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Regional variations in the use of complementary and alternative medicines (CAM) for inflammatory bowel disease patients in Italy: an IG-IBD study.
J Crohns Colitis. 2010 Sep; 4(3):291-300.JC

Abstract

BACKGROUND AND AIM

Complementary and alternative medicines (CAM) are being used increasingly by patients with Crohn's disease (CD) and ulcerative colitis (UC). We aimed to assess the prevalence and usage of CAM in different geographical areas of Italy and possible predictors of their use.

METHODS AND MATERIALS

A structured questionnaire, administered to outpatients, attending 8 general hospitals and 9 tertiary referral centres, was completed by 2011 patients (909 CD, 1087 UC and 15 indeterminate colitis). 583 patients lived in the North, 659 in Central Italy and 769 in the South.

RESULTS

CAM users were 475 (23.6%) with no regional differences in their distribution. Usage correlated significantly with female gender (p=0.030), higher education (p=0.021), hospitalization rates (p=0.000), extra-intestinal complications (p=0.000), non-adherence to conventional treatments (p=0.054), adverse reactions to conventional treatments (p=0.000), and active disease (p=0.007); 5-ASA usage was associated with a more limited use of CAM (p=0.005). Dietary changes or supplements and prayer were significantly more frequently reported in South, while Northern Italian patients more frequently used homeopathy, herbal medicines and physical exercises. Patients in Central Italy adopted an intermediate behavior. CAM use ameliorated the patient's general well-being according to two thirds of the users. Costs were higher for Northern patients than in Central or Southern Italy.

CONCLUSION

One in four IBD patients in Italy use CAM. More money is spent on CAM in Northern Italy. Regional differences emerged as regards the type of CAM but not in terms of disease features, frequency of and reasons for CAM use, or perceived effects.

Authors+Show Affiliations

Department of Surgical and Gastroenterological Sciences, Gastroenterology Section, University of Padua, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

21122518

Citation

Bertomoro, Perla, et al. "Regional Variations in the Use of Complementary and Alternative Medicines (CAM) for Inflammatory Bowel Disease Patients in Italy: an IG-IBD Study." Journal of Crohn's & Colitis, vol. 4, no. 3, 2010, pp. 291-300.
Bertomoro P, Renna S, Cottone M, et al. Regional variations in the use of complementary and alternative medicines (CAM) for inflammatory bowel disease patients in Italy: an IG-IBD study. J Crohns Colitis. 2010;4(3):291-300.
Bertomoro, P., Renna, S., Cottone, M., Riegler, G., Bossa, F., Giglio, L., Pastorelli, L., Papi, C., Castiglione, F., Angelucci, E., Pica, R., Di Paolo, M. C., & D'Incà, R. (2010). Regional variations in the use of complementary and alternative medicines (CAM) for inflammatory bowel disease patients in Italy: an IG-IBD study. Journal of Crohn's & Colitis, 4(3), 291-300. https://doi.org/10.1016/j.crohns.2009.12.009
Bertomoro P, et al. Regional Variations in the Use of Complementary and Alternative Medicines (CAM) for Inflammatory Bowel Disease Patients in Italy: an IG-IBD Study. J Crohns Colitis. 2010;4(3):291-300. PubMed PMID: 21122518.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Regional variations in the use of complementary and alternative medicines (CAM) for inflammatory bowel disease patients in Italy: an IG-IBD study. AU - Bertomoro,Perla, AU - Renna,Sara, AU - Cottone,Mario, AU - Riegler,Gabriele, AU - Bossa,Fabrizio, AU - Giglio,Licio, AU - Pastorelli,Luca, AU - Papi,Claudio, AU - Castiglione,Fabiana, AU - Angelucci,Erika, AU - Pica,Roberta, AU - Di Paolo,Maria Carla, AU - D'Incà,Renata, Y1 - 2010/01/18/ PY - 2009/10/26/received PY - 2009/12/14/accepted PY - 2010/12/3/entrez PY - 2010/12/3/pubmed PY - 2011/4/22/medline SP - 291 EP - 300 JF - Journal of Crohn's & colitis JO - J Crohns Colitis VL - 4 IS - 3 N2 - BACKGROUND AND AIM: Complementary and alternative medicines (CAM) are being used increasingly by patients with Crohn's disease (CD) and ulcerative colitis (UC). We aimed to assess the prevalence and usage of CAM in different geographical areas of Italy and possible predictors of their use. METHODS AND MATERIALS: A structured questionnaire, administered to outpatients, attending 8 general hospitals and 9 tertiary referral centres, was completed by 2011 patients (909 CD, 1087 UC and 15 indeterminate colitis). 583 patients lived in the North, 659 in Central Italy and 769 in the South. RESULTS: CAM users were 475 (23.6%) with no regional differences in their distribution. Usage correlated significantly with female gender (p=0.030), higher education (p=0.021), hospitalization rates (p=0.000), extra-intestinal complications (p=0.000), non-adherence to conventional treatments (p=0.054), adverse reactions to conventional treatments (p=0.000), and active disease (p=0.007); 5-ASA usage was associated with a more limited use of CAM (p=0.005). Dietary changes or supplements and prayer were significantly more frequently reported in South, while Northern Italian patients more frequently used homeopathy, herbal medicines and physical exercises. Patients in Central Italy adopted an intermediate behavior. CAM use ameliorated the patient's general well-being according to two thirds of the users. Costs were higher for Northern patients than in Central or Southern Italy. CONCLUSION: One in four IBD patients in Italy use CAM. More money is spent on CAM in Northern Italy. Regional differences emerged as regards the type of CAM but not in terms of disease features, frequency of and reasons for CAM use, or perceived effects. SN - 1876-4479 UR - https://www.unboundmedicine.com/medline/citation/21122518/Regional_variations_in_the_use_of_complementary_and_alternative_medicines__CAM__for_inflammatory_bowel_disease_patients_in_Italy:_an_IG_IBD_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1873-9946(09)00152-4 DB - PRIME DP - Unbound Medicine ER -