Dong Il Park1, Jae Myung Cha2, Hyun Soo Kim3, Hong Jun Park3, Jung Eun Shin4, Sung No Hong1, Sung Soo Hong5, Wan Jung Kim6. 1. Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, South Korea. 2. Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, South Korea. Electronic address: drcha@khu.ac.kr. 3. Department of Internal Medicine, Yonsei University College of Medicine, Wonju, South Korea. 4. Department of Internal Medicine, Dankook University College of Medicine, Chonan, South Korea. 5. Department of Internal Medicine, Vievis Namuh Hospital, Seoul, South Korea. 6. Department of Internal Medicine, Soonchunhyang University College of Medicine, Gumi, South Korea.
Abstract
OBJECTIVES: The aim of this study was to assess characteristics and predictive factors of complementary and alternative medicine (CAM) use for patients with inflammatory bowel disease (IBD) in Korea. DESIGN: Prospective, questionnaire based study for patients with IBD in Korea. SETTING: Six university hospitals and one primary IBD clinic. MAIN OUTCOME MEASURE: Overall characteristics and predictors of CAM use were compared between CAM users and non-users. RESULTS: During the study period, 366 patients with IBD (ulcerative colitis=228, Crohn's disease=138) completed the full questionnaire; 29.5% (n=108) reported CAM use and 70.5% (n=258) reported no CAM use after diagnosis of IBD. In total, 64.0% were male, the mean patient age was 42.3±15.5 years, and the mean duration of IBD was 5.5±5.8 years. Using logistic regression analysis, university education (p=0.040), higher income levels (p=0.009), and longer duration of IBD (p=0.003) were found to be independent predictors of CAM use. Among CAM users, 65% of CAM was attained within 2 years of IBD diagnosis and only 28.7% discussed CAM use with their physician. Furthermore, 13.9% of CAM users discontinued conventional IBD therapy while using CAM. CONCLUSIONS: The overall use of CAM in Korea was comparable with those in the West. Physicians should be aware of the high prevalence of CAM use by patients with IBD, especially among those with higher education levels, higher income levels, and longer IBD duration. Furthermore, physicians should ask about CAM use, and help their IBD patients make a more informed choice about CAM use.
OBJECTIVES: The aim of this study was to assess characteristics and predictive factors of complementary and alternative medicine (CAM) use for patients with inflammatory bowel disease (IBD) in Korea. DESIGN: Prospective, questionnaire based study for patients with IBD in Korea. SETTING: Six university hospitals and one primary IBD clinic. MAIN OUTCOME MEASURE: Overall characteristics and predictors of CAM use were compared between CAM users and non-users. RESULTS: During the study period, 366 patients with IBD (ulcerative colitis=228, Crohn's disease=138) completed the full questionnaire; 29.5% (n=108) reported CAM use and 70.5% (n=258) reported no CAM use after diagnosis of IBD. In total, 64.0% were male, the mean patient age was 42.3±15.5 years, and the mean duration of IBD was 5.5±5.8 years. Using logistic regression analysis, university education (p=0.040), higher income levels (p=0.009), and longer duration of IBD (p=0.003) were found to be independent predictors of CAM use. Among CAM users, 65% of CAM was attained within 2 years of IBD diagnosis and only 28.7% discussed CAM use with their physician. Furthermore, 13.9% of CAM users discontinued conventional IBD therapy while using CAM. CONCLUSIONS: The overall use of CAM in Korea was comparable with those in the West. Physicians should be aware of the high prevalence of CAM use by patients with IBD, especially among those with higher education levels, higher income levels, and longer IBD duration. Furthermore, physicians should ask about CAM use, and help their IBD patients make a more informed choice about CAM use.
Authors: M Ellen Kuenzig; Lawrence Lee; Wael El-Matary; Adam V Weizman; Eric I Benchimol; Gilaad G Kaplan; Geoffrey C Nguyen; Charles N Bernstein; Alain Bitton; Kate Lee; Jane Cooke-Lauder; Sanjay K Murthy Journal: J Can Assoc Gastroenterol Date: 2018-11-02