Evidence map›Paper›PMID 40841634›Full record

SynthesisBMC public health2025

Health-Related quality of life and the impact of traditional, complementary and integrative Medicine - an Online - Representative Cross-Sectional survey in Germany.

Miriam Ortiz, Manfred Wischnewsky, Michael Jeitler, Benno Brinkhaus, Andreas Michalsen, Rasmus Hoffmann, Christian S Kessler

Registry-linked trialAbstract readMeta-AnalysisObservational Study
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05530720 (Acceptance of Complementary Medicine in Germany - an Anonymous Representative Cross-sectional Study Including a Qualitative Survey), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT05530720 completednot on this map

Acceptance of Complementary Medicine in Germany - an Anonymous Representative Cross-sectional Study Including a Qualitative Survey

TypeobservationalSponsorCharite University, Berlin, GermanyRan2022 to 2022Enrolled4,505ConditionsGeneral PopulationArmsCross-sectional survey
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

7 authors.

Miriam OrtizInstitute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. miriam.ortiz@charite.de.ORCID http://orcid.org/0000-0002-0889-7890
Manfred WischnewskyInstitute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Michael JeitlerInstitute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Benno BrinkhausInstitute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Andreas MichalsenInstitute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Rasmus HoffmannInstitute for Sociology, Otto-Friedrich-University Bamberg, Feldkirchenstr. 21, 96052, Bamberg, Germany.
Christian S KesslerInstitute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraditional, Complementary, and Integrative Medicine (TCIM) is widely used in Germany. Approximately 70% of the German population report lifetime use, with 32% indicating usage within the past year and 18% currently. This study examines the association between TCIM utilization and health-related factors, including sociodemographic characteristics and health-related quality of life (HRQoL) in Germany.

methodsAn online survey of 4,065 German adults (aged 18-75) was conducted in 2022. HRQoL was assessed with globally recognized and extensively validated instruments using the EQ-5D-5 L descriptive system and index values. We compared HRQoL based on age, gender, income, TCIM use and attitudes, medical conditions, dietary patterns, and social milieus (Sinus-Milieus

resultsThe mean ± standard error and median (interquartile range) were 68.2 ± 0.4 and 73.0 (32.5) for EQ VAS, and 0.85 ± 0.00 and 0.92 (0.18) for the EQ-5D-5 L index. Lower HRQoL was observed among women, older adults, and individuals with lower socioeconomic status. TCIM users within the past 12 months (31.8%) had significantly lower EQ-5D-5 L index scores (0.82 ± 0.01; 0.90 [0.17]) than non-users (0.87 ± 0.00; 0.94 [0.17]; p < 0.001) and reported a significantly higher disease burden (88.0% vs. 68.6%). Musculoskeletal disorders were the most common condition (35.8%), associated with an EQ-5D-5 L index of 0.71 ± 0.01 and EQ VAS of 56.9 ± 0.6. Neurological conditions were linked to the lowest HRQoL, whereas allergies were associated with the highest. Dietary patterns significantly influenced HRQoL, with pescatarians reporting the highest and raw foodists the lowest scores. Among social milieus, the "Precarious Milieu" had the lowest EQ-5D-5 L index (median 0.86 [0.28]), while the "Performer Milieu" had the highest (0.97 [0.11]).

conclusionThe findings underscore the influence of sociodemographic and socioeconomic determinants on HRQoL and highlight health disparities across social groups. The inverse association between TCIM use and HRQoL may reflect a higher burden of chronic conditions and unmet healthcare needs among TCIM users. Further research is warranted to investigate causal relationships and the role of TCIM in addressing complex health challenges.

trial registrationClinicalTrials.gov (NCT05530720).

Indexed as

Complementary TherapiesIntegrative MedicineMedicine, TraditionalQuality of LifeAdolescentAdultAgedCross-Sectional StudiesFemaleGermanyHealth StatusHumansInternetMaleMiddle AgedSurveys and QuestionnairesComplementary medicineCross-sectional studyEQ-5D-5LHealth related quality of lifeIntegrative medicineTraditional medicine

Identifiers

PMID40841634
PMCPMC12369224

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.