Evidence map›Paper›PMID 22492763›Full record

ArticlePediatrics2012

Complementary and alternative medicine use and adherence with pediatric asthma treatment.

Julie C Philp, Judy Maselli, Lee M Pachter, Michael D Cabana

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Inhaler technique education and asthma control among patients hospitalized for asthma in Jordan.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2018
    Article
  6. Absorption ofBioMed research international · 2018
    Article
  7. Article
  8. Article
  9. Article
  10. Is integrative medicine the next new frontier in medicine?Clinical reviews in allergy & immunology · 2013
    Article
  11. Alternative therapies for asthma: are patients at risk?Clinical medicine (London, England) · 2012
    Article
  12. Article
  13. 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

4 authors at 3 institutions in 1 country.

Julie C PhilpDepartment of Dermatology, University of California, San Francisco School of Medicine, San Francisco, California, USA. philpj@derm.ucsf.edu
Judy Maselli
Lee M Pachter
Michael D Cabana
University of California, San Francisco · USCancer Research And Biostatistics · USSt. Christopher's Hospital for Children · US

Funding

Enhancing Pediatric Asthma ManagementR01HL070771 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CABANA, MICHAEL D · 2002 to 2006
$3.1M
NHLBI NIH HHS HL070771NHLBI NIH HHS R01 HL070771
6 · The paper itself

Abstract

BACKGROUND AND

objectiveComplementary and alternative medicine (CAM) use for pediatric asthma is increasing. The authors of previous studies linked CAM use with decreased adherence to conventional asthma medicines; however, these studies were limited by cross-sectional design. Our objective was to assess the effect of starting CAM on pediatric adherence with daily asthma medications.

methodsWe used a retrospective cohort study design. Telephone surveys were administered to caregivers of patients with asthma annually from 2004 to 2007. Dependent variables were percent missed doses per week and a previously validated "Medication Adherence Scale score." Independent variables included demographic factors, caregiver perception of asthma control, and initiation of CAM for asthma. We used multivariate linear regression to assess the relationship between medication adherence and previous initiation of CAM.

resultsFrom our longitudinal data set of 1322 patients, we focused on 187 children prescribed daily medications for all 3 years of our study. Patients had high rates of adherence. The mean percent missed asthma daily controller medication doses per week was 7.7% (SD = 14.2%). Medication Adherence Scale scores (range: 4-20, with lower scores reflecting higher adherence) had an overall mean of 7.5 (SD = 2.9). In multivariate analyses, controlling for demographic factors and asthma severity, initiation of CAM use was not associated with subsequent adherence (P > .05).

conclusionsThe data from this study suggest that CAM use is not necessarily "competitive" with conventional asthma therapies; families may incorporate different health belief systems simultaneously in their asthma management. As CAM use becomes more prevalent, it is important for physicians to ask about CAM use in a nonjudgmental fashion.

Indexed as

Drug MonitoringAdolescentAnti-Asthmatic AgentsAsthmaChildChild, PreschoolCohort StudiesComplementary TherapiesDrug Utilization ReviewFemaleHealth SurveysHumansLongitudinal StudiesMaleMichiganRetrospective StudiesAnti-Asthmatic Agents

Identifiers

PMID22492763
PMCPMC4074611
OpenAlexW2124100065

What OpenQuestion holds

Textmetadata
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.