scholarly journals Use of Complementary and Alternative Medicine Among Patients With Epilepsy and Diabetes Mellitus, Focusing on the Outcome of Treatment

2022 ◽  
Vol 15 ◽  
Author(s):  
Michael Magdy Fahmy Girgis ◽  
Klára Fekete ◽  
Nóra Homoródi ◽  
Sándor Márton ◽  
István Fekete ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
The Elderly ◽  
Herbal Products ◽  
Patients With Diabetes ◽  
Cam Use ◽  
Patients With Epilepsy ◽  
Complementary And Alternative

Introduction: Millions all over the world live with epilepsy, and they may require long-term drug treatment. The use and interest in complementary and alternative medicine (CAM) have grown over the previous years. Coadministration of herbal products with medicines may result in adverse drug reactions (ADRs) and/or unfavorable interactions. The aims of this study were to determine the prevalence of CAM use among patients with epilepsy, to compare the results to those of the patients with diabetes mellitus (DM), to reveal factors that may drive the use of CAM, and to measure outcomes and adherence. It was also our intent to have state-of-the-art information on CAM use in our region among patients with the two diseases above.Materials and Methods: We conducted a non-interventional study using a self-developed questionnaire. It was distributed among adult patients with either epilepsy or DM who also suffered from cardiovascular consequences. A database was compiled from the anonymous questionnaires filled in voluntarily by the patients. Basic statistics were used to analyze this database.Results: A total of 227 questionnaires were filled in by 127 patients (55.9%) with epilepsy and 100 patients (44.1%) with DM. Mean age was 54.54 ± 17.33 years. Of the patients, 50.2% were male. Average body weight was 80.3 ± 17.3 kg. Of the patients, 22 (9.7%) used CAM because they believed in CAM. Two of them reported ADRs. Among the patients with epilepsy, the ratio was only 7.9% compared to 12% among those with DM. While the number of CAM users was higher among younger patients with epilepsy, it was the elderly patients with DM who tended to use CAM.Conclusion: Attention should be paid to reliance on CAM during the follow-up. Our finding that health-conscious patients tend to use CAM more often (than the general population) may indicate it is necessary to discuss CAM usage sincerely. CAMs modulating cytochrome P450 (CYP) enzymes were the most common, leading to interactions with medication used and resulting in ADRs. This shows the importance of educating patients and treating team including clinical pharmacists in this field.

Complementary and alternative medicine use in Iranian patients with diabetes mellitus

2015 ◽  
Vol 13 (5) ◽  
pp. 319-325 ◽  
Author(s):  
Mohammad Hashem Hashempur ◽  
Mojtaba Heydari ◽  
Seyed Hamdollah Mosavat ◽  
Seyyed Taghi Heydari ◽  
Mesbah Shams
Keyword(s):  
Diabetes Mellitus ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Medicine Use ◽  
Patients With Diabetes ◽  
Iranian Patients ◽  
Complementary And Alternative

scholarly journals Consumer Decision Factors for Initial and Long-Term Use of Complementary and Alternative Medicine

2008 ◽  
Vol 13 (1) ◽  
pp. 3-19 ◽  
Author(s):  
Fuschia M. Sirois ◽  
Rebecca J. Purc-Stephenson
Keyword(s):  
Decision Making ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Consumer Decision Making ◽  
Consumer Decision ◽  
Decision Factors ◽  
Cam Use ◽  
Decision Making Model ◽  
Complementary And Alternative

Guided by the conceptual framework of the consumer decision-making model, the present study compared the factors associated with initial and long-term use of complementary and alternative medicine (CAM) providers. A survey was completed by 239 people recruited from the offices of physicians and CAM practitioners. Conventional medicine clients ( n = 54), new or infrequent clients ( n = 73), and established CAM clients ( n = 112) were compared to identify the decision factors for initial and long-term CAM use. Consistent with the components of this model, we found support for the roles of external influences (age, social recommendations), decision process factors (symptom severity, egalitarian provider preference), and post-decision factors (dissatisfaction with conventional care) depending on whether the pattern of CAM use was new or infrequent or established. Overall, this study provides preliminary support for the utility of the consumer decision-making model as an integrative framework for understanding the roles of correlates of CAM use.

Patterns of complementary and alternative medicine use among Tunisian cancer patients

2020 ◽  
pp. 107815522098013
Author(s):  
Imen Toukabri ◽  
Azza Ben Said ◽  
Adel Hamdi ◽  
Amina Mokrani ◽  
Azza Gabsi ◽  
...  
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Curcuma Longa ◽  
Univariate Analysis ◽  
University Education ◽  
Cross Sectional ◽  
Herbal Products ◽  
Cam Use ◽  
Complementary And Alternative

Introduction The use of complementary and alternative medicine (CAM) among cancer patients is prevalent worldwide as cancer patient are perpetually seeking for a way to improve their quality of life and to cure their disease. Unfortunately, the majority ignore the danger that can resort when they use CAM currently with conventional therapies. The purpose of this study is to assess prevalence and predictors of CAM use in cancer patients. Methods Cross-sectional study using a questionnaire administered to cancer patients, who were attending Salah Azaiz institute, Tunis, Tunisia. The study took place from September to December 2018. Results In 222 cancer patients, the overall prevalence of CAM use was 40.54%. On univariate analysis, patients who had university education level were less likely to use CAM (p = 0.05). Based on multivariate analysis, CAM users had more likely metastatic tumor (p = 0.047; OR = 1.913).It is reported that the majority of the population used herbal medicine. The most common herbal products consuming by patients, included Ephedra foeminea (51.8%), Annona muricata (12%) and Curcuma longa L. (10.84%).The main source of information was entourage (family, friends, hospital entourage) (74.44%).The majority of CAM users (61.11%) reported to consume CAM currently with conventional therapies. Conclusion This survey revealed a high prevalence of CAM use. The most common type of CAM use is herbal products. Some of the used herbal products are known to interact with conventional anticancer medication. This emphasizes the importance of patients disclosure of CAM use to health professionals in order to avoid herb-medications interactions.

scholarly journals The Utilization of Complementary and Alternative Medicine among Saudi Older Adults: A Population-Based Study

2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Mohammad H. Aljawadi ◽  
Abdullah T. Khoja ◽  
Azzam D. AlOtaibi ◽  
Khalid Turki Alharbi ◽  
Muhannad Abdulwahed Alodayni ◽  
...  
Keyword(s):  
Older Adults ◽  
Alternative Medicine ◽  
Marital Status ◽  
Complementary And Alternative Medicine ◽  
Urban Areas ◽  
Herbal Products ◽  
Factors Associated ◽  
Cam Use ◽  
Manual Manipulation ◽  
Complementary And Alternative

Background. Complementary and alternative medicine (CAM) is an integral part of patients' therapeutic experience worldwide. Among Saudi older adults, less is known about CAM utilization. Objectives. To determine the prevalence, patterns, and factors associated with CAM utilization among SOA. Methods. In the Saudi National Survey for Elderly Health (SNSEH), subjects were asked about CAM use during the last twelve months before the interview. CAM use was defined as any use of herbal products, acupuncture, bloodletting, cauterization, medical massage, bones manual manipulation, honey, or religious rituals. Demographic characteristics included gender, age, marital status, region, educational level, and residence area. In addition, multiple comorbidities were included as possible factors that may be associated with CAM use. Multivariable logistic regression was used to explore factors associated with CAM utilization. All statistical analyses were done using STATA v.14. Results. Out of 2946 respondents, 50.4% were males, the mean age was 70.3 ± 8.3 years, and 70% were illiterate. CAM use was prevalent (62.5%). The most common CAM types were herbal products (25.4%), acupuncture (21.2%), bloodletting (12%), honey (9.5%), cauterization (7.4%), medical massage and bones manual manipulation (4%), and traditional bone setting (2.1%). In the multivariable regression, age, gender, and marital status did not have an impact on the odds of using CAM. Subjects from rural areas were 2.92 times more likely to use CAM compared with subjects in urban areas (OR = 2.92; 95%CI: 2.28‐3.75). Subjects with metabolic disorders (OR = 0.50; 95% CI: 0.42‐0.60) or kidney disease were less likely to use CAM (OR = 0.30; 95%CI: 0.14‐0.64). About pain, CAM is used more in neck pain (OR = 1.69; 95%CI: 1.30‐2.21) and also used in back pain (OR =  1.22; 95%CI: 1.03‐1.46). Conclusions. CAM use was very prevalent among SOA. Clinicians and pharmacists must ask about CAM use among older adults as many of CAM may interact with patients medications.

scholarly journals Complementary and Alternative Medicine Use in Breast Cancer Patients at a Medical Center in Taiwan: A Cross-Sectional Study

2020 ◽  
Vol 19 ◽  
pp. 153473542098391
Author(s):  
Chieh-Ying Chin ◽  
Yung-Hsiang Chen ◽  
Shin-Chung Wu ◽  
Chien-Ting Liu ◽  
Yun-Fang Lee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Medical Center ◽  
Cancer Center ◽  
Breast Cancer Patients ◽  
Cross Sectional ◽  
Cam Use ◽  
Complementary And Alternative

Background Complementary and alternative medicine (CAM) is becoming more common in medical practice, but little is known about the concurrent use of CAM and conventional treatment. Therefore, the aim was to investigate the types of CAM used and their prevalence in a regional patient cohort with breast cancer (BC). Methods BC patients were interviewed with a structured questionnaire survey on the use of CAM in southern Taiwan at an Integrative Breast Cancer Center (IBCC). The National Centre for Complementary and Integrative Health (NCCIH) classification was used to group responses. Over a period of 8 months, all patients receiving treatment for cancer at the IBCC were approached. Results A total of 106 BC patients completed the survey (response rate: 79.7%). The prevalence of CAM use was 82.4%. Patients who were employed, were receiving radiotherapy and hormone therapy, and had cancer for a longer duration were more likely to use CAM ( P < .05). Multivariate analysis identified employment as an independent predictor of CAM use (OR = 6.92; 95% CI = 1.33-36.15). Dietary supplementation (n = 69, 82.1%) was the type of CAM most frequently used, followed by exercise (n = 48, 57.1%) and traditional Chinese medicine (n = 29, 34.5%). The main reason for using CAM was to ameliorate the side effects of conventional therapies. Almost half (46.4%) of these CAM users did not disclose that they were using it in medical consultations with their physicians. Most chose to use CAM due to recommendations from family and friends. Conclusion A large portion of BC patients at the IBCC undergoing anti-cancer treatment courses used CAM, but less than half discussed it with their physicians. Given the high prevalence of CAM, it would be justifiable to direct further resources toward this service so that cancer patients can benefit from a holistic approach to their treatment.

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