Evidence map›Paper›PMID 30340577›Full record

ArticleBMC complementary and alternative medicine2018

Complementary and alternative medicine use among persons with multiple chronic conditions: results from the 2012 National Health Interview Survey.

Justice Mbizo, Anthony Okafor, Melanie A Sutton, Bryan Leyva, Leauna M Stone, Oluwadamilola Olaku

Open access · goldAbstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
11.5field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Justice MbizoDepartment of Public Health, University of West Florida, 11000 University Parkway, Bldg. 38/Room 127, Pensacola, FL, 32514, USA. jmbizo@uwf.edu.ORCID http://orcid.org/0000-0001-9456-3178
Anthony OkaforDepartment of Mathematics and Statistics, University of West Florida, Pensacola, FL, USA.
Melanie A SuttonDepartment of Public Health, University of West Florida, 11000 University Parkway, Bldg. 38/Room 127, Pensacola, FL, 32514, USA.
Bryan LeyvaWarren Alpert Medical School, Brown University, Providence, RI, USA.
Leauna M StoneDepartment of Public Health, University of West Florida, 11000 University Parkway, Bldg. 38/Room 127, Pensacola, FL, 32514, USA.
Oluwadamilola OlakuOffice of Cancer Complementary and Alternative Medicine, National Cancer Institute, Bethesda, MD, USA.
University of West Florida · USBrown University · USNational Center for Complementary and Integrative Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough a quarter of Americans are estimated to have multiple chronic conditions, information on the impact of chronic disease dyads and triads on use of complementary and alternative medicine (CAM) is scarce. The purpose of this study is to: 1) estimate the prevalence and odds of CAM use among participants with hypercholesterolemia, hypertension, diabetes, and obesity; and 2) examine the effects of chronic condition dyads and triads on the use of CAM modalities, specifically manipulative and body-based methods, biological treatments, mind-body interventions, energy therapies, and alternative medical systems.

methodsData were obtained from the 2012 National Health Interview Survey and the Adult Alternative Medicine supplement. Statistical analyses were restricted to persons with self-reported hypercholesterolemia, hypertension, diabetes, or obesity (n = 15,463).

resultsApproximately 37.2% of the participants had just one of the four chronic conditions, while 62.4% self-reported multiple comorbidities. CAM use among participants was as follows (p < 0.001): hypercholesterolemia (31.5%), hypertension (28.3%), diabetes (25.0%), and obesity (10.8%). All combinations of disease dyads and triads were consistently and significantly associated with the use of mind-body interventions (2-4%, p < 0.001). Two sets of three dyads were associated with use of manipulative methods (23-27%, p < 0.05) and energy therapies (0.2-0.3%, p < 0.05). Use of biological treatments (0.04%, p < 0.05) and alternative systems (3%, p < 0.05) were each significant for one dyad. One triad was significant for use of manipulative methods (27%, p < 0.001).

conclusionsThese findings point to future directions for research and have practical implications for family practitioners treating multimorbid patients.

Indexed as

AdultAgedComorbidityComplementary TherapiesDiabetes MellitusFemaleHealth SurveysHumansHypertensionMaleMiddle AgedMultiple Chronic ConditionsObesityChronic diseaseComorbidityComplementary and alternative medicineDiabetesHypercholesterolemiaHypertensionIntegrative medicineObesity

Identifiers

PMID30340577
PMCPMC6194645
OpenAlexW2896986694

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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.