How does clinical medicine regard alternative medicine?

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Authors:

Hentschel C. Kohnen R. Hauser G. Lindner M. Hahn EG. Ernst E.

Institution:

Blankenstein Hospital, Im Vogelsang 5-11,D-45527 Hattingen; Germany.

Title:

Complementary medicine today: Patient decision for physician or magician? - A comparative study of patients deciding in favour of alternative therapies (1996-3231).

Source:

European Journal of Physical Medicine and Rehabilitation. Vol 6(5) (pp44-150), 1996.

Abstract:

Complementary medicine (CM) is employed in all industrialized countries to varying extents. At present, data on the effectiveness, safety, and costs of such treatments are incomplete. At the same time, we know very little about the characteristics and motivations of patients seeking aid in CM. The aim of the present study was to establish differences between patients who use CM and those who prefer mainstream medical treatments. Standardized interview by questionnaire (168 items) with 419 patients divided into 2 groups (patients using CM/patients not using CM) in the offices of general practitioners and internists qualified or not qualified to offer CM therapies (additional qualification: practitioner of natural medicine). The statistical comparison of the 2 groups was effected by Student's t test, Wilcoxon U test, and Chi square test, and significance levels were defined. CM users differ considerably from patients not using CM. This applies not only to sociodemographic and illness-related data, but also to psychological makeup and lifestyle. Differences have also been found between the 2 groups in terms of doctor-patient relationship. Research in this area needs to be intensified in view of the large number of CM users, the lack of proof of efficacy, and the insufficient knowledge of the risks and costs entailed in CM therapies.

 

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• 1 What might I need to know about drugs frequently used in gynaecology?
• 2 How do hormone treatments work?
• 3  In what situations may hormone treatments be indicated?
• 4 What are the sources of hormone treatments?
• 5 What determines the effect of a hormone treatment?
• 6 When are hormones used in combination?
• 7  Why do hormone treatments sometimes cause side-effects?
• 8 When are oestrogens prescribed?
• 9 What are the possible side effects and risks of oestrogen therapy?
• 10 When are progestogens prescribed?
• 11 What are the possible side effects and risks of progestogen therapy?
• 12 How is the relative potency (strength) of progestogens measured?
• 13 When is danazol prescribed?
• 14 When are androgens prescribed?
• 15 What are the possible side effects of androgens?
• 16 What are gonadotrophin releasing hormone analogues and gonadotrophins?
• 17 When are GnRH analogues prescribed?
• 18 What are anti-hormones?
• 19 By which routes can drugs be given and why are they chosen?
• 20 Why do I seem to be given a medication with a different name but my doctor says it is the same as before?
• 21 I am worried about the possible side-effects of a medication. What should I do?
• 22 How are new treatments developed?
• 23 What is a meta-analysis?
• 24 What is meant by the term evidence based medicine information?
• 25 What is a clinical trial?
• 26 What is a placebo?
• 27 What is meant by relative risk?
• 28 What is informed consent?
• 29 What is the current opinion of the medical profession on alternative or complementary medicine?
• 30 Support Groups.
  • Aspirin
  • Danazol
  • Duloxetine
  • HRT Preparations
  • Venlafaxine

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