Herbal medicine use is frequent in ambulatory surgery patients in Vancouver Canada

Lennox, Pamela H.; Henderson, Cynthia L.

doi:10.1007/bf03020181

Cited by 22 publications

(20 citation statements)

References 15 publications

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“…Our CAM utility rates are higher than other reports of surgical populations, most of which have been conducted in North America. 2,5,7 The increase in use of CAM has significant implications for surgery.T he risk of herbal medication use and interaction with synthetic drugs is well reported (Table 7), as is the importance of detailed history taking and advice for discontinuation for certain products to prevent adverse reactions. [8][9][10] The true prevalence of interactions between herbal medications and allopathic drugs during anaesthesia and surgery is unknown.…”

Section: Table 4 Use Of Non-herbal Therapiesmentioning

confidence: 99%

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Use of Complementary and Alternative Medicine by Patients Admitted to a Surgical Unit in Scotland

Shakeel

Bruce

Jehan

et al. 2008

annals

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Ann RC oll Surg Engl 2008; 90:5 71-576 571The term complementary and alternativem edicine (CAM) encompassesaw ide range of health-related therapies, The The erm complementary and alternative medicine (CAM) encompassesaw ide rangeo fh ealth-related therapies, which are often considered outside mainstreambiomedical practice. There is ample evidence to suggestt hat CAM use in the Westerns ociety has increased steadily.AU Ss tudy found that 43% of almost 500 ambulatory surgical patients had consumed some type of CAM duringthe 2weeksprior to surgery. 2 Some products werek nown to have coagulation or cardiovascular effects. An Irish study reported that1 2% of day-case surgery patients wereu sing herbal medicine at thet ime of admission and most patients failed to report thistothe surgical team. To date, no studies have investigated the use of CAM in surgical patients in the Scottish healthcare setting. The aim of this study was to identify the prevalence and pattern of CAM use in ac onsecutives ample of patients admitted to three surgical units, at amajor regionalhospital in North-East Scotland. Patients and MethodsAt otal of 450 consecutive patients admitted to general, cardiothoracic and vascular surgery wards in Aberdeen Royal Infirmary,S cotland during June and July 2005 were provided with aq uestionnaire along with an information sheet, and were invited to participate. Invitation was restrictedt op atients aged 16 years or older and help was provided to non-English speaking patients as needed.The questionnaire included: at ick-list of 48 common herbal preparations and alternative therapies; items on age, sex, marital status, education, reason for use, opinion on CAM efficacy and whether their general practitioner (GP) had knowledge of their CAM use. The questionnaire was piloted and modified prior to distribution. Reason for admission was recorded from medical records. As ample size of 385 patients was calculated to detect a2 0% prevalence (± 95% confidence interval) of CAM use. Statistical analysisData were entered into Microsoft Excel and analysed using SPSS v13.0. Descriptive statistics were used to explore ever versus never use of CAM by demographics, including age, sex, marital status and education. Education level was analysed as university or college, school qualification only

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Section: Table 4 Use Of Non-herbal Therapiesmentioning

confidence: 99%

“…7 It is, therefore, essential that both patients and healthcare professionals have access to accurateand reliable information. In the US, this has already beenimplemented by launchingthe National Center for Complementary and Alternative Medicine (NCCAM).…”

Section: Herbal Onlymentioning

confidence: 99%

Use of Complementary and Alternative Medicine by Patients Admitted to a Surgical Unit in Scotland

Shakeel

Bruce

Jehan

et al. 2008

annals

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“…Seventy-four patients (46%) had informed their family physician that they were on herbal medicines, while 72 www.intechopen.com patients (44%) stated that their family physician was unaware that they were taking these medications. Of the 162 patients using herbal medicines, 54 were taking them on the advice of their doctor (33%) and 88 were self-prescribing (54%) (Lennox & Henderson, 2003). Women reported physician recommended (4.7%) at similar proportions as among males (Kelly et al, 2005).…”

Section: Recommendations Source For Herbal Medicine Usementioning

confidence: 91%

“…The largest numbers of consumers of herbal medicines (31.5% of users) were in the 31-45-yr-oldrange, which was also our largest group of patients. The46-60-yr-old group accounted for 25% of overall use and the over-60 group in our institution accounted for 17% (Lennox & Henderson, 2003). Research studied in surgery patients showed thirty-eight percent of the study population had consumed herbal medicine in the 2 years before surgery and 16% continued the use of herbal medicine in the month of surgery (Adusumilli et al, 2004).…”

Section: Frequency Of Herbal Medicine Usementioning

confidence: 99%

“…Some herbalists still recommend white willow to treat headaches, arthritis, and other painful conditions, contending that it is less likely to produce stomach upset and other adverse effects of aspirin (Goldman, 2001). The reasons for taking herbal medicines were diverse, including constitutional symptoms, respiratory complaints, arthritis, gastrointestinal disorders, hormonal and bladder symptoms (Lennox & Henderson, 2003). Kelly et al stated the reason for taking any product containing herbal and other natural supplements was examined for subjects interviewed in 2002; the 2 most common reasons reported by both sexes were vitamin and supplement diet, at 21% and 12%, respectively.…”

Section: Use Reasons Of Herbal Medicinementioning

confidence: 99%

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Medical Herbalism and Frequency of Use

Erci¹

2012

A Compendium of Essays on Alternative Therapy

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Phytopharmaka

2007

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There is a great enthusiasm for herbal medications with increasing and widespread use among the population in various countries. A certain scepticism towards the use of pharmaceutical drugs may promote the use of herbal medicines such as echinacea, ginger, garlic, ginkgo, cranberry, valerian or St. John's wort even in western countries. Although considered safe among users, adverse effects such as increased bleeding tendencies, hypertension and hepatotoxicity can occur. Physicians should caution patients on the adverse side effects of herbal medicines and interactions between herbal medicines and pharmaceutical drugs, leading to various and uncontrollable deterioration of vital functions in the perioperative period. Although evidence-based data are lacking, anaesthesiologists and surgeons should be familiar with the effects of herbal medicines and should enquire about the use of these agents in the preoperative assessment. Currently available data suggest that herbal medications should be discontinued up to 2 weeks before elective surgery, although no guidelines of scientific societies have yet been published.

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Herbal medicine use is frequent in ambulatory surgery patients in Vancouver Canada

Abstract: P Pu ur rp po os se e: : To determine the incidence and nature of herbal medicine use among patients in a busy Canadian surgical day care unit.

Cited by 22 publications

References 15 publications

Use of Complementary and Alternative Medicine by Patients Admitted to a Surgical Unit in Scotland

Use of Complementary and Alternative Medicine by Patients Admitted to a Surgical Unit in Scotland

Medical Herbalism and Frequency of Use

Phytopharmaka

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