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

<h4>Introduction</h4>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 st...

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Autores principales:	Claudia Isabel Caballero-Hernández, Susana Aideé González-Chávez, Adelfia Urenda-Quezada, Greta Cristina Reyes-Cordero, Ingris Peláez-Ballestas, Everardo Álvarez-Hernández, César Pacheco-Tena
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/476db75d363c4c409a3a88224774e696
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spelling	oai:doaj.org-article:476db75d363c4c409a3a88224774e6962021-12-02T20:06:08ZPrevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study.1932-620310.1371/journal.pone.0257319https://doaj.org/article/476db75d363c4c409a3a88224774e6962021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257319https://doaj.org/toc/1932-6203<h4>Introduction</h4>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.<h4>Objective</h4>To describe the prevalence and diversity of CAM in patients with RD in Chihuahua, Mexico.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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.Claudia Isabel Caballero-HernándezSusana Aideé González-ChávezAdelfia Urenda-QuezadaGreta Cristina Reyes-CorderoIngris Peláez-BallestasEverardo Álvarez-HernándezCésar Pacheco-TenaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257319 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Claudia Isabel Caballero-Hernández Susana Aideé González-Chávez Adelfia Urenda-Quezada Greta Cristina Reyes-Cordero Ingris Peláez-Ballestas Everardo Álvarez-Hernández César Pacheco-Tena Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study.
description	<h4>Introduction</h4>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.<h4>Objective</h4>To describe the prevalence and diversity of CAM in patients with RD in Chihuahua, Mexico.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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.
format	article
author	Claudia Isabel Caballero-Hernández Susana Aideé González-Chávez Adelfia Urenda-Quezada Greta Cristina Reyes-Cordero Ingris Peláez-Ballestas Everardo Álvarez-Hernández César Pacheco-Tena
author_facet	Claudia Isabel Caballero-Hernández Susana Aideé González-Chávez Adelfia Urenda-Quezada Greta Cristina Reyes-Cordero Ingris Peláez-Ballestas Everardo Álvarez-Hernández César Pacheco-Tena
author_sort	Claudia Isabel Caballero-Hernández
title	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_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_sort	prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in mexico: cross-sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/476db75d363c4c409a3a88224774e696
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Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study.

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