Use of traditional, complementary and

alternative medicine in the clinical practice of nephrology

Guillermo Pedreira Robles, Ana Vasco Gómez, Yaiza Martínez Delgado, Cristina Herrera Morales,

Ernestina Junyent iglesias

Nephrology Service of the Hospital del Mar. Barcelona, Sapain.

47th EDTNA/ERCA International Conference

Genoa, Italy, September 2018.

INDEX

Background

Objective

Methods

Results

Discussion

Conclusion

BACKGROUND

BACKGROUND

Traditional and Complementary Medicine (TCM): sum of knowledge, skills and practices based on the theories, beliefs and experiences of different cultures. Whether they are explainable or not, TCM is used to maintain health and prevent, diagnose, improve or treat physical and

mental illnesses.

(World Health Organization, 2013).

BACKGROUND

TCM are a broad set of health care practices that are not part of the health care system of a given country.

Many times, the health professionals don’t know if their patients use remedies from TCM.

This can suppose a potential interference with the prescribed treatment from the reference hospital.

(World Health Organization, 2013).

BACKGROUND

FatigueDiscouragement

DespairAnxiety Depression

PainDecreased appetite

Nausea/vomit Decreased sexual functioning

Skin problems

Neuropathy

BACKGROUND

People with that symptoms are more reactive to possible supplements that improve their situation or optimize their conventional treatment

Pérez Lapuente et al., 2013; Sánchez Quiles et al., 2014

BACKGROUND

People are using TCM and we may not know it.

This can suppose an interference with the prescribed treatment.

OBJECTIVE

OBJECTIVE

To analyse the use and knowledge of Traditional and Complementary Medicine among health

professionals in a nephrology unit.

METHODS

METHODS

• A cross-sectional descriptive study was conducted at the Hospital del Mar Nephrology Department during February 2017.

• Included 62 health professionals.

• Ad hoc questionnaire.

• Analysis: the Student's t-distribution for the comparison of means between parametric variables, the Mann–Whitney U test for nonparametric variables and the Chi-squared test for the comparison of proportions.

• The present study has been approved by the institution's Clinical Research Ethics Committee (number 2018/7797/I).

RESULTS

RESULTS

Age (mean ± ED) 37,61 ± 11,05 years

Sex (%; n)Women: 87,1% (54) Men: 12,9% (8)

Professional category (%; n)Nurses: 54,83% (34)Nursing assistants: 24,19% (15)Nephrologists: 20,97% (13)

Years of experience (%; n)

From 1 to 5 years: 27,42% (17)From 6 to 10 years: 17,74% (11)From 11 to 25 years: 38,71% (24)From 26 to 40 years: 16,13% (10)

RESULTS

I do not know any

7%

I know 1 or 219%

I know more than 374%

How many alternative therapies do you know?

No68%

University education

11%

Training from the

workplace2%

Specialized course

16%

All of them3%

Have you received training on alternative therapies?

32%

RESULTS

I do not use any58%

I use 1 or 227%

I use more than 315%

How many alternative therapiesdo you use?

Yes63%

No10%

I don’t know27%

Do you think that the alternative therapies should be included in the

clinical practice?

42%

RESULTS

Yes23%

No32%

Sometimes45%

Do you recommend patients to use alternative therapies?

37,10%30,65%

9,68%

58,06%

Yes No As a firsttherapeutic line

As acomplementary

treatment

When you recommend them, doyou recommend them from your

personal experience?

How do you recommend them?

68%

RESULTS

Yes8%

No48%

I don't know44%

Do you think that its effect is attributable to the placebo effect?

Yes27%

No73%

Has any patient asked you for information about alternative

therapies?

52%

RESULTS

Yes77%

No8%

I don't know15%

Do you consider important to include specific training of alternative therapies in the

university teaching programs?

Yes50%

No29%

I don't know21%

Do you think that not knowing if your patients use alternative therapies can

interfere with conventional treatment?

50%

RESULTS

Agree90%

Indifferent8%

Disagree2%

Do you agree to advocate the safe, rational and informed use of thistype of treatments and promote

scientific research?

Yes82%

No18%

Would you investigate in this field?

DISCUSSION

DISCUSSION

• The 62 professionals surveyed know a large number of alternative

therapies. This knowledge is related to the training received or the

personal use in their daily life.

74.20%

41.94%

32.26%

• The 67.74% of the professionals affirm that they recommend the use of these therapies at some time.

DISCUSSION

• 20 professionals who have received training:• 17 (85%) recommend the use of TCM.

• 3 (15%) don’t recommend the use of TCM.

• (p=0.002).

• 42 professionals who have not received training:• 25 (59.5%) recommend the use of TCM .

• 17 (40,5%) don’t recommend the use of TCM

• (p=0.217).

CONCLUSION

CONCLUSION

• Professionals with a low training on TCM.

• A high prevalence of professionals that recommends the use of TCM.

• A high number of professionals who do not know the repercussionof these treatments.

• The professionals showed interest in receiving training and in its

inclusion in the clinical practice.

• It would be important to know specifically the use and knowledge of this

type of therapies by the patients.

REFERENCES

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Guillermo Pedreira Robles

Nephrology Service of the Hospital del Mar.

Barcelona, Sapain.

gpedreira@parcdesalutmar.cat

GRAZIE MILLE