Uso de terapias complementarias y alternativas en dolor lumbar crónico…(Ing.)

"Uso de terapias complementarias y alternativas para pacientes con autoinforme de dolor lumbar crónico: Un estudio por todo Canadá."

Violaine Foltza, , , Yvan St Pierreb, Sylvie Rozenberga, Michel Rossignolb, Pierre Bourgeoisa, Lawrence Josephb, c, Viviane Adamb, John R. Penrodb, c, Ann E. Clarkeb, c and Bruno Fautrela, b aRheumatology Department, Pitié-Salpêtrière Teaching Hospital, 49-83 Bd de l'Hôpital, 75013 Paris, France bClinical Epidemiology Department, McGill University, Montreal, Que., Canada cDepartment of Medicine, Mc Gill University, Montreal, Que., Canada Received 18 October 2004; accepted 14 March 2005. Available online 7 September 2005.

Abstract

Objective. – Complementary and alternative medicine (CAM) is gaining popularity among patients with chronic back pain. We looked for factors associated with CAM use.

Methods. – The data came from the cross-sectional household component of the 1996–1997 National Population Health Survey on the health status and behaviors of Canadians. The sample comprising 66.999 individuals aged 20 years or older represented 21 million adults. Cross tabulations were used to estimate the percentage of CAM use among adults with chronic back pain. Factors independently associated with CAM use during the year before the surveys were identified using multiple logistic regression.

Results. – CAM use was highest in the subgroup of Canadian adults reporting chronic back pain (39.07%). CAM use was associated with younger age, being married, having a higher level of education, and earning a higher income. Overall, the CAM users reported less pain, greater analgesic use, more depression, and more co-morbidities. In addition to CAM, these patients used conventional medical services.

Conclusion. – Our results show that patients with chronic back pain who use CAM are more active, more involved in social life, and healthier, suggesting better management of their condition. They use CAM in addition to, rather than instead of, conventional care. CAM use in these patients may be ascribable to dissatisfaction with mainstream physicians.

Joint Bone Spine Volume 72, Issue 6 , December 2005, Pages 571-577.