Evidence map›Paper›PMID 25494710›Full record

ArticleBMC complementary and alternative medicine2014

The effectiveness of integrative medicine interventions on pain and anxiety in cardiovascular inpatients: a practice-based research evaluation.

Jill R Johnson, Daniel J Crespin, Kristen H Griffin, Michael D Finch, Rachael L Rivard, Courtney J Baechler, Jeffery A Dusek

Open access · goldAbstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
12.3field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  13. Cost Savings from Reducing Pain Through the Delivery of Integrative Medicine Program to Hospitalized Patients.Journal of alternative and complementary medicine (New York, N.Y.) · 2018
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  19. Practitioner Perspectives on Delivering Integrative Medicine in a Large, Acute Care Hospital.Evidence-based complementary and alternative medicine : eCAM · 2015
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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

7 authors at 3 institutions in 1 country.

Jill R JohnsonPenny George Institute for Health and Healing, Allina Health, 800 East 28th Street, MR 33540, Minneapolis, MN 55407-3799, USA. Jill.Johnson3@allina.com.
Daniel J Crespin
Kristen H Griffin
Michael D Finch
Rachael L Rivard
Courtney J Baechler
Jeffery A Dusek
Allina Health · USPenny George Institute for Health and Healing · USMinnesota Department of Health · US

Funding

Effect of Complementary and Alternative Medicine on Pain Among Inpatients: AdminiR01AT006518 · NCCIH · ALLINA HEALTH SYSTEM · PI DUSEK, JEFFERY A · 2011 to 2014
$2.6M
NCCIH NIH HHS R01 AT006518
6 · The paper itself

Abstract

backgroundPain and anxiety occurring from cardiovascular disease are associated with long-term health risks. Integrative medicine (IM) therapies reduce pain and anxiety in small samples of hospitalized cardiovascular patients within randomized controlled trials; however, practice-based effectiveness research has been limited. The goal of the study is to evaluate the effectiveness of IM interventions (i.e., bodywork, mind-body and energy therapies, and traditional Chinese medicine) on pain and anxiety measures across a cardiovascular population.

methodsRetrospective data obtained from medical records identified patients with a cardiovascular ICD-9 code admitted to a large Midwestern hospital between 7/1/2009 and 12/31/2012. Outcomes were changes in patient-reported pain and anxiety, rated before and after IM treatments based on a numeric scale (0-10).

resultsOf 57,295 hospital cardiovascular admissions, 6,589 (11.5%) included IM. After receiving IM therapy, patients averaged a 46.5% (p-value < 0.001) decrease in pain and a 54.8% (p-value < 0.001) decrease in anxiety. There was no difference between treatment modalities on pain reduction; however, mind-body and energy therapies (p-value < 0.01), traditional Chinese medicine (p-value < 0.05), and combination therapies (p-value < 0.01) were more effective at reducing anxiety than bodywork therapies. Each additional year of age reduced the odds of receiving any IM therapy by two percent (OR: 0.98, p-value < 0.01) and females had 96% (OR: 1.96, p-value < 0.01) higher odds of receiving any IM therapy compared to males.

conclusionsCardiovascular inpatients reported statistically significant decreases in pain and anxiety following care with adjunctive IM interventions. This study underscores the potential for future practice-based research to investigate the best approach for incorporating these therapies into an acute care setting such that IM therapies are most appropriately provided to patient populations.

Indexed as

Acupuncture TherapyMassageMind-Body TherapiesPainAdultAgedAged, 80 and overAnxietyCardiovascular DiseasesCombined Modality TherapyFemaleHospitalizationHumansInpatientsIntegrative MedicineMale

Identifiers

PMID25494710
PMCPMC4301797
OpenAlexW2077964735

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.