Factors Associated with the Use of Complementary and Alternative Medicine for Korean Patients with Rheumatoid Arthritis

The Journal of Rheumatology
Minkyung HanSang-Cheol Bae

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disease that is often painful and debilitating. Patients with RA are increasingly receiving complementary and alternative medicine (CAM). We aimed to identify the patient characteristics and disease-specific factors associated with Korean patients with RA who decide to start treatment with CAM. Among the total 5371 patients with RA in the KORean Observational study Network for Arthritis (KORONA), 2175 patients who had no experience with CAM were included in our study. In our study, we assessed the frequency of new incident CAM use, its patterns, and the predictive factors of new CAM use. Of the 2175 patients, 229 patients (10.5%) newly started receiving CAM within a year of enrolling in the cohort. Of those who started treatment with CAM, 17.0% received only herbal medicine, 54.6% only acupuncture treatments (7.0% used a combination of both), and 21.4% "Other" (e.g., physical therapy and placental extract injections). Women (OR 1.89, 95% CI 1.13-3.14) and patients with depression (OR 3.52, 95% CI 1.65-7.50) were significantly more likely to be treated with CAM. Regarding household types, patients who lived in an extended family (OR 1.78, 95% CI 1.08-2.95) or as part of a couple ...Continue Reading

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Citations

Jun 1, 2018·Evidence-based Complementary and Alternative Medicine : ECAM·Pei-Chi Chou, Heng-Yi Chu
Feb 15, 2019·The Korean Journal of Internal Medicine·Soo-Kyung Cho, Yoon-Kyoung Sung
Jul 13, 2019·Journal of Clinical Medicine·Hae-Rim KimSang-Heon Lee
Sep 19, 2020·BMC Health Services Research·Seyedeh Tahereh FaeziFereydoun Davatchi
Feb 18, 2020·Phytomedicine : International Journal of Phytotherapy and Phytopharmacology·Wanying WangLiang Liu

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