Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population

You-yi HUANG; Xiao-hui XIN; Rehena Sultana; Julian Thumboo; Kok Yong FONG

doi:10.1007/s11655-021-3494-3

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Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population

Original Article | Updated：2022-03-18

- Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population
- Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population
- Chinese Journal of Integrative Medicine 2022年28卷第3期页码：223-228
- Affiliations：
  
  1.Duke-NUS Medical School, Singapore
  2.Department of Rheumatology and Immunology, Singapore General Hospital, Singapore
  3.Medicine Academic Clinical Program, Division of Medicine, Singapore General Hospital, Singapore
  4.Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore
- Author bio：
  
  Prof. FONG Kok Yong, E-mail: fong.kok.yong@singhealth.com.sg
- Funds：
- DOI：10.1007/s11655-021-3494-3
  中图分类号：
- 纸质出版日期：2022-03-01，
  
  网络出版日期：2021-07-28，
  
  录用日期：2020-06-15
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You-yi HUANG, Xiao-hui XIN, Rehena Sultana, 等. Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population[J]. Chinese Journal of Integrative Medicine, 2022,28(3):223-228.

You-yi HUANG, Xiao-hui XIN, Rehena Sultana, et al. Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population[J]. Chinese Journal of Integrative Medicine, 2022,28(3):223-228.
You-yi HUANG, Xiao-hui XIN, Rehena Sultana, 等. Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population[J]. Chinese Journal of Integrative Medicine, 2022,28(3):223-228. DOI： 10.1007/s11655-021-3494-3.

You-yi HUANG, Xiao-hui XIN, Rehena Sultana, et al. Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population[J]. Chinese Journal of Integrative Medicine, 2022,28(3):223-228. DOI： 10.1007/s11655-021-3494-3.

摘要

Abstract

Objective:

To determine the prevalence

factors associated with and patterns of concomitant Chinese medicine (CM) with Western treatment use among patients with rheumatoid arthritis (RA) in a tertiary referral centre (Singapore General Hospital) in Singapore.

Methods:

We conducted a cross-sectional intervieweradministered survey of a consecutive sample of patients with RA in Singapore General Hospital centre regarding their CM use including data on patient demographics

disease characteristics

concomitant use of CM and reasons

concerns and disclosure patterns from March to August 2015. Univariate and multivariate logistic regression analyses were performed to determine the associations of CM use.

Results:

Prevalence of CM use among the 258 patients surveyed (male: female 42: 216; Chinese: Malay: Indian 191: 29: 34; mean age: 61 years; mean duration of RA: 10 years) was 46.1% (119/258). On multivariate analysis

Chinese ethnicity (OR

95% CI: 4.11

1.49–11.36)

Chinese speakers (OR

95% CI: 2.35

1.03–5.54)

middle-income group (OR

95% CI: 2.53

1.01–6.31) and greater learned helplessness (OR

95% CI: 1.13

1.04–1.22) were significantly associated with CM use. More CM users disclosed their CM use to CM physicians (87.3%

96/110)

sought advice from them on treatment interactions (59.4%

57/96) and how best to combine treatments (49.0%

47/96) than did so with rheumatologists (42.0%

50/119; 40.0%

20/50; and 42.0%

21/50

respectively). Forty-two percentage (29/69) of patients who concealed CM use from rheumatologists because their rheumatologists did not specifically enquire about CM use.

Conclusions:

Concomitant CM use among patients with RA treated in a tertiary referral centre in Singapore is high but voluntary disclosure is low. The associations identified can help doctors identify and enquire about CM use

minimizing potential adverse interactions.

关键词

Keywords

pevalencerheumatoid arthritisChinese medicinecomplementary therapies

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