Characteristics of atopic dermatitis patients using complementary and alternative medicine: A literature review

IF 3.1 4区 医学 Q2 DERMATOLOGY
C. Delhomme , T. Adam , H. Seiller , A.-C. Bursztejn
{"title":"Characteristics of atopic dermatitis patients using complementary and alternative medicine: A literature review","authors":"C. Delhomme ,&nbsp;T. Adam ,&nbsp;H. Seiller ,&nbsp;A.-C. Bursztejn","doi":"10.1016/j.annder.2024.103257","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Atopic dermatitis (AD) is a chronic inflammatory skin disease. Due to the burden of the disease, some patients try complementary and alternative medicine (CAM).</p></div><div><h3>Objective</h3><p>To identify characteristics associated with CAM use in children and adults with AD.</p></div><div><h3>Methods</h3><p>We conducted a literature review in accordance with the PRISMA international guidelines for literature reviews and meta-analyses. A systematic search was performed in the PubMed database. Qualitative and quantitative analyses using a χ<sup>2</sup> test were performed to compare characteristics between CAM users and non-users. A p-value of &lt;0.05 was considered statistically significant.</p></div><div><h3>Results</h3><p>Out of 514 articles retrieved, 12 studies were included, giving a total of 2240 patients. Our statistical analysis identified an association between CAM use and rhino-conjunctivitis (<em>p</em> = 0.015 in children, <em>p</em> = 0.041 in adults), topical corticosteroid use (<em>p</em> = 0.042 in children, <em>p</em> = 0.008 in adults), and daily application of moisturizing cream (<em>p</em> = 0.002 in children, <em>p</em> &lt; 0.001 in adults). Gender did not affect the decision to use CAM (<em>p</em> &gt; 0.05). In studies, a higher number of affected eczema sites (<em>p</em> &lt; 0.001), prior use of more than two conventional treatments (<em>p</em> = 0.047), and food avoidance diets (<em>p</em> = 0.016) were predictive of CAM use in children. In adults, a younger age (<em>p</em> &lt; 0.05), higher education level (<em>p</em> = 0.043), and lower age at AD onset (<em>p</em> = 0.004) were related to CAM use.</p></div><div><h3>Discussion</h3><p>To our knowledge, this is the first literature review focusing on socio-demographic and disease determinants related to CAM use among AD patients. The lack of homogeneity in measuring tools makes it difficult to compare and synthesize the studies.</p></div>","PeriodicalId":7900,"journal":{"name":"Annales De Dermatologie Et De Venereologie","volume":null,"pages":null},"PeriodicalIF":3.1000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annales De Dermatologie Et De Venereologie","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0151963824000139","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Atopic dermatitis (AD) is a chronic inflammatory skin disease. Due to the burden of the disease, some patients try complementary and alternative medicine (CAM).

Objective

To identify characteristics associated with CAM use in children and adults with AD.

Methods

We conducted a literature review in accordance with the PRISMA international guidelines for literature reviews and meta-analyses. A systematic search was performed in the PubMed database. Qualitative and quantitative analyses using a χ2 test were performed to compare characteristics between CAM users and non-users. A p-value of <0.05 was considered statistically significant.

Results

Out of 514 articles retrieved, 12 studies were included, giving a total of 2240 patients. Our statistical analysis identified an association between CAM use and rhino-conjunctivitis (p = 0.015 in children, p = 0.041 in adults), topical corticosteroid use (p = 0.042 in children, p = 0.008 in adults), and daily application of moisturizing cream (p = 0.002 in children, p < 0.001 in adults). Gender did not affect the decision to use CAM (p > 0.05). In studies, a higher number of affected eczema sites (p < 0.001), prior use of more than two conventional treatments (p = 0.047), and food avoidance diets (p = 0.016) were predictive of CAM use in children. In adults, a younger age (p < 0.05), higher education level (p = 0.043), and lower age at AD onset (p = 0.004) were related to CAM use.

Discussion

To our knowledge, this is the first literature review focusing on socio-demographic and disease determinants related to CAM use among AD patients. The lack of homogeneity in measuring tools makes it difficult to compare and synthesize the studies.

使用补充和替代医学的特应性皮炎患者的特征:文献综述
背景特应性皮炎(AD)是一种慢性炎症性皮肤病。方法我们根据 PRISMA 国际文献综述和荟萃分析指南进行了文献综述。在 PubMed 数据库中进行了系统检索。使用χ2检验进行定性和定量分析,比较CAM使用者和非使用者的特征。结果在检索到的 514 篇文章中,有 12 项研究被纳入,共计 2240 名患者。我们的统计分析表明,CAM 的使用与犀牛结膜炎(儿童 p = 0.015,成人 p = 0.041)、局部皮质类固醇的使用(儿童 p = 0.042,成人 p = 0.008)以及每天使用保湿霜(儿童 p = 0.002,成人 p <0.001)之间存在关联。性别并不影响使用 CAM 的决定(p > 0.05)。在研究中,受影响的湿疹部位越多(p <0.001)、之前使用过两种以上的常规治疗方法(p = 0.047)和忌食(p = 0.016)对儿童使用 CAM 有预测作用。据我们所知,这是第一篇关注与 AD 患者使用 CAM 相关的社会人口学和疾病决定因素的文献综述。由于测量工具缺乏一致性,因此很难对这些研究进行比较和综合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.40
自引率
0.00%
发文量
70
审稿时长
81 days
期刊介绍: Les Annales de dermatologie sont le rendez-vous mensuel incontournable de toute la dermatologie francophone, grâce à leur comité de rédaction qui assure une sélection rigoureuse des articles selon les normes de l''édition scientifique internationale. Une revue didactique, véritable aide à la pratique médicale quotidienne Pour compléter et enrichir la partie scientifique, la rubrique Formation médicale continue propose aux lecteurs des textes didactiques et interactifs (Cas pour diagnostic, Notes de pharmacovigilance, la Question du praticien, Dermatologie chirurgicale, la Sélection bibliographique du mois...) qui les font bénéficier d''une formation post-universitaire diversifiée et de qualité. La revue consacre également un espace pour la publication de questions des lecteurs auxquelles des experts apportent une réponse.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信