to more than 50%. Differences in the prevalence may be attributable to various factors, including the definition or classification of DS/HF, the survey methodology, respondent ethnicity or locality, and if patients went to clinics of general practitioners or specialists, etc.…”

Section: Introductionmentioning

confidence: 67%

“…It is not surprising, therefore, that many patients with RA decide to utilize various kinds of CAM, even though they are currently under a physician's care and are being treated with orthodox or conventional therapies for RA. In fact, previous reports concerning CAM use in patients with rheumatologic conditions which emerged from several countries and different ethnic groups demonstrated that 60-90% of patients have used CAM [3][4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Sixty percent of patients with rheumatoid arthritis in Japan have used dietary supplements or health foods

et al. 2009

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We conducted a survey on the use of dietary supplements and health foods (DS/HF) in definite rheumatoid arthritis (RA) patients treated by RA specialists. Among 296 patients (male 48, female 248), 179 patients (60.5%) had experience of DS/HF use. Prevalence of DS/HF use was significantly higher in female than in male patients (63.7% versus 43.8%). Overall, patients who have used DS/HF were significantly younger than those who have not used; it was particularly notable in female patients. The proportion of current users was significantly higher in those less than 5 years from diagnosis than those who had been diagnosed for 5 years or more. Products of herbs or algae (44.1%) and components of cartilage (40.8%) were the most popular DS/HF. Primary sources of product information were family members or friends (56.4%) and advertisements in the mass media (34.1%). Of the users, 73.7% did not disclose DS/HF use to their physicians. The users expected alleviation of the symptoms (35.2%) and improvement of health (34.6%). However, 59.2% of the users were unsure of the benefits. In conclusion, physicians should be aware of the high prevalence of DS/HF usage in patients with RA in Japan.

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The use of ?Alternative treatments? by patients with rheumatoid arthritis

Cited by 32 publications

References 4 publications

Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA

Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA

Usage of complementary therapies in rheumatology: A systematic review

Sixty percent of patients with rheumatoid arthritis in Japan have used dietary supplements or health foods

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