Integrative Medicine Research at an Academic Medical Center: Patient Characteristics and Health-Related Quality-of-Life Outcomes

Greeson, Jeffrey M.; Rosenzweig, Steven A; Halbert, Steven C.; Cantor, Ira; Keener, Matthew T.; Brainard, George C.

doi:10.1089/acm.2008.0114

Cited by 35 publications

(19 citation statements)

References 18 publications

(11 reference statements)

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“…Survey selection was based on a review of tools that had been previously used in adult macromastia research and in adolescent and young adult samples. 1,[4][5][6]10,11,18,25,30,[35][36][37][38][39][40][41][42] Participants completed the surveys independently either in clinic or at home.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Macromastia on Adolescents: A Cross-Sectional Study

Cerrato

Webb²,

Rosen³

et al. 2012

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Macromastia is associated with severe physical and emotional symptoms and negatively impacts health-related quality of life in adult women. Reduction mammaplasty is the most effective treatment for adults. Little is known regarding the impact of macromastia during adolescence.WHAT THIS STUDY ADDS: Adolescents with macromastia have impaired health-related quality of life, lower self-esteem, more breastrelated symptoms, and are at higher risk for disordered eating in comparison with their peers. These negative health outcomes have implications for early intervention in this patient population. abstract OBJECTIVE: To determine the physical and psychosocial impact of macromastia on adolescents considering reduction mammaplasty in comparison with healthy adolescents. METHODS:The following surveys were administered to adolescents with macromastia and control subjects, aged 12 to 21 years: ShortForm 36v2, Rosenberg Self-Esteem Scale, Breast-Related Symptoms Questionnaire, and Eating-Attitudes Test-26 (EAT-26). Demographic variables and self-reported breast symptoms were compared between the 2 groups. Linear regression models, unadjusted and adjusted for BMI category (normal weight, overweight, obese), were fit to determine the effect of case status on survey score. Odds ratios for the risk of disordered eating behaviors (EAT-26 score $20) in cases versus controls were also determined. RESULTS:Ninety-six subjects with macromastia and 103 control subjects participated in this study. Age was similar between groups, but subjects with macromastia had a higher BMI (P = .02). Adolescents with macromastia had lower Short-Form 36v2 domain, Rosenberg Self-Esteem Scale, and Breast-Related Symptoms Questionnaire scores and higher EAT-26 scores compared with controls. Macromastia was also associated with a higher risk of disordered eating behaviors. In almost all cases, the impact of macromastia was independent of BMI category.CONCLUSIONS: Macromastia has a substantial negative impact on health-related quality of life, self-esteem, physical symptoms, and eating behaviors in adolescents with this condition. These observations were largely independent of BMI category. Health care providers should be aware of these important negative health outcomes that are associated with macromastia and consider early evaluation for adolescents with this condition. Pediatrics 2012;130:e339-e346 AUTHORS:

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Section: Methodsmentioning

confidence: 99%

The Impact of Macromastia on Adolescents: A Cross-Sectional Study

Cerrato

Webb²,

Rosen³

et al. 2012

Pediatrics

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“…It has its own theories, diagnostic methods and distinct modalities of treatment. Most recently it has gained wider acceptance and has been incorporated into many mainstream hospitals in the United States, including many university-associated teaching hospitals [37][38][39][40][41][42]. Acupuncture has been the focus of intense research and much debate remains [43,44].…”

Section: Acupuncture and Chronic Pain And Ptsdmentioning

confidence: 99%

“…Cupping[38] A technique that creates a vacuum (with either fire or vacuum pump) in a specially designed cup that is placed on the skin and produces suction to alleviate pain by creating a vacuum. It is used commonly in many cultures besides East Asia[39][40][41][42] 3. Electro-acupuncture[43,44] The use of a small electrical current put through the needles as a form of additional stimulation to the needle…”

mentioning

confidence: 99%

Acupuncture and Traditional Chinese Medicine for Survivors of Torture and Refugee Trauma: A Descriptive Report

Highfield

Lama

Grodin

et al. 2011

J Immigrant Minority Health

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Refugees with trauma histories are a difficult medical population to treat. Acupuncture care has gained acceptance in many mainstream hospitals in the United States, but research on acupuncture and refugee populations is limited. Herein, we report our experiences with 50 refugees (total acupuncture treatments = 425) at a major tertiary teaching hospital. Patients often reported extreme trauma including physical torture, rape and witnessing the same in family members. Patients represented 13 different countries, with about half the patients being Somali. The primary complaint of all patients was pain (100%). Using the Wong-Baker Faces Pain scale, 56% patients reported pain decreases. Patient acceptance of acupuncture was high. We provide three case histories as illustrative examples. Further research is warranted.

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“…IM is the practice of medicine, founded on four pillars: (1) it is informed by evidence, (2) it reaffirms the patient-practitioner relationship, (3) it focuses on the whole person and (4) it makes use of all appropriate therapeutic approaches, professionals and disciplines to achieve optimal health and healing [8,9]. IM is increasingly practiced worldwide [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Patient-centered outcomes on quality of life and anthroposophic healthcare: a qualitative triangulation study

2016

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The findings give a comprehensive insight into aspects of care that are relevant to patients, providing a first step to develop PROMs for AH. Findings show a broadening of domains compared to existing measurement instruments and show close similarities with the recently developed concept of "positive health." Extending QOL instruments with a broader set of domains would give concrete tools to improve evaluation of quality of care and make this evaluation more in line with aspects that matter to AH patients.

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Integrative Medicine Research at an Academic Medical Center: Patient Characteristics and Health-Related Quality-of-Life Outcomes

Cited by 35 publications

References 18 publications

The Impact of Macromastia on Adolescents: A Cross-Sectional Study

The Impact of Macromastia on Adolescents: A Cross-Sectional Study

Acupuncture and Traditional Chinese Medicine for Survivors of Torture and Refugee Trauma: A Descriptive Report

Patient-centered outcomes on quality of life and anthroposophic healthcare: a qualitative triangulation study

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