Rheumatology patients' use of complementary therapies: results from a one-year longitudinal study.

Journal Article (Clinical Trial;Journal Article;Multicenter Study)

OBJECTIVE: To examine the natural history of complementary and alternative medicine (CAM) use and its impact on outcomes within a cohort of rheumatology patients. METHODS: Consecutive patients were recruited from 3 university and 3 private rheumatology practices. Baseline chart reviews provided demographic information and rheumatic diagnoses. Patients answered questions on CAM use and health status during 1 year. We identified correlates of 4 CAM usage patterns (started, maintained, stopped, nonuse) and compared outcomes among these groups. RESULTS: Of 232 baseline participants, 203 (87%) and 177 (76%) responded to the 6- and 12-month surveys. In each survey, approximately 34% reported currently using CAM. During the year, 44% of patients remained nonusers whereas 12% started, 22% maintained, and 22% stopped use. The most frequent reasons for stopping CAM were lack of effectiveness and expense. CAM users and nonusers had no difference in outcomes. CONCLUSIONS: Arthritis patients' usage behavior varied substantially, but CAM use was not associated with a difference in outcomes.

Full Text

Duke Authors

Cited Authors

  • Rao, JK; Kroenke, K; Mihaliak, KA; Grambow, SC; Weinberger, M

Published Date

  • October 15, 2003

Published In

Volume / Issue

  • 49 / 5

Start / End Page

  • 619 - 625

PubMed ID

  • 14558046

International Standard Serial Number (ISSN)

  • 0004-3591

Digital Object Identifier (DOI)

  • 10.1002/art.11377


  • eng

Conference Location

  • United States