The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    If you found the information here helpful, please consider supporting this site.If you found the information here helpful, please consider supporting this site.

  • Recent Posts

  • Recent Comments

    CAM use in functional bowel disorder

     One-third of these patients use CAM.

    Are they dissatisfied with mainstream treatments?

    First, the details.

    • 1012 patients with functional bowel disorder completed questionnaires at the beginning of the study and 6 months later.
    • Questionnaires focused on the use and cost of CAM, symptom severity, quality of life, psychological distress, and perceived treatment effectiveness.

    And, the results.

    • CAM was used by 35% of patients.
    • The yearly cost was about $200, ranging from $40 to $2200.

    CAM use

    • Herbals and teas
      • Ginger root tea 15%
      • Evening primrose oil 4%
      • Fennel seed tea 4%
      • Senna tea 2%
    • Massage therapy 13%
    • Yoga 10%
    • Homeopathic medicines 8%
    • Psychotherapy 8%
    • Aromatherapy 7%
    • Acupuncture 3%
    • Biofeedback 1%
    • Hypnosis 1%
    • Any CAM 38%

    Other findings

    • Satisfaction with physician care and perceived effectiveness of Rx meds were not associated with CAM use.
    • Physician referral to a CAM provider was uncommon, but most patients receiving this recommendation followed their physician’s advice.
      • 6% to a dietician
      • 7% to a psychologist/psychiatrist
      • 4% to a naturopath
    • Rx meds were rated somewhat, very, or extremely effective for the following treatments.
      • Rx 69%
      • OTC meds 61%
      • Herbals 56%

    The bottom line?
    The authors concluded, “CAM use is common in patients with functional bowel disorder, but does not appear to be driven by perceived ineffectiveness of conventional medicine.”

    They would like to see proven therapies (eg, hypnotherapy and psychotherapy) covered by insurance since cost limits access for some patients, and “fill current knowledge gaps about treatment effectiveness (such as in herbal therapies).”

    10/5/08 16:42 JR

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