Use of biological based therapy in patients with cardiovascular diseases in a university-hospital in New York City

被引：20

作者：

Chagan L. ^{[1
,2
]}

Bernstein D. ^{[2
]}

Cheng J.W.M. ^{[1
,2
]}

Kirschenbaum H.L. ^{[1
,2
]}

Rozenfeld V. ^{[3
]}

Caliendo G.C. ^{[4
]}

Meyer J. ^{[4
]}

Mehl B. ^{[4
]}

机构：

[1] Division of Pharmacy Practice, Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, NY

[2] Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, NY

[3] Medical Science Liaison, Watson Laboratories Inc., Morristown, NJ

[4] Department of Pharmacy, Mount Sinai Hospital, New York, NY

来源：

BMC Complementary and Alternative Medicine | / 5卷 / 1期

关键词：

Conventional Medicine; Traditional Medication; Congestive Heart Failure Patient; Potential Drug Interaction; Mount Sinai Hospital;

D O I：

10.1186/1472-6882-5-4

中图分类号：

学科分类号：

摘要：

Background: The use of complementary and alternative products including Biological Based Therapy (BBT) has increased among patients with various medical illnesses and conditions. The studies assessing the prevalence of BBT use among patients with cardiovascular diseases are limited. Therefore, an evaluation of BBT in this patient population would be beneficial. This was a survey designed to determine the effects of demographics on the use of Biological Based Therapy (BBT) in patients with cardiovascular diseases. The objective of this study was to determine the effect of the education level on the use of BBT in cardiovascular patients. This survey also assessed the perceptions of users regarding the safety/efficacy of BBT, types of BBT used and potential BBTdrug interactions. Method: The survey instrument was designed to assess the findings. Patients were interviewed from February 2001 to December 2002. 198 inpatients with cardiovascular diseases (94 BBT users and 104 non-users) in a university hospital were included in the study. Results: Users had a significantly higher level of education than non-users (college graduate: 28 [30%] versus 12 [12%], p = 0.003). Top 10 BBT products used were vitamin E [41(43.6%)], vitamin C [30(31.9%)], multivitamins [24(25.5%)], calcium [19(20.2%)], vitamin B complex [17(18.1%)], fish oil [12(12.8%)], coenzyme Q10 [11(11.7%)], glucosamine [10(10.6%)], magnesium [8(8.5%)] and vitamin D [6(6.4%)]. Sixty percent of users' physicians knew of the BBT use. Compared to nonusers, users believed BBT to be safer (p < 0.001) and more effective (p < 0.001) than prescription drugs. Forty-two potential drug-BBT interactions were identified. Conclusion: Incidence of use of BBT in cardiovascular patients is high (47.5%), as is the risk of potential drug interaction. Health care providers need to monitor BBT use in patients with cardiovascular diseases. © 2005 Chagan et al; licensee BioMed Central Ltd.

引用

页数：10

共 43 条

[1]

Eisenberg D.M., Kessler R.C., Foster C., Norlock F.E., Calkins D.R., Delbanco T.L., Unconventional medicine in the United States prevalence, costs, and patterns of use, N. Engl. J. Med., 328, pp. 246-252, (1993)

[2]

Complementary and Alternative Medicine Used in the United States, (2004)

[3]

Eisenberg D.M., Davis R.B., Ettner S.L., Appel S., Wilkey S., Rompay M.V., Kessler R.C., Trends in alternative medicine use in the United States, 1990 - 1997 Results of a follow-up national survey, JAMA, 280, pp. 1569-1657, (1998)

[4]

Kesser R.C., Davis R.B., Foster D.F., Van Rompay M.I., Walters E.E., Wilkey S.A., Kaptchuk T.J., Eisenberg D.M., Long-term trends in use of complementary and alternative medical therapies in the United States, Ann. Intern. Med., 135, pp. 262-268, (2001)

[5]

Chandola A., Young Y., McAlister J., Axford J.S., Use of complementary therapies by patients attending musculoskeletal clinics, J. R. Soc. Med., 92, pp. 13-16, (1999)

[6]

Anderson D.L., McWhorter L.S., Crouch B.I., Andersen S.J., Prevalence and patterns of alternative medication use in the university hospital outpatient clinic serving rheumatology and geriatric patients, Pharmacotherapy, 20, pp. 958-966, (2000)

[7]

Burstein H.J., Gelber S., Guadagnoli E., Weeks J.C., Use of alternative medicine by women with early-stage breast cancer, N. Engl. J. Med., 340, pp. 1733-1739, (1999)

[8]

Cassileth B.R., Luck E.J., Strouse T.B., Bodenheimer B.J., Contemporary unorthodox treatments in cancer medicine, Ann. Intern. Med., 101, pp. 105-112, (1984)

[9]

Fernandez C.V., Stutzer C.A., MacWilliam L., Fryer C., Alternative and complementary therapy use in pediatric oncology patients in British Columbia: Prevalence and reasons for use and nonuse, J. Clin. Oncol., 16, pp. 1279-1286, (1998)

[10]

Ernst E., Complementary therapies for asthma: What patients use, J. Asthma, 35, pp. 667-671, (1998)

← 1 2 3 4 5 →