Complementary and alternative medicine use and cost in functional bowel disorders: A six month prospective study in a large HMO
2008

Use and Cost of Complementary and Alternative Medicine in Functional Bowel Disorders

Sample size: 1012 publication 10 minutes Evidence: moderate

Author Information

Author(s): Miranda AL van Tilburg, Olafur S Palsson, Rona L Levy, Andrew D Feld, Marsha J Turner, Douglas A Drossman, William E Whitehead

Primary Institution: University of North Carolina, Chapel Hill

Hypothesis

What are the prevalence, types, and costs of complementary and alternative medicine (CAM) used for functional bowel disorders?

Conclusion

One-third of patients with functional bowel disorders use CAM, and this use is not driven by dissatisfaction with conventional care.

Supporting Evidence

  • 35% of patients with functional bowel disorders reported using CAM.
  • The median annual cost of CAM was $200.
  • The most common CAM types were ginger, massage therapy, and yoga.
  • CAM use was associated with female gender, higher education, and anxiety.
  • Physician referral to CAM providers was uncommon.

Takeaway

Many people with bowel problems try alternative treatments like yoga and ginger tea, and they spend about $200 a year on these remedies.

Methodology

Patients with functional bowel disorders were surveyed about their CAM use and costs over six months.

Potential Biases

Self-reporting may lead to inaccuracies in CAM and cost data.

Limitations

The study's findings may not be generalizable to uninsured or non-urban patients, and self-selection bias may affect results.

Participant Demographics

{"age_mean":53.5,"age_sd":14.0,"male_percentage":24.5,"race":{"caucasian":89.3,"african_american":2.9,"asian":3.6,"other":4.2},"married_percentage":72.8,"college_graduate_percentage":44.6}

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6882-8-46

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