Cargando…
What Everybody is Doing but No One is Talking About: Use of Complementary and Alternative Medicine in the ANCA Associated Vasculitis Population
The use and impact of complementary and alternative medicine (CAM) for anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis (AAV) has not been reported. AAV patients seeking care at our center inquired about CAM, prompting a formal study. Study objectives were to discern how many AAV pa...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295716/ https://www.ncbi.nlm.nih.gov/pubmed/25599078 |
_version_ | 1782352878330970112 |
---|---|
author | Berg, Elisabeth A.B. McGregor, JulieAnne G. Burkart, Madelyn E. Poulton, Caroline J. Hu, Yichun Falk, Ronald J. Hogan, Susan L. |
author_facet | Berg, Elisabeth A.B. McGregor, JulieAnne G. Burkart, Madelyn E. Poulton, Caroline J. Hu, Yichun Falk, Ronald J. Hogan, Susan L. |
author_sort | Berg, Elisabeth A.B. |
collection | PubMed |
description | The use and impact of complementary and alternative medicine (CAM) for anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis (AAV) has not been reported. AAV patients seeking care at our center inquired about CAM, prompting a formal study. Study objectives were to discern how many AAV patients used CAM and its perceived helpfulness in disease management. METHODS: AAV patients completed a CAM questionnaire between July 2011 and May 2012. Patients were 18 years or older and had biopsy proven and/or clinical evidence of AAV. Medical record abstraction supplemented data. Classification detailed CAM type including “Mind” or “Mind-Body”. Perceived helpfulness of CAM was assessed as “very”, “somewhat” or “not at all/don’t know”. RESULTS: A total of 107 patients participated and were a mean age of 53 (range: 18–85), 62% female; 48% proteinase 3 (PR3)-ANCA, 44% myeloperoxidase (MPO)-ANCA and 8% ANCA-negative. Top organs involved included kidney (87%), joints (55%), lung (53%) and upper respiratory (53%). At least one type of CAM treatment or self-help practice was reported by 81% of study participants, with the most frequent being prayer (64%), exercise (27%) and massage therapy (19%). Mind-based practices were used by 28% (excluding prayer) and Mind-Body practices by 14%. Most practices were used to improve wellbeing, and Mind and Mind-Body were deemed very helpful by 83% and 87% respectively. Only 24% of study participants discussed CAM with their physician. CONCLUSION: CAM practices were commonly used to improve well-being and found to be beneficial among AAV patients, but more open discussion is needed about CAM between physicians and patients. |
format | Online Article Text |
id | pubmed-4295716 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
record_format | MEDLINE/PubMed |
spelling | pubmed-42957162015-05-01 What Everybody is Doing but No One is Talking About: Use of Complementary and Alternative Medicine in the ANCA Associated Vasculitis Population Berg, Elisabeth A.B. McGregor, JulieAnne G. Burkart, Madelyn E. Poulton, Caroline J. Hu, Yichun Falk, Ronald J. Hogan, Susan L. J Autoimmune Dis Rheumatol Article The use and impact of complementary and alternative medicine (CAM) for anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis (AAV) has not been reported. AAV patients seeking care at our center inquired about CAM, prompting a formal study. Study objectives were to discern how many AAV patients used CAM and its perceived helpfulness in disease management. METHODS: AAV patients completed a CAM questionnaire between July 2011 and May 2012. Patients were 18 years or older and had biopsy proven and/or clinical evidence of AAV. Medical record abstraction supplemented data. Classification detailed CAM type including “Mind” or “Mind-Body”. Perceived helpfulness of CAM was assessed as “very”, “somewhat” or “not at all/don’t know”. RESULTS: A total of 107 patients participated and were a mean age of 53 (range: 18–85), 62% female; 48% proteinase 3 (PR3)-ANCA, 44% myeloperoxidase (MPO)-ANCA and 8% ANCA-negative. Top organs involved included kidney (87%), joints (55%), lung (53%) and upper respiratory (53%). At least one type of CAM treatment or self-help practice was reported by 81% of study participants, with the most frequent being prayer (64%), exercise (27%) and massage therapy (19%). Mind-based practices were used by 28% (excluding prayer) and Mind-Body practices by 14%. Most practices were used to improve wellbeing, and Mind and Mind-Body were deemed very helpful by 83% and 87% respectively. Only 24% of study participants discussed CAM with their physician. CONCLUSION: CAM practices were commonly used to improve well-being and found to be beneficial among AAV patients, but more open discussion is needed about CAM between physicians and patients. 2014-11-01 /pmc/articles/PMC4295716/ /pubmed/25599078 Text en © 2014 Synergy Publishers http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited. |
spellingShingle | Article Berg, Elisabeth A.B. McGregor, JulieAnne G. Burkart, Madelyn E. Poulton, Caroline J. Hu, Yichun Falk, Ronald J. Hogan, Susan L. What Everybody is Doing but No One is Talking About: Use of Complementary and Alternative Medicine in the ANCA Associated Vasculitis Population |
title | What Everybody is Doing but No One is Talking About: Use of Complementary and Alternative Medicine in the ANCA Associated Vasculitis Population |
title_full | What Everybody is Doing but No One is Talking About: Use of Complementary and Alternative Medicine in the ANCA Associated Vasculitis Population |
title_fullStr | What Everybody is Doing but No One is Talking About: Use of Complementary and Alternative Medicine in the ANCA Associated Vasculitis Population |
title_full_unstemmed | What Everybody is Doing but No One is Talking About: Use of Complementary and Alternative Medicine in the ANCA Associated Vasculitis Population |
title_short | What Everybody is Doing but No One is Talking About: Use of Complementary and Alternative Medicine in the ANCA Associated Vasculitis Population |
title_sort | what everybody is doing but no one is talking about: use of complementary and alternative medicine in the anca associated vasculitis population |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295716/ https://www.ncbi.nlm.nih.gov/pubmed/25599078 |
work_keys_str_mv | AT bergelisabethab whateverybodyisdoingbutnooneistalkingaboutuseofcomplementaryandalternativemedicineintheancaassociatedvasculitispopulation AT mcgregorjulieanneg whateverybodyisdoingbutnooneistalkingaboutuseofcomplementaryandalternativemedicineintheancaassociatedvasculitispopulation AT burkartmadelyne whateverybodyisdoingbutnooneistalkingaboutuseofcomplementaryandalternativemedicineintheancaassociatedvasculitispopulation AT poultoncarolinej whateverybodyisdoingbutnooneistalkingaboutuseofcomplementaryandalternativemedicineintheancaassociatedvasculitispopulation AT huyichun whateverybodyisdoingbutnooneistalkingaboutuseofcomplementaryandalternativemedicineintheancaassociatedvasculitispopulation AT falkronaldj whateverybodyisdoingbutnooneistalkingaboutuseofcomplementaryandalternativemedicineintheancaassociatedvasculitispopulation AT hogansusanl whateverybodyisdoingbutnooneistalkingaboutuseofcomplementaryandalternativemedicineintheancaassociatedvasculitispopulation |