Alternative medicine: cost and subjective benefit in rheumatoid arthritis.

Pullar, T; Capell, Hilary A.; Millar, Anna; Brooks, R G

doi:10.1136/bmj.285.6355.1629

Cited by 19 publications

(8 citation statements)

References 3 publications

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“…It is difficult therefore to compare our findings with those from previous surveys in the UK, many of which either targeted patients attending hospital clinics and who had known diagnoses e.g. rheumatoid arthritis [14,16,17,35,36], fibromyalgia [15,37], multiple sclerosis [38] or post-spinal cord injury [39] or targeted individuals in the community [10,11] suffering from chronic pain in general and not specifically musculoskeletal pain. Surveys that looked at CAM use in primary care in the UK mainly explored access to CAM and GPs' use and attitude towards it.…”

Section: Discussionmentioning

confidence: 99%

“…Because of their great diversity, the only way to identify these treatments as a distinct group seems to have been by 'negatively' defining them as treatments that are not taught in medical schools or provided in hospitals. In 1982, this group of treatments was defined as "treatments that a conventional unit is unlikely to prescribe" [14]. Within that were included aids for the home (used by patients with arthritis) as well as herbs and acupuncture.…”

Section: Methodsmentioning

confidence: 99%

“…Some of these were general population surveys [2,3,11-13], surveys among patients with definitive rheumatologic diagnoses attending hospital clinics [14-18], or surveys of healthcare professionals exploring their patients' use of CAM and access to it [19,4,5,23]. …”

Section: Introductionmentioning

confidence: 99%

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The use of CAM and conventional treatments among primary care consulters with chronic musculoskeletal pain

2007

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The use of CAM and conventional treatments among primary care consulters with chronic musculoskeletal pain

2007

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“…Interestingly, one survey found that CM's high cost was a prominent reason for not using it [20]. Pullar et al [9], on the contrary, found costs to be relatively low.…”

Section: Patients' Use Of CMmentioning

confidence: 96%

“…Fourteen surveys of rheumatological patients' use of CM were identified [7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Collectively they point to a high prevalence of CM use among this patient group, particularly in North America (Table 1).…”

Section: Patients' Use Of CMmentioning

confidence: 99%

Usage of complementary therapies in rheumatology: A systematic review

Ernst

1998

Clin Rheumatol

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Complementary medicine (CM) is more popular than ever before. Rheumatology patients seem particularly keen to try CM. In this paper, surveys on rheumatology patients' use of CM are reviewed. The issues of perceived effectiveness, safety and costs are also addressed. In addition surveys of doctors' attitudes towards CM in rheumatology are summarised. Fourteen surveys on patients' use of CM and three on patients' attitudes towards CM were found and analysed. The results imply that the prevalence of CM varies between 30% and nearly 100%. Overall, patients perceive CM as being moderately effective. The survey contains only few data on adverse events of CM as perceived by these patients; collectively they suggest that adverse events are uncommon. Data on costs are similarly sparse; they imply that expenditure for CM is rarely high. Physicians seem to be more sceptical about CM than are their patients. It is concluded that, on average, CM is frequently used by rheumatology patients. The patients' level of satisfaction with CM is often considerable and few adverse effects are being reported. On the basis of these findings, a rigorous investigation of the effectiveness, safety and costs of CM in rheumatology seems desirable.

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Gender and ethnic differences in alternative and conventional arthritis remedy use among community-dwelling rural adults with arthritis

Arcury

Bernard²,

Jordan

et al. 1996

Arthritis Care & Research

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Objective. To examine the frequency of, and the ethnic and gender differences in, the use of arthritis remedies among rural adults. Methods. Interviews were conducted with 219 adults from a nonmetropolitan North Carolina county. Participants reported whether they ever used and still used 19 remedies. Participants were evaluated for the actual presence of arthritis and functional capacity. Analysis included descriptive statistics and multivariate logistic regression. Results. Participants used a variety of alternative and conventional remedies, with prayer (92%) being most widely used. Prescription medicine was used by 60%. Differences in remedy use included European‐Americans making greater use of conventional remedies and African‐Americans making greater use of some alternative remedies. Those with greater functional disability have used alternative remedies, but they still used prescription medicine. Conclusions. Rural individuals use a variety of remedies, with differences by gender, ethnicity, and functional capacity. Future research must examine the role of gender, culture, residence, and disease severity in arthritis remedy use decisions.

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Alternative medicine: cost and subjective benefit in rheumatoid arthritis.

Cited by 19 publications

References 3 publications

The use of CAM and conventional treatments among primary care consulters with chronic musculoskeletal pain

The use of CAM and conventional treatments among primary care consulters with chronic musculoskeletal pain

Usage of complementary therapies in rheumatology: A systematic review

Gender and ethnic differences in alternative and conventional arthritis remedy use among community-dwelling rural adults with arthritis

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