Evidence map›Paper›PMID 19032071›Full record

ArticleJournal of alternative and complementary medicine (New York, N.Y.)2008

Herbal and dietary supplement disclosure to health care providers by individuals with chronic conditions.

Darshan H Mehta, Paula M Gardiner, Russell S Phillips, Ellen P McCarthy

Abstract read
In one paragraph

Article in Journal of alternative and complementary medicine (New York, N.Y.), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Americans' use of dietary supplements that are potentially harmful in CKD.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2013
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Darshan H MehtaBenson-Henry Institute for Mind/Body Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, MA 02114, USA. dmehta@partners.org
Paula M Gardiner
Russell S Phillips
Ellen P McCarthy

Funding

Research Training in Complementary and Integrative MedicineT32AT000051 · NCCIH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GLORIA Y YEH · 1999 to 2026
$10.2M
Research and Mentorship in Alternative MedicineK24AT000589 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PHILLIPS, RUSSELL SCOTT · 2001 to 2010
$1.5M
Racial Differences in CAM for Common Medical ConditionsR03AT002236 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI MCCARTHY, ELLEN P · 2005 to 2005
$85k
NCCIH NIH HHS K24 AT000589NCCIH NIH HHS K24-AT000589NCCIH NIH HHS R03 AT002236NCCIH NIH HHS R03-AT002236NCCIH NIH HHS T32 AT000051NCCIH NIH HHS T32AT00051-06
6 · The paper itself

Abstract

backgroundVery little is known about herbal and dietary supplement disclosure in adults with chronic medical conditions, especially on a national level.

objectiveTo examine herbal and dietary supplement disclosure to conventional health care providers by adults with chronic medical conditions.

designData on herbal and dietary supplement use (N = 5456 users) in the previous year were used from the 2002 National Health Interview Survey. Bi-variable analyses compared characteristics between herbal and dietary supplement disclosers and nondisclosers. Multivariable logistic regression identified independent correlates of herbal and dietary supplement disclosure.

resultsOverall, only 33% of herbal and dietary supplement users reported disclosing use of herbal and dietary supplements to their conventional health care provider. Among herbal and dietary supplement users with chronic conditions, less than 51% disclosed use to their conventional health care provider. Hispanic (adjusted odds ratio and 95% confidence interval = 0.70 [0.52, 0.94]) and Asian American (adjusted odds ratio and 95% confidence interval = 0.54 [0.33, 0.89]) adults were much less likely than non-Hispanic white Americans to disclose herbal and dietary supplement use. Having less than a high school education (adjusted odds ratio and 95% confidence interval = 0.61 [0.45, 0.82]) and not having insurance (adjusted odds ratio and 95% confidence interval = 0.77 [0.59, 1.00]) were associated with being less likely to disclose herbal and dietary supplement use.

conclusionHerbal and dietary supplement disclosure rates are low, even among adults with chronic conditions. These findings raise concerns about the safety of herbal and dietary supplements in combination with allopathic care. Future studies should focus on educating physicians about crosscultural care as well as eliciting information about herbal and dietary supplement use.

Indexed as

DisclosureHealth Knowledge, Attitudes, PracticeAdultAgedAsianAttitude to HealthBlack or African AmericanChronic DiseaseComplementary TherapiesDietary SupplementsFemaleHealth StatusHispanic or LatinoHumansLife StyleMale

Identifiers

PMID19032071
PMCPMC2787410

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.