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May 2024

Patterns of use, expenditures, and perceived efficacy of complementary and alternative therapies in HIV-infected patients

Author(s): Fairfield, K. M., Eisenberg, D. M. , Davis, R. B. , Libman, H. , Phillips, R. S.

Journal/Book: Arch Int Med. 1998; 158(20): 2257-2264.

Abstract: Background: Complementary and alternative medicine (CAM) use is common in the general population, accounting for substantial expenditures. Among patients with human immunodeficiency virus (HIV) infection, few data are available on the prevalence, costs, and patterns of alternative therapy use. Methods: We carried out detailed telephone surveys and medical chart reviews for 289 active patients with HIV in a general medicine practice at a university- based teaching hospital in Boston, Mass. Data were collected on preval ence and patterns of CAM use, out-of-pocket expenditures, associated outcomes, and correlates of CAM use. se; memory loss (OR = 2.3, 95% CI = 1.1-4.8) and fatigue (OR =0.4, 95% CI=0.2-0.9) were associated with supplement use; and weight loss (OR= 2.6, 95% CI=1.2-5.6) was associated with marijuana use. ials of frequently used CAMs are needed to inform physicians and patients about therapies that may have measurable benefit or measurable risk.

Keyword(s): cam. prac. rev. hiv. eval


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