Regional variations in the use of complementary and alternative medicines for inflammatory bowel disease patients in Italy:an IG-IBD study.

Mario Cottone, Licio Giglio, Erika Angelucci, Perla Bertomoro, Luca Pastorelli, Gabriele Riegler, Roberta Pica, Claudio Papi, Maria Carla Di Paolo, Renata D'Incà, Fabiana Castiglione, Fabrizio Bossa

Risultato della ricerca: Article

13 Citazioni (Scopus)

Abstract

AbstractBackground and aim: Complementary and alternative medicines (CAM) are being usedincreasingly by patients with Crohn's disease (CD) and ulcerative colitis (UC). We aimed toassess the prevalence and usage of CAM in different geographical areas of Italy and possiblepredictors of their use.Methods and materials: A structured questionnaire, administered to outpatients, attending8 general hospitals and 9 tertiary referral centres, was completed by 2011 patients (909 CD, 1087UC and 15 indeterminate colitis). 583 patients lived in the North, 659 in Central Italy and 769 in theSouth.Results: CAM users were 475 (23.6%) with no regional differences in their distribution. Usagecorrelated significantly with female gender (p=0.030), higher education (p=0.021), hospitalization rates (p=0.000), extra-intestinal complications (p=0.000), non-adherence to conventionaltreatments (p=0.054), adverse reactions to conventional treatments (p=0.000), and activedisease (p=0.007); 5-ASA usage was associated with a more limited use of CAM (p=0.005). Dietarychanges or supplements and prayer were significantly more frequently reported in South, whileNorthern Italian patients more frequently used homeopathy, herbal medicines and physicalexercises. Patients in Central Italy adopted an intermediate behavior. CAM use ameliorated thepatient's general well-being according to two thirds of the users. Costs were higher for Northernpatients than in Central or Southern Italy.Conclusion: One in four IBD patients in Italy use CAM. More money is spent on CAM in NorthernItaly. Regional differences emerged as regards the type of CAM but not in terms of diseasefeatures, frequency of and reasons for CAM use, or perceived effects
Lingua originaleEnglish
pagine (da-a)291-300
Numero di pagine9
RivistaJournal of Crohn's and Colitis
Volume4
Stato di pubblicazionePublished - 2010

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Complementary Therapies
Inflammatory Bowel Diseases
Italy
Crohn Disease
Homeopathy
Herbal Medicine
Religion
Colitis
Ulcerative Colitis
Tertiary Care Centers
General Hospitals

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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Regional variations in the use of complementary and alternative medicines for inflammatory bowel disease patients in Italy:an IG-IBD study. / Cottone, Mario; Giglio, Licio; Angelucci, Erika; Bertomoro, Perla; Pastorelli, Luca; Riegler, Gabriele; Pica, Roberta; Papi, Claudio; Di Paolo, Maria Carla; D'Incà, Renata; Castiglione, Fabiana; Bossa, Fabrizio.

In: Journal of Crohn's and Colitis, Vol. 4, 2010, pag. 291-300.

Risultato della ricerca: Article

Cottone, M, Giglio, L, Angelucci, E, Bertomoro, P, Pastorelli, L, Riegler, G, Pica, R, Papi, C, Di Paolo, MC, D'Incà, R, Castiglione, F & Bossa, F 2010, 'Regional variations in the use of complementary and alternative medicines for inflammatory bowel disease patients in Italy:an IG-IBD study.', Journal of Crohn's and Colitis, vol. 4, pagg. 291-300.
Cottone, Mario ; Giglio, Licio ; Angelucci, Erika ; Bertomoro, Perla ; Pastorelli, Luca ; Riegler, Gabriele ; Pica, Roberta ; Papi, Claudio ; Di Paolo, Maria Carla ; D'Incà, Renata ; Castiglione, Fabiana ; Bossa, Fabrizio. / Regional variations in the use of complementary and alternative medicines for inflammatory bowel disease patients in Italy:an IG-IBD study. In: Journal of Crohn's and Colitis. 2010 ; Vol. 4. pagg. 291-300.
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abstract = "AbstractBackground and aim: Complementary and alternative medicines (CAM) are being usedincreasingly by patients with Crohn's disease (CD) and ulcerative colitis (UC). We aimed toassess the prevalence and usage of CAM in different geographical areas of Italy and possiblepredictors of their use.Methods and materials: A structured questionnaire, administered to outpatients, attending8 general hospitals and 9 tertiary referral centres, was completed by 2011 patients (909 CD, 1087UC and 15 indeterminate colitis). 583 patients lived in the North, 659 in Central Italy and 769 in theSouth.Results: CAM users were 475 (23.6{\%}) with no regional differences in their distribution. Usagecorrelated significantly with female gender (p=0.030), higher education (p=0.021), hospitalization rates (p=0.000), extra-intestinal complications (p=0.000), non-adherence to conventionaltreatments (p=0.054), adverse reactions to conventional treatments (p=0.000), and activedisease (p=0.007); 5-ASA usage was associated with a more limited use of CAM (p=0.005). Dietarychanges or supplements and prayer were significantly more frequently reported in South, whileNorthern Italian patients more frequently used homeopathy, herbal medicines and physicalexercises. Patients in Central Italy adopted an intermediate behavior. CAM use ameliorated thepatient's general well-being according to two thirds of the users. Costs were higher for Northernpatients than in Central or Southern Italy.Conclusion: One in four IBD patients in Italy use CAM. More money is spent on CAM in NorthernItaly. Regional differences emerged as regards the type of CAM but not in terms of diseasefeatures, frequency of and reasons for CAM use, or perceived effects",
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T1 - Regional variations in the use of complementary and alternative medicines for inflammatory bowel disease patients in Italy:an IG-IBD study.

AU - Cottone, Mario

AU - Giglio, Licio

AU - Angelucci, Erika

AU - Bertomoro, Perla

AU - Pastorelli, Luca

AU - Riegler, Gabriele

AU - Pica, Roberta

AU - Papi, Claudio

AU - Di Paolo, Maria Carla

AU - D'Incà, Renata

AU - Castiglione, Fabiana

AU - Bossa, Fabrizio

PY - 2010

Y1 - 2010

N2 - AbstractBackground and aim: Complementary and alternative medicines (CAM) are being usedincreasingly by patients with Crohn's disease (CD) and ulcerative colitis (UC). We aimed toassess the prevalence and usage of CAM in different geographical areas of Italy and possiblepredictors of their use.Methods and materials: A structured questionnaire, administered to outpatients, attending8 general hospitals and 9 tertiary referral centres, was completed by 2011 patients (909 CD, 1087UC and 15 indeterminate colitis). 583 patients lived in the North, 659 in Central Italy and 769 in theSouth.Results: CAM users were 475 (23.6%) with no regional differences in their distribution. Usagecorrelated significantly with female gender (p=0.030), higher education (p=0.021), hospitalization rates (p=0.000), extra-intestinal complications (p=0.000), non-adherence to conventionaltreatments (p=0.054), adverse reactions to conventional treatments (p=0.000), and activedisease (p=0.007); 5-ASA usage was associated with a more limited use of CAM (p=0.005). Dietarychanges or supplements and prayer were significantly more frequently reported in South, whileNorthern Italian patients more frequently used homeopathy, herbal medicines and physicalexercises. Patients in Central Italy adopted an intermediate behavior. CAM use ameliorated thepatient's general well-being according to two thirds of the users. Costs were higher for Northernpatients than in Central or Southern Italy.Conclusion: One in four IBD patients in Italy use CAM. More money is spent on CAM in NorthernItaly. Regional differences emerged as regards the type of CAM but not in terms of diseasefeatures, frequency of and reasons for CAM use, or perceived effects

AB - AbstractBackground and aim: Complementary and alternative medicines (CAM) are being usedincreasingly by patients with Crohn's disease (CD) and ulcerative colitis (UC). We aimed toassess the prevalence and usage of CAM in different geographical areas of Italy and possiblepredictors of their use.Methods and materials: A structured questionnaire, administered to outpatients, attending8 general hospitals and 9 tertiary referral centres, was completed by 2011 patients (909 CD, 1087UC and 15 indeterminate colitis). 583 patients lived in the North, 659 in Central Italy and 769 in theSouth.Results: CAM users were 475 (23.6%) with no regional differences in their distribution. Usagecorrelated significantly with female gender (p=0.030), higher education (p=0.021), hospitalization rates (p=0.000), extra-intestinal complications (p=0.000), non-adherence to conventionaltreatments (p=0.054), adverse reactions to conventional treatments (p=0.000), and activedisease (p=0.007); 5-ASA usage was associated with a more limited use of CAM (p=0.005). Dietarychanges or supplements and prayer were significantly more frequently reported in South, whileNorthern Italian patients more frequently used homeopathy, herbal medicines and physicalexercises. Patients in Central Italy adopted an intermediate behavior. CAM use ameliorated thepatient's general well-being according to two thirds of the users. Costs were higher for Northernpatients than in Central or Southern Italy.Conclusion: One in four IBD patients in Italy use CAM. More money is spent on CAM in NorthernItaly. Regional differences emerged as regards the type of CAM but not in terms of diseasefeatures, frequency of and reasons for CAM use, or perceived effects

KW - Alternative medicine. IBD.

UR - http://hdl.handle.net/10447/52951

M3 - Article

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SP - 291

EP - 300

JO - Journal of Crohn's and Colitis

JF - Journal of Crohn's and Colitis

SN - 1873-9946

ER -