Kong, S.C.; Pocock, C.Y.; Hurlstone, D.P.; Bramble, M.G.; McAlindon, M.E.; Sanders, D.S.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA67
Academic Journal
Introduction: In recent years, the public awareness and usage of complementary/alternative medicine (CAM) has increased. The use of CAM (for example, aloe vera) has previously been described in adult patients with functional bowel disease. Aim: To assess the incidence of CAM usage by gastroenterology patients at a single university centre. Method: Patients attending luminal gastroenterology clinics (from June 2002) completed a 30-point, structured questionnaire assessing their use of CAM. A gastroenterologist verified the patient diagnosis. Results: There were 790 patients recruited. The 3 main diagnostic categories were inflammatory bowel disease (IBD), irritable bowel syndrome (lBS), and other gastrointestinal diseases (GID: for example colonic polyps). Demographics and CAM usage in each group are shown in the table below. Chi-squared analysis demonstrated significant differences between the lBS versus other Gl group (p<0.0001) and IBD versus other Gl group (p<0.0001). Multivariate logistical analysis of the whole cohort showed significant demographic differences for sex: female versus male (p<0.05). 64% of all CAM users were women. For every 1-year increase in age there was a 1% reduction in the use of CAM (p<0.03). 87% of all CAM users (253/291) felt they derived some symptomatic benefit. Conclusion: The percentage of CAM users amongst patients with IBD is similar to those with a functional diagnosis. Patients with IBD are using CAM in addition to conventional treatment.


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