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Utilization and prescription patterns of traditional Chinese medicine for patients with hepatitis C in Taiwan: a population-based study.
BMC Complement Altern Med. 2016 Oct 21; 16(1):397.BC

Abstract

BACKGROUND

To characterize the utilization of Traditional Chinese Medicine (TCM) among patients with hepatitis C (HC).

METHODS

This study examined datasets from the National Health Insurance Research Database in Taiwan. One cohort, including one million patients randomly sampled from the beneficiaries of the National Health Insurance Programme from January 1 to December 31 in 2010, was chosen for this analysis. People who had at least three outpatient or inpatient records and had been diagnosed with hepatitis C virus infection from 2000 to 2010 were defined as patients with HC. Patients with HC who had at least one TCM outpatient clinical record from 2000 to 2010 were defined as TCM users (N = 5,691), whereas patients with no TCM outpatient records were defined as non-TCM users (N = 2,876). The demographic data, treatment modalities and disease distributions of TCM users were analysed.

RESULTS

Overall, 66.4 % of the patients with HC had used TCM from 2000 to 2010. Of the TCM users, 54.1 % were female. The utilization rate of TCM increased with age and peaked in the age group of those 40 - 64 years old. Herbal remedies (52.4 %) were the most commonly used agents, followed by combination therapy (46.4 %) and acupuncture alone (1.2 %). Patients who had more extrahepatic diseases and were taking more antiviral agents tended to visit TCM clinics. Jia-Wei-Xiao-Yao-San and Dan-Shen (Salvia miltiorrhiza) were the most commonly used formula and single herb, with 88,124 person-days and 59,252 person-days, respectively.

CONCLUSIONS

Our nationwide population-based study revealed a high prevalence and specific usage patterns of TCM in patients with HC in Taiwan.

Authors+Show Affiliations

Institute of Traditional Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan. Department of Chinese Medicine, Branch of Linsen and Chinese Medicine, Taipei City Hospital, Taipei, Taiwan. School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.Department of Chinese Medicine, Branch of Linsen and Chinese Medicine, Taipei City Hospital, Taipei, Taiwan.Research Centre for Chinese Medicine & Acupuncture, China Medical University, Taichung, Taiwan. Health Data Management Office, China Medical University Hospital, Taichung, Taiwan. Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan.Research Centre for Chinese Medicine & Acupuncture, China Medical University, Taichung, Taiwan. hungrongyen@gmail.com. Department of Chinese Medicine, China Medical University Hospital, 2 Yude Rd, North District, Taichung, 404, Taiwan. hungrongyen@gmail.com. School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan. hungrongyen@gmail.com.Institute of Traditional Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan. owlherbs@yahoo.com.tw. Department of Chinese Medicine, Branch of Linsen and Chinese Medicine, Taipei City Hospital, Taipei, Taiwan. owlherbs@yahoo.com.tw. School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan. owlherbs@yahoo.com.tw.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27769222

Citation

Liu, Chia-Yu, et al. "Utilization and Prescription Patterns of Traditional Chinese Medicine for Patients With Hepatitis C in Taiwan: a Population-based Study." BMC Complementary and Alternative Medicine, vol. 16, no. 1, 2016, p. 397.
Liu CY, Chu JY, Chiang JH, et al. Utilization and prescription patterns of traditional Chinese medicine for patients with hepatitis C in Taiwan: a population-based study. BMC Complement Altern Med. 2016;16(1):397.
Liu, C. Y., Chu, J. Y., Chiang, J. H., Yen, H. R., & Hsu, C. H. (2016). Utilization and prescription patterns of traditional Chinese medicine for patients with hepatitis C in Taiwan: a population-based study. BMC Complementary and Alternative Medicine, 16(1), 397.
Liu CY, et al. Utilization and Prescription Patterns of Traditional Chinese Medicine for Patients With Hepatitis C in Taiwan: a Population-based Study. BMC Complement Altern Med. 2016 Oct 21;16(1):397. PubMed PMID: 27769222.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Utilization and prescription patterns of traditional Chinese medicine for patients with hepatitis C in Taiwan: a population-based study. AU - Liu,Chia-Yu, AU - Chu,Jui-Ying, AU - Chiang,Jen-Huai, AU - Yen,Hung-Rong, AU - Hsu,Chung-Hua, Y1 - 2016/10/21/ PY - 2016/02/15/received PY - 2016/10/08/accepted PY - 2016/10/23/pubmed PY - 2017/2/1/medline PY - 2016/10/23/entrez KW - Complementary and alternative medicine KW - Hepatitis C KW - National Health Insurance Research Database KW - Traditional Chinese medicine SP - 397 EP - 397 JF - BMC complementary and alternative medicine JO - BMC Complement Altern Med VL - 16 IS - 1 N2 - BACKGROUND: To characterize the utilization of Traditional Chinese Medicine (TCM) among patients with hepatitis C (HC). METHODS: This study examined datasets from the National Health Insurance Research Database in Taiwan. One cohort, including one million patients randomly sampled from the beneficiaries of the National Health Insurance Programme from January 1 to December 31 in 2010, was chosen for this analysis. People who had at least three outpatient or inpatient records and had been diagnosed with hepatitis C virus infection from 2000 to 2010 were defined as patients with HC. Patients with HC who had at least one TCM outpatient clinical record from 2000 to 2010 were defined as TCM users (N = 5,691), whereas patients with no TCM outpatient records were defined as non-TCM users (N = 2,876). The demographic data, treatment modalities and disease distributions of TCM users were analysed. RESULTS: Overall, 66.4 % of the patients with HC had used TCM from 2000 to 2010. Of the TCM users, 54.1 % were female. The utilization rate of TCM increased with age and peaked in the age group of those 40 - 64 years old. Herbal remedies (52.4 %) were the most commonly used agents, followed by combination therapy (46.4 %) and acupuncture alone (1.2 %). Patients who had more extrahepatic diseases and were taking more antiviral agents tended to visit TCM clinics. Jia-Wei-Xiao-Yao-San and Dan-Shen (Salvia miltiorrhiza) were the most commonly used formula and single herb, with 88,124 person-days and 59,252 person-days, respectively. CONCLUSIONS: Our nationwide population-based study revealed a high prevalence and specific usage patterns of TCM in patients with HC in Taiwan. SN - 1472-6882 UR - https://www.unboundmedicine.com/medline/citation/27769222/Utilization_and_prescription_patterns_of_traditional_Chinese_medicine_for_patients_with_hepatitis_C_in_Taiwan:_a_population_based_study_ L2 - https://bmccomplementalternmed.biomedcentral.com/articles/10.1186/s12906-016-1379-3 DB - PRIME DP - Unbound Medicine ER -