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Utilization patterns and cost of complementary and alternative medicine compared to conventional medicine in patients with type 2 diabetes mellitus.

Authors
Kim, HJ; Chun, KH; Kim, DJ; Han, SJ; Kim, YS; Woo, JT; Park, Y; Nam, MS; Baik, SH; Ahn, KJ; Lee, KW
Citation
Diabetes research and clinical practice, 93(1):115-122, 2011
Journal Title
Diabetes research and clinical practice
ISSN
0168-82271872-8227
Abstract
AIMS: We evaluated the use and annual cost of complementary and alternative medicine (CAM) compared to conventional medicine in type 2 diabetes mellitus (DM) in the Korean population.



METHODS: We analyzed the database of 2752 DM patients obtained from the Korean National Diabetes Program (KNDP). The cost data of conventional medicine starting 1-year before enrolment of the KNDP were obtained from the hospital electronic database. The cost data of CAM over the same period were obtained from questionnaires.



RESULTS: Among the 2752 subjects, 677 patients (24.6%) used CAM, with the most common type being red ginseng and herbal medicine. Patients with a higher income, neuropathy, and self-monitoring of blood glucose (SMBG) were more likely to use CAM. Men, those with a higher education level and income, no cerebrovascular accident (CVA) history, and SMBG showed a relatively higher cost of CAM of total medical cost. The independent predictors for CAM were a higher income, the existence of diabetic neuropathy, no CVA history, and SMBG.



CONCLUSIONS: Use and cost of CAM varied depending on income, accompanying complications and SMBG. To evaluate the total medical costs in DM patients, a comprehensive approach considering not only conventional cost but also CAM is required.
MeSH terms
AdultAgedBlood Glucose Self-MonitoringComplementary Therapies/*economics/*methodsCross-Sectional StudiesDiabetes Mellitus, Type 2/*drug therapyFemaleHumansMaleMiddle AgedPhytotherapy/methodsQuestionnaires
DOI
10.1016/j.diabres.2011.03.031
PMID
21524810
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Endocrinology & Metabolism
Journal Papers > School of Medicine / Graduate School of Medicine > Preventive Medicine & Public Health
AJOU Authors
김, 혜진전, 기홍김, 대중한, 승진이, 관우
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