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001-es BibID:	BIBFORM019830
Első szerző:	Lakatos Péter (Semmelweis Egyetem)
Cím:	Association of adherence to therapy and complementary and alternative medicine use with demographic factors and disease phenotype in patients with inflammatory bowel disease / Peter Laszlo Lakatos, Zsofia Czegledi, Gyula David, Zsofia Kispal. Lajos S. Kiss, Karoly Palatka, Tunde Kristof, Ferenc Nagy, Agnes Salamon, Pal Demeter, Pal Miheller, Tamas Szamosi, Janos Banai, Maria Papp, Laszlo Bene, Agota Kovacs, Istvan Racz, Laszlo Lakatos
Dátum:	2010
Megjegyzések:	Previous studies have suggested an increasing use of complementary and alternative medicine (CAM) in patients with inflammatory bowel disease (IBD). Furthermore, a significant number of IBD patients fail to comply with treatment. The aim of our study was to evaluate the prevalence of non-adherence and the use of CAM in Hungarian patients with IBD. METHODS: A total of 655 consecutive IBD patients (CD: 344, age: 38.2 [SD 12.9]years; UC: 311, age: 44.9 [15.3]years) were interviewed during the specialist visit by self-administered questionnaire including demographic and disease-related data as well as items analyzing the extent of non-adherence and CAM use. Patients taking more than 80% of each prescribed medication were classified as adherent. RESULTS: The overall rate of self-reported non-adherence (CD: 20.9%, UC: 20.6%) and CAM (CD: 31.7%, UC: 30.9%) use did not differ between Crohn's disease (CD) and ulcerative colitis (UC). The most common causes of non-adherence were: forgetfulness (47.8%), too many/unnecessary pills (39.7%), being afraid of side effects (27.9%) and too frequent dosing. Most common forms of CAM were herbal tea (47.3%), homeopathy (14.6%), special diet (12.2%), and acupuncture (5.8%). In CD, disease duration, date of last follow-up visit, educational level and previous surgeries were predicting factors for non-adherence. Alternative medicine use was associated in both diseases with younger age, higher educational level, and immunosuppressant use. In addition, CAM use in UC was more common in females and in patients with supportive psychiatric/psychological therapy. CONCLUSIONS: Non-adherence and CAM use is common in patients with IBD. Special attention should be paid to explore the identified predictive factors during follow-up visits to improve adherence to therapy and improving patient-doctor relationship.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban IBD CD UC Adherence complementary medicine egyetemen (Magyarországon) készült közlemény
Megjelenés:	Journal of Crohn's and Colitis. - 4 : 3 (2010), p. 283-290. -
További szerzők:	Czeglédi Zsófia Dávid Gyula Kispál Zsófia Kiss Lajos Sándor Palatka Károly (1961-) (belgyógyász, gasztroenterológus) Kristóf Tünde Nagy Ferenc Salamon Ágnes (orvos Szekszárd) Demeter Pál Miheller Pál Szamosi Tamás Banai János Papp Mária (1975-) (belgyógyász, gasztroenterológus) Bene László (Budapest) Kovács Ágota Rácz István (orvos Győr) Lakatos László (Veszprém)
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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