An Integrative Medicine Approach to Asthma: Who Responds?

Kligler, Benjamin; McKee, M. Diane; Sackett, Esther; Levenson, Hanniel; Kenney, Jeanne; Karasz, Alison

doi:10.1089/acm.2011.0540

Cited by 5 publications

(1 citation statement)

References 16 publications

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“…Unfortunately, the failure rate of conventional therapies has increased. In patients who fail to respond to initial treatment or are difficult to treat [ 16 ], complementary and alternative therapies may be of benefit [ 17 – 22 ]. Traditional Chinese medicine (TCM) is the most commonly used alternative therapy, especially in the Chinese community.…”

Section: Introductionmentioning

confidence: 99%

Integrated traditional Chinese medicine for childhood asthma in Taiwan: a Nationwide cohort study

Hung

Sun

et al. 2014

BMC Complement Altern Med

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BackgroundTraditional Chinese medicine (TCM) is the most commonly used alternative therapy in children with asthma, especially in the Chinese community. This study aimed to investigate the effects of the government-sponsored Outpatient’s Healthcare Quality Improvement (OHQI) project with integrated TCM treatment on childhood asthma.MethodsThis study used the Longitudinal Health Insurance Database 2000, which is a part of the Taiwan National Health Insurance Research Database (NHIRD). Children with diagnosed asthma and aged under 15 years from 2006–2010 were enrolled. They were collated into 3 groups: (1) subjects treated with non-TCM; (2) subjects treated with single TCM; and (3) subjects treated with integrative OHQI TCM. The medical visits and the cost of treatment paid by the Bureau of National Health Insurance (BNHI) to the outpatient, emergency room, and inpatient departments were evaluated for the study subjects within 1 year of the first asthma diagnosis during the study period.ResultsFifteen multi-hospitals, including 7 medical centers, and 35 TCM physicians participated in OHQI during the study period. A total of 12850 children from the NHIRD database were enrolled in this study, and divided as follows: 12435 children in non-TCM group, 406 children in single TCM group, and 9 children in integrative OHQI TCM group. Although the total medical cost paid by the BNHI per patient in the integrative OHQI TCM group was greater than that in the non-OHQI groups, the patients in the integrative OHQI TCM group exhibited greater therapeutic effects, and did not require ER visits or hospitalization. In addition, ER visits and hospitalization among patients who received a combination of conventional therapy with integrated TCM were lower than those among patients who underwent conventional therapy alone or single TCM treatment.ConclusionsAsthmatic children at partly controlled level under conventional therapy may benefit from adjuvant treatment with integrated TCM.

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Section: Introductionmentioning

confidence: 99%

Integrated traditional Chinese medicine for childhood asthma in Taiwan: a Nationwide cohort study

Hung

Sun

et al. 2014

BMC Complement Altern Med

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Complementary Medicines

Gueguen¹,

Hill²,

Barry³

2015

Wiley StatsRef: Statistics Reference Online

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Complementary medicine comprises many different disciplines and some, for instance, acupuncture, chiropractic, herbal medicine, and homoeopathy, are widely used. Patients with chronic pain show particular high rates of use. Efficacy and safety evaluations are warranted to sort out helpful interventions from unsafe practices. Thousands of randomized trials have evaluated the efficacy of the most popular complementary medicines but there is less information on their safety. However, important methodological problems in design and conduct, disagreement on the practice, variability of comparisons, and discordant interpretation of the trial results of studies have precluded reaching solid consensual conclusions. The challenge is to design studies in a way that fully satisfies methodological standards and that is consistent with everyday practice of complementary medicines including individualization of treatment and holistic aspects. The specific methodological problems of trials evaluating complementary medicines are discussed, with an emphasis on the necessity to use the full spectrum of trial designs, from very explanatory to completely pragmatic, in order to achieve a complete evaluation.

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Integrative approach to allergy and asthma using complementary and alternative medicine

Silvers¹,

Bailey²

2014

Annals of Allergy, Asthma & Immunology

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An Integrative Medicine Approach to Asthma: Who Responds?

Cited by 5 publications

References 16 publications

Integrated traditional Chinese medicine for childhood asthma in Taiwan: a Nationwide cohort study

Integrated traditional Chinese medicine for childhood asthma in Taiwan: a Nationwide cohort study

Complementary Medicines

Integrative approach to allergy and asthma using complementary and alternative medicine

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