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Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study

INTRODUCTION: Complementary and alternative medicine (CAM) is frequently used by patients with rheumatic diseases (RD) to improve their symptoms; however, its diversity and availability have increased notably while scientific support for its effectiveness and adverse effects is still scarce. OBJECTI...

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Autores principales: Caballero-Hernández, Claudia Isabel, González-Chávez, Susana Aideé, Urenda-Quezada, Adelfia, Reyes-Cordero, Greta Cristina, Peláez-Ballestas, Ingris, Álvarez-Hernández, Everardo, Pacheco-Tena, César
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8478211/
https://www.ncbi.nlm.nih.gov/pubmed/34582473
http://dx.doi.org/10.1371/journal.pone.0257319
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author Caballero-Hernández, Claudia Isabel
González-Chávez, Susana Aideé
Urenda-Quezada, Adelfia
Reyes-Cordero, Greta Cristina
Peláez-Ballestas, Ingris
Álvarez-Hernández, Everardo
Pacheco-Tena, César
author_facet Caballero-Hernández, Claudia Isabel
González-Chávez, Susana Aideé
Urenda-Quezada, Adelfia
Reyes-Cordero, Greta Cristina
Peláez-Ballestas, Ingris
Álvarez-Hernández, Everardo
Pacheco-Tena, César
author_sort Caballero-Hernández, Claudia Isabel
collection PubMed
description INTRODUCTION: Complementary and alternative medicine (CAM) is frequently used by patients with rheumatic diseases (RD) to improve their symptoms; however, its diversity and availability have increased notably while scientific support for its effectiveness and adverse effects is still scarce. OBJECTIVE: To describe the prevalence and diversity of CAM in patients with RD in Chihuahua, Mexico. METHODS: A cross-sectional study was conducted in 500 patients with RD who were interviewed about the use of CAM to treat their disease. The interview included sociodemographic aspects, characteristics of the disease, as well as a description of CAM use, including type, frequency of use, perception of the benefit, communication with the rheumatologist, among others. RESULTS: The prevalence of CAM use was reported by 59.2% of patients, which informed a total of 155 different therapies. The herbal CAM group was the most used (31.4%) and included more than 50 different therapies. The use of menthol-based and arnica ointments was highly prevalent (35%). Most patients (62.3%) reported very little or no improvement in their symptoms. Only a fourth of the patients informed the rheumatologist of the use of CAM. The use of CAM was influenced by female sex, university degree, diagnosis delay, lack adherence to the rheumatologist’s treatment, family history of RD, and orthopedic devices. CONCLUSION: The use of CAM in our population is highly prevalent and similar to reports in different populations suggesting a widespread use in many different societies. We found high use of herbal remedies; however, there were many different types suggesting a lack of significant effect. Patients continue using CAM despite a perception of no-effectiveness. Recurrent use of CAM is explained by factors other than its efficacy.
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spelling pubmed-84782112021-09-29 Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study Caballero-Hernández, Claudia Isabel González-Chávez, Susana Aideé Urenda-Quezada, Adelfia Reyes-Cordero, Greta Cristina Peláez-Ballestas, Ingris Álvarez-Hernández, Everardo Pacheco-Tena, César PLoS One Research Article INTRODUCTION: Complementary and alternative medicine (CAM) is frequently used by patients with rheumatic diseases (RD) to improve their symptoms; however, its diversity and availability have increased notably while scientific support for its effectiveness and adverse effects is still scarce. OBJECTIVE: To describe the prevalence and diversity of CAM in patients with RD in Chihuahua, Mexico. METHODS: A cross-sectional study was conducted in 500 patients with RD who were interviewed about the use of CAM to treat their disease. The interview included sociodemographic aspects, characteristics of the disease, as well as a description of CAM use, including type, frequency of use, perception of the benefit, communication with the rheumatologist, among others. RESULTS: The prevalence of CAM use was reported by 59.2% of patients, which informed a total of 155 different therapies. The herbal CAM group was the most used (31.4%) and included more than 50 different therapies. The use of menthol-based and arnica ointments was highly prevalent (35%). Most patients (62.3%) reported very little or no improvement in their symptoms. Only a fourth of the patients informed the rheumatologist of the use of CAM. The use of CAM was influenced by female sex, university degree, diagnosis delay, lack adherence to the rheumatologist’s treatment, family history of RD, and orthopedic devices. CONCLUSION: The use of CAM in our population is highly prevalent and similar to reports in different populations suggesting a widespread use in many different societies. We found high use of herbal remedies; however, there were many different types suggesting a lack of significant effect. Patients continue using CAM despite a perception of no-effectiveness. Recurrent use of CAM is explained by factors other than its efficacy. Public Library of Science 2021-09-28 /pmc/articles/PMC8478211/ /pubmed/34582473 http://dx.doi.org/10.1371/journal.pone.0257319 Text en © 2021 Caballero-Hernández et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Caballero-Hernández, Claudia Isabel
González-Chávez, Susana Aideé
Urenda-Quezada, Adelfia
Reyes-Cordero, Greta Cristina
Peláez-Ballestas, Ingris
Álvarez-Hernández, Everardo
Pacheco-Tena, César
Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study
title Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study
title_full Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study
title_fullStr Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study
title_full_unstemmed Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study
title_short Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study
title_sort prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in mexico: cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8478211/
https://www.ncbi.nlm.nih.gov/pubmed/34582473
http://dx.doi.org/10.1371/journal.pone.0257319
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