Evidence map›Paper›PMID 21481260›Full record

ArticleBMC complementary and alternative medicine2011

Health care utilization among complementary and alternative medicine users in a large military cohort.

Martin R White, Isabel G Jacobson, Besa Smith, Timothy S Wells, Gary D Gackstetter, Edward J Boyko, Tyler C Smith, Millennium Cohort Study Team

Open access · goldAbstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
9.4field-weighted citation impact, top 3% of its field
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

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Dry Eye Disease: Consideration for Women's Health.Journal of women's health (2002) · 2019
    Review
  6. Article
  7. Use of Integrative Medicine in the United States Military Health System.Evidence-based complementary and alternative medicine : eCAM · 2017
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Complementary and Alternative Medicine for Chronic Musculoskeletal Pain.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2015
    Article
  13. Article
  14. Review
  15. Military report more complementary and alternative medicine use than civilians.Journal of alternative and complementary medicine (New York, N.Y.) · 2013
    Article
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

8 authors at 3 institutions in 1 country.

Martin R WhiteDepartment of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA, USA. martin.white@med.navy.mil
Isabel G Jacobson
Besa Smith
Timothy S Wells
Gary D Gackstetter
Edward J Boyko
Tyler C Smith
Millennium Cohort Study Team
Naval Health Research Center · USAnalytical Services · USUniversity of Puget Sound · US

Funding

Medical Research Council G0900686
6 · The paper itself

Abstract

backgroundComplementary and Alternative Medicine use and how it impacts health care utilization in the United States Military is not well documented. Using data from the Millennium Cohort Study we describe the characteristics of CAM users in a large military population and document their health care needs over a 12-month period. The aim of this study was to determine if CAM users are requiring more physician-based medical services than users of conventional medicine.

methodsInpatient and outpatient medical services were documented over a 12-month period for 44,287 participants from the Millennium Cohort Study. Equal access to medical services was available to anyone needing medical care during this study period. The number and types of medical visits were compared between CAM and non-CAM users. Chi square test and multivariable logistic regression was applied for the analysis.

resultsOf the 44,287 participants, 39% reported using at least one CAM therapy, and 61% reported not using any CAM therapies. Those individuals reporting CAM use accounted for 45.1% of outpatient care and 44.8% of inpatient care. Individuals reporting one or more health conditions were 15% more likely to report CAM use than non-CAM users and 19% more likely to report CAM use if reporting one or more health symptoms compared to non-CAM users. The unadjusted odds ratio for hospitalizations in CAM users compared to non-CAM users was 1.29 (95% CI: 1.16-1.43). The mean number of days receiving outpatient care for CAM users was 7.0 days and 5.9 days for non-CAM users (p < 0.001).

conclusionsOur study found those who report CAM use were requiring more physician-based medical services than users of conventional medicine. This appears to be primarily the result of an increase in the number of health conditions and symptoms reported by CAM users.

Indexed as

ComorbidityHealth StatusAdultAmbulatory CareChi-Square DistributionCohort StudiesComplementary TherapiesFemaleHealth ServicesHospitalizationHumansLogistic ModelsMaleMiddle AgedMilitary PersonnelOdds Ratio

Identifiers

PMID21481260
PMCPMC3083384
OpenAlexW2010450371

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.