title: Perceived efficacy among patients of various methods of complementary alternative medicine for rheumatologic diseases.
abstract: OBJECTIVE
  The purpose of this cross-sectional survey was to obtain and analyze data on self-perceived efficacy of different types of complementary alternative medicine (CAM) by patients with various rheumatologic conditions.
  
  
  METHODS
  Patients followed in rheumatology outpatient clinics were screened for the use of CAM. Patients reporting the use of CAM were asked to participate in face-to-face structured interviews, specifying the various CAM types they used, and grading their subjective impression of efficacy of each CAM type on a scale of 1-10.
  
  
  RESULTS
  350 consecutive patients were screened and 148 reported using CAM. In general, homeopathy and acupuncture were the most commonly used CAM types (44% and 41% of the CAM users, respectively). The mean number of different CAM methods used by a CAM user was 1.9 +/- 1.1. Patients with fibromyalgia used significantly more CAM methods (2.7 +/- 1.4, p = 0.005). On patients' self-perceived efficacy scale of 1-10, the mean score of the whole group was 5.3 +/- 3.2. Acupuncture and homeopathy achieved significantly higher self-perceived efficacy scores in CAM users with spondylo-arthropathies and osteoarthritis, respectively, when compared to some of the other disease groups. Satisfaction was lowest among CAM users with rheumatoid arthritis, vasculitis and connective tissue diseases.
  
  
  CONCLUSIONS
  In general, CAM users were less than moderately satisfied with self-perceived-efficacy of CAM therapies. However efficacy of specific CAM methods differed significantly among patients in different disease groups.
authors.affiliation: Rheumatology Service, Department of Internal Medicine, Shaare-Zedek Medical Center and the Hebrew University Medical School, Jerusalem, Israel.
authors.forename: G S
authors.initials: GS
authors.lastname: Breuer
authors.forename: H
authors.initials: H
authors.lastname: Orbach
authors.forename: O
authors.initials: O
authors.lastname: Elkayam
authors.forename: Y
authors.initials: Y
authors.lastname: Berkun
authors.forename: D
authors.initials: D
authors.lastname: Paran
authors.forename: M
authors.initials: M
authors.lastname: Mates
authors.forename: G
authors.initials: G
authors.lastname: Nesher
mesh_terms: D000328:Adult; D000368:Aged; D000529:Complementary Therapies / Q000379:methods*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012216:Rheumatic Diseases / Q000628:therapy*; D016896:Treatment Outcome