title: Use of complementary and alternative medicine among patients attending rheumatology clinics in Israel.
abstract: BACKGROUND
  Complementary and alternative medicine has recently attracted attention due to its widespread use. In a recent study in Israel, almost a half of CAM users in the general population used it for joint diseases or back pain.
  
  
  OBJECTIVE
  To evaluate the prevalence of CAM use among patients with defined rheumatic diseases, and analyze the demographic features of CAM users, their reasons for using CAM and the use of specific CAM methods.
  
  
  METHODS
  We conducted face-to-face structured interviews of 350 patients attending rheumatology clinics, regarding past or present use of CAM, specifying the various CAM types they used, and reasons for using CAM. Demographic data including age, gender, country of birth and origin, and level of education were also collected.
  
  
  RESULTS
  Altogether, 148 patients reported using CAM (42%). In general, homeopathy and acupuncture were the most commonly used types (44% and 41% of the patients, respectively). The mean number of CAM methods per patient was 1.9 +/- 1.1. CAM was more commonly used by patients with advanced education (52% vs. 37% of patients with lower education, P= 0.007). Patients with rheumatoid arthritis used CAM significantly less than patients with other rheumatologic conditions (32% vs. 48%, P= 0.008).
  
  
  CONCLUSIONS
  CAM use is influenced by level of education. The choice of the preferred CAM method among patients with rheumatic diseases seemed to follow the popular CAM methods in the general population, and was not specific to rheumatic diseases.
authors.affiliation: Rheumatology Service, Department of Internal Medicine, Shaare Zedek Medical Center, Jerusalem, Israel. gbreuer@szmc.org.il
authors.forename: Gabriel S
authors.initials: GS
authors.lastname: Breuer
authors.forename: Hedi
authors.initials: H
authors.lastname: Orbach
authors.forename: Ori
authors.initials: O
authors.lastname: Elkayam
authors.forename: Yaakov
authors.initials: Y
authors.lastname: Berkun
authors.forename: Dafna
authors.initials: D
authors.lastname: Paran
authors.forename: Michal
authors.initials: M
authors.lastname: Mates
authors.forename: Gideon
authors.initials: G
authors.lastname: Nesher
mesh_terms: D000328:Adult; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D005260:Female; D006782:Hospitals, Special; D006801:Humans; D007557:Israel; D008297:Male; D008875:Middle Aged; D010045:Outpatients / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D012216:Rheumatic Diseases / Q000628:therapy*; D011795:Surveys and Questionnaires