Department of Internal Medicine, Hospital Brothers of St. John of God St. Veit an der Glan, St. Veit an der Glan.
Department of Epidemiology, Center of Public Health, Medical University of Vienna, Vienna.
Eur J Gastroenterol Hepatol. 2019 Oct;31(10):1211-1219. doi: 10.1097/MEG.0000000000001533.
Complementary and alternative medicine (CAM) seems to be frequently used among patients with inflammatory bowel disease (IBD). We aimed to determine the prevalence and indicators of CAM use in Austrian IBD patients.
In a multicentre cross-sectional study, adult patients with IBD attending 18 Austrian outpatient clinics completed a multi-item questionnaire that recorded use of CAM as well as medical and socioeconomic characteristics. Patients were recruited between June 2014 and June 2015. The study outcome was the prevalence of CAM use and its socioeconomic and disease-related associations.
A total of 1286 patients (Crohn's disease 830, ulcerative colitis 435, IBD unclassified 21; females 651) with a median age of 40 years (interquartile range 31-52 years) and a median disease duration of 10 years (4-18 years) were analysed. The prevalence of previous and/or current CAM use was 50.7%, with similar results for Crohn's disease and ulcerative colitis. In the multivariable analysis, female gender and a university education were independent socioeconomic indicators of CAM use. IBD-related indicators were longer duration of the disease and previous and/or current treatment with steroids and TNF-α inhibitors.
CAM use for IBD is frequent in Austrian IBD patients and associated with female gender, higher educational level of university degree, longer duration of the disease, and treatment with steroids and TNF-α inhibitors.
补充和替代医学（CAM）似乎在炎症性肠病（IBD）患者中经常使用。我们旨在确定奥地利 IBD 患者使用 CAM 的流行率和指标。
在一项多中心横断面研究中，18 家奥地利门诊诊所的成年 IBD 患者完成了一份多项的调查问卷，记录了 CAM 的使用情况以及医疗和社会经济特征。患者于 2014 年 6 月至 2015 年 6 月期间招募。研究结果是 CAM 使用的流行率及其与社会经济和疾病相关的关联。
共分析了 1286 名患者（克罗恩病 830 例，溃疡性结肠炎 435 例，IBD 未分类 21 例；女性 651 例），中位年龄为 40 岁（四分位间距 31-52 岁），中位疾病持续时间为 10 年（4-18 年）。以前和/或当前 CAM 使用的流行率为 50.7%，克罗恩病和溃疡性结肠炎的结果相似。在多变量分析中，女性性别和大学教育是 CAM 使用的独立社会经济指标。IBD 相关指标是疾病持续时间较长，以及以前和/或当前使用类固醇和 TNF-α 抑制剂治疗。
在奥地利 IBD 患者中，CAM 用于 IBD 的使用频率很高，与女性性别、更高的大学学历、疾病持续时间较长以及使用类固醇和 TNF-α 抑制剂治疗有关。
