Medicina alternativa e integrativa

Complementary and Alternative Medicine (CAM) Use among Patients Presenting in Out-patient Department at Tertiary Care Teaching Hospital in Southern Rajasthan, India - A Questionnaire Based Study

Abstract

Ashish Sharma and Apurva Agrawal

Abstract Study background: Use of CAM is increasing not only in adult population, but also in pediatric age groups. Concurrent use of CAM with conventional medicine is also widespread and poses a potential risk of drug interaction. Studies regarding CAM use have been done in other countries, but only few have been reported in India and very few have observed CAM use among patients attending outpatient department of a general hospital. Objective: To find out the pattern of CAM use in patients as well as their attitude and perception regarding CAM therapies. Methods: A cross sectional, observational, questionnaire based study was conducted from May 2013 to May 2014 and included 1000 patients attending OPD of different departments of hospital. A pre-decided questionnaire was provided to them which included thirteen questions for assessment of pattern of CAM use and attitude of patients towards CAM therapy. All data collected were analyzed using appropriate statistical tests. Results: Ayurveda (56%) was the most commonly used CAM therapy followed by homeopathy (34%). 76% patients did not inform their physicians about CAM use. 57.2% patients started using CAM on advice of a relative or friend. 'No or less adverse effects' (69.6%) was the most common reason for CAM preference over conventional medicines. 59% patients were ignorant about the fact that CAM and conventional medicines can interact, and 65.5% patients believed that CAM therapy do not cause any adverse effect. Conclusion: Disclosure rate to concerned physicians about CAM use is low. Patients are largely unaware about the fact that CAM medicines can cause adverse effects and can interact when combined with conventional medicines