Cargando…
Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis
AIM: This study aimed to undertake a systematic review and meta-analysis of global prevalence and types of complementary and alternative medicine (CAM) use amongst adults with diabetes. METHODS: Nine databases, including MEDLINE and EMBASE, were searched for studies published between 2009 and 2019 w...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8346452/ https://www.ncbi.nlm.nih.gov/pubmed/33686454 http://dx.doi.org/10.1007/s00228-021-03097-x |
_version_ | 1783734872836145152 |
---|---|
author | Alzahrani, Abdulaziz S. Price, Malcolm J. Greenfield, Sheila M. Paudyal, Vibhu |
author_facet | Alzahrani, Abdulaziz S. Price, Malcolm J. Greenfield, Sheila M. Paudyal, Vibhu |
author_sort | Alzahrani, Abdulaziz S. |
collection | PubMed |
description | AIM: This study aimed to undertake a systematic review and meta-analysis of global prevalence and types of complementary and alternative medicine (CAM) use amongst adults with diabetes. METHODS: Nine databases, including MEDLINE and EMBASE, were searched for studies published between 2009 and 2019 which included extractable data for CAM use in adult patients with diabetes. Study characteristics, types of CAM, and overall and subgroup prevalence data in relation to CAM use were extracted. Meta-analysis of aggregate level data on prevalence and prevalence ratios (PRs) was performed using a random effects model. RESULTS: From the 38 studies included in the review, a total of 37 types of CAM and 223 types of herbs were identified. Pooled prevalence of CAM use was 51%. A wide variation in prevalence rates (predictive interval 8–93%) was observed. In the context of high heterogeneity, we found no evidence that CAM use was associated with gender, chronicity or type of diabetes. Approximately one third of patients did not disclose their use of CAM to healthcare professionals (95% PrI 25%, 97%). Herbal medicines, acupuncture, homoeopathy and spiritual healing were the common CAM types reported. CONCLUSIONS: A wide variation in prevalence of CAM use by patients with diabetes was identified. Healthcare professionals should be aware of their patients’ use of CAM to ensure treatment optimization, avoid herb–drug interactions and promote medication adherence in diabetes. Diabetic reviews and clinical guidelines should incorporate exploration of patient use of CAM as many patients do not proactively disclose the use of CAM to their healthcare professionals. REGISTRATION: The protocol for this study was registered with the Centre for Review and Dissemination (CRD). Protocol registration number CRD42019125036. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00228-021-03097-x. |
format | Online Article Text |
id | pubmed-8346452 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-83464522021-08-20 Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis Alzahrani, Abdulaziz S. Price, Malcolm J. Greenfield, Sheila M. Paudyal, Vibhu Eur J Clin Pharmacol Review AIM: This study aimed to undertake a systematic review and meta-analysis of global prevalence and types of complementary and alternative medicine (CAM) use amongst adults with diabetes. METHODS: Nine databases, including MEDLINE and EMBASE, were searched for studies published between 2009 and 2019 which included extractable data for CAM use in adult patients with diabetes. Study characteristics, types of CAM, and overall and subgroup prevalence data in relation to CAM use were extracted. Meta-analysis of aggregate level data on prevalence and prevalence ratios (PRs) was performed using a random effects model. RESULTS: From the 38 studies included in the review, a total of 37 types of CAM and 223 types of herbs were identified. Pooled prevalence of CAM use was 51%. A wide variation in prevalence rates (predictive interval 8–93%) was observed. In the context of high heterogeneity, we found no evidence that CAM use was associated with gender, chronicity or type of diabetes. Approximately one third of patients did not disclose their use of CAM to healthcare professionals (95% PrI 25%, 97%). Herbal medicines, acupuncture, homoeopathy and spiritual healing were the common CAM types reported. CONCLUSIONS: A wide variation in prevalence of CAM use by patients with diabetes was identified. Healthcare professionals should be aware of their patients’ use of CAM to ensure treatment optimization, avoid herb–drug interactions and promote medication adherence in diabetes. Diabetic reviews and clinical guidelines should incorporate exploration of patient use of CAM as many patients do not proactively disclose the use of CAM to their healthcare professionals. REGISTRATION: The protocol for this study was registered with the Centre for Review and Dissemination (CRD). Protocol registration number CRD42019125036. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00228-021-03097-x. Springer Berlin Heidelberg 2021-03-08 2021 /pmc/articles/PMC8346452/ /pubmed/33686454 http://dx.doi.org/10.1007/s00228-021-03097-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Alzahrani, Abdulaziz S. Price, Malcolm J. Greenfield, Sheila M. Paudyal, Vibhu Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis |
title | Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis |
title_full | Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis |
title_fullStr | Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis |
title_full_unstemmed | Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis |
title_short | Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis |
title_sort | global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8346452/ https://www.ncbi.nlm.nih.gov/pubmed/33686454 http://dx.doi.org/10.1007/s00228-021-03097-x |
work_keys_str_mv | AT alzahraniabdulazizs globalprevalenceandtypesofcomplementaryandalternativemedicinesuseamongstadultswithdiabetessystematicreviewandmetaanalysis AT pricemalcolmj globalprevalenceandtypesofcomplementaryandalternativemedicinesuseamongstadultswithdiabetessystematicreviewandmetaanalysis AT greenfieldsheilam globalprevalenceandtypesofcomplementaryandalternativemedicinesuseamongstadultswithdiabetessystematicreviewandmetaanalysis AT paudyalvibhu globalprevalenceandtypesofcomplementaryandalternativemedicinesuseamongstadultswithdiabetessystematicreviewandmetaanalysis |