典型文献
Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population
文献摘要：
Objective:To determine the prevalence,factors associated with and patterns of concomitant Chinese medicine(CM)with Western treatment use among patients with rheumatoid arthritis(RA)in a tertiary referral centre(Singapore General Hospital)in Singapore.Methods:We conducted a cross-sectional interviewer-administered survey of a consecutive sample of patients with RA in Singapore General Hospital centre regarding their CM use including data on patient demographics,disease characteristics,concomitant use of CM and reasons,concerns and disclosure patterns from March to August 2015.Univariate and multivariate logistic regression analyses were performed to determine the associations of CM use.Results:Prevalence of CM use among the 258 patients surveyed(male:female 42:216;Chinese:Malay:Indian 191:29:34;mean age:61 years;mean duration of RA:10 years)was 46.1％(119/258).On multivariate analysis,Chinese ethnicity(OR,95％CI:4.11,1.49-11.36),Chinese speakers(OR,95％CI:2.35,1.03-5.54),middle-income group(OR,95％CI:2.53,1.01-6.31)and greater learned helplessness(OR,95％CI:1.13,1.04-1.22)were significantly associated with CM use.More CM users disclosed their CM use to CM physicians(87.3％,96/110),sought advice from them on treatment interactions(59.4％,57/96)and how best to combine treatments(49.0％,47/96)than did so with rheumatologists(42.0％,50/119;40.0％,20/50;and 42.0％,21/50,respectively).Forty-two percentage(29/69)of patients who concealed CM use from rheumatologists because their rheumatologists did not specifically enquire about CM use.Conclusions:Concomitant CM use among patients with RA treated in a tertiary referral centre in Singapore is high but voluntary disclosure is low.The associations identified can help doctors identify and enquire about CM use,minimizing potential adverse interactions.
文献关键词：
中图分类号：
作者姓名：
HUANG You-yi;XIN Xiao-hui;Rehena Sultana;Julian Thumboo;FONG Kok Yong
作者机构：
Duke-NUS Medical School,Singapore;Department of Rheumatology and Immunology,Singapore General Hospital,Singapore;Medicine Academic Clinical Program,Division of Medicine,Singapore General Hospital,Singapore;Centre for Quantitative Medicine,Duke-NUS Medical School,Singapore
文献出处：
引用格式：
[1]HUANG You-yi;XIN Xiao-hui;Rehena Sultana;Julian Thumboo;FONG Kok Yong-.Prevalence and Factors Associated with Concomitant Chinese Medicine Use by Rheumatoid Arthritis Patients in A Multi-Ethnic Asian Population)[J].中国结合医学杂志（英文版）,2022(03):223-228
A类：
interviewer,Malay,helplessness,rheumatologists,enquire
B类：
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AB值：
0.529588
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