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Talking with patients about alternative and complementary medicine.
A I Perlman1, D M Eisenberg, R S Panush
1Carol and Morton Siegler Center for Integrative Medicine, Department of Medicine, Saint Barnabas Medical Center, Saint Barnabas Health Care System, Livingston, New Jersey, USA. Aperlman@sbhcs.com
Rheumatic Diseases Clinics of North America
|November 26, 1999
Summary
Rheumatologists must address patient use of alternative and complementary therapies, especially for chronic musculoskeletal conditions. Evidence quality varies, necessitating informed physician guidance for optimal patient care.
Area of Science:
- Rheumatology
- Integrative Medicine
Background:
- Growing patient use of alternative and complementary therapies (ACTs) is a significant trend.
- Chronic musculoskeletal conditions are a primary reason for ACT use.
- Physicians need expertise in discussing ACTs with patients.
Purpose of the Study:
- To highlight the importance of rheumatologists understanding and advising on ACTs.
- To emphasize the need for critical evaluation of ACT research.
- To encourage open communication and shared decision-making regarding ACTs.
Main Methods:
- Review of current literature on ACT safety and efficacy.
- Discussion of the evolving research landscape for ACTs.
- Analysis of physician attitudes towards ACTs.
Main Results:
- A significant body of literature exists on ACTs, with variable reliability and quality.
- Increased funding and a dedicated center aim to improve ACT research.
- A "don't ask, don't tell" approach is insufficient for managing ACT use.
Conclusions:
- Rheumatologists must actively engage with patients about ACTs.
- Shared decision-making and relationship-centered care are crucial.
- The focus should be on "good medicine" regardless of its classification.