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Characteristics of Traditional Chinese Medicine Use in Pediatric Dislocations, Sprains and Strains

Background and Objectives: Dislocations, sprains and strains are common childhood musculoskeletal injuries, requiring medical attention. We investigated the characteristics associated with using traditional Chinese medicine (TCM) for children suffering from these injuries. Methods: From a nationwide...

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Autores principales: Lu, Chung-Yen, Chang, Hen-Hong, Sung, Fung-Chang, Chen, Pei-Chun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5334707/
https://www.ncbi.nlm.nih.gov/pubmed/28165417
http://dx.doi.org/10.3390/ijerph14020153
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author Lu, Chung-Yen
Chang, Hen-Hong
Sung, Fung-Chang
Chen, Pei-Chun
author_facet Lu, Chung-Yen
Chang, Hen-Hong
Sung, Fung-Chang
Chen, Pei-Chun
author_sort Lu, Chung-Yen
collection PubMed
description Background and Objectives: Dislocations, sprains and strains are common childhood musculoskeletal injuries, requiring medical attention. We investigated the characteristics associated with using traditional Chinese medicine (TCM) for children suffering from these injuries. Methods: From a nationwide representative insurance database of Taiwan, this cross-sectional study identified 50,769 children with dislocations, sprains and strains under 18 years of age, newly diagnosed between 1999 and 2009, without previous TCM experience. Children who initiated treatment with TCM (n = 24,063, 47.4%) were defined as TCM users, others were in the non-TCM group. Multivariable logistic regression models estimated odds ratios (ORs) of TCM use. Results: Girls and children living in central Taiwan (vs. northern) were associated with higher TCM use. The adjusted ORs (95% confidence interval (CI)) of TCM uses were 1.60 (1.42–1.79) for patients of 3–5 years, 2.20 (1.99–2.42) of 6–12 years and 1.82 (1.64–2.01) of 13–17 years, compared with those of the <2 years group. TCM users were less likely to have outpatient visits for Western medicine care and hospitalizations in the previous year. The TCM group was nearly twice more likely than the non-user group to receive treatments at local clinics (99.1% vs. 53.3%, p < 0.001). Conclusions: This study reveals important demographic and medical factors associated with TCM uses for children with dislocations, sprains and strains. Interestingly, local clinics are the main healthcare facilities providing TCM services. Further studies are needed to evaluate the outcomes of TCM treatment for these musculoskeletal injuries.
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spelling pubmed-53347072017-03-16 Characteristics of Traditional Chinese Medicine Use in Pediatric Dislocations, Sprains and Strains Lu, Chung-Yen Chang, Hen-Hong Sung, Fung-Chang Chen, Pei-Chun Int J Environ Res Public Health Article Background and Objectives: Dislocations, sprains and strains are common childhood musculoskeletal injuries, requiring medical attention. We investigated the characteristics associated with using traditional Chinese medicine (TCM) for children suffering from these injuries. Methods: From a nationwide representative insurance database of Taiwan, this cross-sectional study identified 50,769 children with dislocations, sprains and strains under 18 years of age, newly diagnosed between 1999 and 2009, without previous TCM experience. Children who initiated treatment with TCM (n = 24,063, 47.4%) were defined as TCM users, others were in the non-TCM group. Multivariable logistic regression models estimated odds ratios (ORs) of TCM use. Results: Girls and children living in central Taiwan (vs. northern) were associated with higher TCM use. The adjusted ORs (95% confidence interval (CI)) of TCM uses were 1.60 (1.42–1.79) for patients of 3–5 years, 2.20 (1.99–2.42) of 6–12 years and 1.82 (1.64–2.01) of 13–17 years, compared with those of the <2 years group. TCM users were less likely to have outpatient visits for Western medicine care and hospitalizations in the previous year. The TCM group was nearly twice more likely than the non-user group to receive treatments at local clinics (99.1% vs. 53.3%, p < 0.001). Conclusions: This study reveals important demographic and medical factors associated with TCM uses for children with dislocations, sprains and strains. Interestingly, local clinics are the main healthcare facilities providing TCM services. Further studies are needed to evaluate the outcomes of TCM treatment for these musculoskeletal injuries. MDPI 2017-02-04 2017-02 /pmc/articles/PMC5334707/ /pubmed/28165417 http://dx.doi.org/10.3390/ijerph14020153 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lu, Chung-Yen
Chang, Hen-Hong
Sung, Fung-Chang
Chen, Pei-Chun
Characteristics of Traditional Chinese Medicine Use in Pediatric Dislocations, Sprains and Strains
title Characteristics of Traditional Chinese Medicine Use in Pediatric Dislocations, Sprains and Strains
title_full Characteristics of Traditional Chinese Medicine Use in Pediatric Dislocations, Sprains and Strains
title_fullStr Characteristics of Traditional Chinese Medicine Use in Pediatric Dislocations, Sprains and Strains
title_full_unstemmed Characteristics of Traditional Chinese Medicine Use in Pediatric Dislocations, Sprains and Strains
title_short Characteristics of Traditional Chinese Medicine Use in Pediatric Dislocations, Sprains and Strains
title_sort characteristics of traditional chinese medicine use in pediatric dislocations, sprains and strains
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5334707/
https://www.ncbi.nlm.nih.gov/pubmed/28165417
http://dx.doi.org/10.3390/ijerph14020153
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