Use Of Complementary Medicines For Osteoarthritis - a Prospective Study

Zochling, J., March, L. M., Lapsley, H., Cross, M., Tribe, K. and Brooks, P. (2004) Use Of Complementary Medicines For Osteoarthritis - a Prospective Study. Annals of the Rheumatic Diseases, 63 5: 549-554. doi:10.1136/ard.2003.010637

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Author Zochling, J.
March, L. M.
Lapsley, H.
Cross, M.
Tribe, K.
Brooks, P.
Title Use Of Complementary Medicines For Osteoarthritis - a Prospective Study
Journal name Annals of the Rheumatic Diseases   Check publisher's open access policy
ISSN 0003-4967
Publication date 2004-01-01
Sub-type Article (original research)
DOI 10.1136/ard.2003.010637
Open Access Status File (Author Post-print)
Volume 63
Issue 5
Start page 549
End page 554
Total pages 6
Editor ven de Putte, L.
O'Flaherty, J.
Place of publication London, U.K.
Publisher BMJ Publishing Group
Collection year 2004
Language eng
Subject 321028 Rheumatology and Arthritis
730306 Evaluation of health outcomes
Abstract Background: Patients with osteoarthritis commonly use complementary and alternative medicines (CAM),either as an adjunct to or in place of conventional analgesics. Objectives: To undertake a prospective investigation of the prevalence of CAM use for osteoarthritis and the direct costs incurred. Methods: The subjects were 341 patients with osteoarthritis of the knee or hip drawn from central and northern Sydney, Australia, and comprising 83 community based patients and 258 awaiting joint replacement. Information on CAM use was obtained from prospective three monthly diaries. Variables of interest included health related quality of life scores. Prospective out of pocket costs were recorded over a 12 month follow up period. Results: The prevalence of CAM use was 40%, which falls within the range of previous studies. Average annual expenditure on CAM was A$32.25 (range 0 to 603.30). CAM users were more likely to be female (odds ratio (OR) 1.8 (95% confidence interval, 1.1 to 3.0)), reported a higher level of bodily pain (OR 0.97 (0.95 to 0.99)), and were less likely to purchase conventional analgesics (OR 3.3 (1.6 to 7.0)), either prescribed or over the counter. Vitamin supplementation was the most common CAM reported, followed by celery extract, fish oils, and garlic extracts. Conclusions: There are no good quality clinical trials to support the use of most preparations purchased by patients with osteoarthritis. There is a need for patient education on the risks and benefits of complementary medicine in osteoarthritis.
Keyword complementary therapies
Knee Replacement Surgery
alternative medicine
Glucosamine Sulfate
Chondroitin Sulfate
Controlled Trials
Herbal Medicines
Medication Use
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Additional Notes Reproduced from J Zochling, L M March, H Lapsley, M Cross, K Tribe, P Brooks, (2004) Use Of Complementary Medicines For Osteoarthritis - a Prospective Study, Annals of the Rheumatic Diseases, 63, 549-554. Copyright 2004 BMJ Publishing.

Document type: Journal Article
Sub-type: Article (original research)
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Created: Fri, 10 Dec 2004, 10:00:00 EST by Di Thornthwaite on behalf of School of Medicine