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Use of complementary and alternative medicine in Swedish patients with inflammatory bowel disease: a controlled study

Artikel i vetenskaplig tidskrift
Författare Lena Oxelmark
A. Lindberg
R. Lofberg
B. Sternby
A. Eriksson
S. Almer
R. Befrits
B. Fossum
P. Karlen
O. Brostrom
C. Tysk
Publicerad i European Journal of Gastroenterology & Hepatology
Volym 28
Nummer/häfte 11
Sidor 1320-1328
ISSN 0954-691X
Publiceringsår 2016
Publicerad vid Institutionen för vårdvetenskap och hälsa
Sidor 1320-1328
Språk en
Länkar dx.doi.org/10.1097/meg.000000000000...
Ämnesord complementary and alternative medicine, inflammatory bowel disease, questionnaires, WORMWOOD ARTEMISIA-ABSINTHIUM, PLACEBO-CONTROLLED TRIAL, ULCERATIVE-COLITIS, CROHNS-DISEASE, DOUBLE-BLIND, NATIONAL-SURVEY, THERAPY, IBD, INTERVENTION, PATHOGENESIS
Ämneskategorier Gastroenterologi, Annan hälsovetenskap

Sammanfattning

BackgroundThere is an increasing interest in complementary and alternative medicine (CAM) in patients with chronic diseases, including those with inflammatory bowel disease (IBD). Patients may turn to CAM when conventional therapies are inadequate or associated with side effects for symptomatic relief or to regain control over their disease. The objectives were to explore CAM use and perceived effects in IBD patients in comparison with a control group.MethodsA cross-sectional, multicenter, controlled study was carried out. IBD patients were invited from 12 IBD clinics in Sweden. Controls were selected randomly from a residence registry. A study-specific questionnaire was used for data collection.ResultsOverall, 48.3% of patients with IBD had used some kind of CAM during the past year compared with 53.5% in controls (P=0.025, adjusted for age, sex, geographic residence, and diet). The most frequently used CAM among IBD patients was massage (21.3%), versus controls (31.4%) (adjusted P=0.0003). The second most used CAM was natural products, 18.7% in IBD patients versus 22.3% of the controls (unadjusted P=0.018). In all, 83.1% of the patients experienced positive effects from CAM and 14.4% experienced negative effects.ConclusionOverall, 48.3% of Swedish IBD patients used some kind of CAM and controls used CAM significantly more. Natural products were used by one-fifth of the patients and even more by controls. This is notable from a patient safety perspective considering the possible risks of interactions with conventional medication. In all, 40% of the patients reported adverse events from conventional medicine. Patients experienced predominantly positive effects from CAM, and so did controls.

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