Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs

Objectives Complementary and alternative medicine (CAM) is frequently used in Western countries within general medicine and internal medicine. Information on the use in orthopaedic and trauma surgery is widely lacking. The aim of this study was to investigate usage and needs regarding CAM for these...

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Main Authors: Anica Kilper, Alexander Müller, Roman Huber, Niklas Reimers, Ludwig Schütz, Ann-Kathrin Lederer
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/9/e037192.full
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author Anica Kilper
Alexander Müller
Roman Huber
Niklas Reimers
Ludwig Schütz
Ann-Kathrin Lederer
author_facet Anica Kilper
Alexander Müller
Roman Huber
Niklas Reimers
Ludwig Schütz
Ann-Kathrin Lederer
author_sort Anica Kilper
collection DOAJ
description Objectives Complementary and alternative medicine (CAM) is frequently used in Western countries within general medicine and internal medicine. Information on the use in orthopaedic and trauma surgery is widely lacking. The aim of this study was to investigate usage and needs regarding CAM for these patients.Design Prospective paper-based, pseudoanonymous, cross-sectional survey.Setting From August to December 2018, a questionnaire composed of 17 questions was distributed to all eligible patients.Participants In-house patients in orthopaedic and trauma surgery at a high-volume medical centre in Germany.Primary and secondary outcome measures Previous or current usage of CAM, interest and requests towards CAM as well as communication about CAM.Results Overall, 457 orthopaedic and trauma surgical patients took part in the survey. They were on average 52 years old and 54% were male. Most of the patients were admitted due to bone fractures and most underwent operative therapy. Previous or current CAM usage was stated by 76% and 30% of patients, respectively. Most of the patients stated to be interested in usage of CAM and demanded for more clinical usage of CAM and reliable information about CAM. More than 90% of patients did not discuss CAM interest or usage with their treating physicians. Patients stated that physicians should have knowledge about CAM. They wish to be treated in a holistic manner and want to strengthen self-efficacy.Conclusions Usage of CAM of patients in orthopaedic and trauma surgery appears to be high. Only a few patients discuss their interest and usage of CAM with their treating physician. Therefore, surgeons should ask their patients about CAM and should consider evidence-based CAM approaches for complementary treatment.Trial registration number DRKS0001544.
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spelling doaj-art-d1d384807ac2478590e16bfdd8c43f412025-01-07T11:40:13ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-037192Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needsAnica Kilper0Alexander Müller1Roman Huber2Niklas Reimers3Ludwig Schütz4Ann-Kathrin Lederer5Department of Orthopedics, Trauma and Hand Surgery, Chemnitz Hospital, Chemnitz, Sachsen, GermanyCenter for Complementary Medicine, Institute for Infection Prevention and Hospital Epidemiology, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Baden-Württemberg, GermanyCenter for Complementary Medicine, Institute for Infection Prevention and Hospital Epidemiology, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Baden-Württemberg, GermanyDepartment of Orthopedics, Trauma and Hand Surgery, Chemnitz Hospital, Chemnitz, Sachsen, GermanyDepartment of Orthopedics, Trauma and Hand Surgery, Chemnitz Hospital, Chemnitz, Sachsen, GermanyCenter for Complementary Medicine, Institute for Infection Prevention and Hospital Epidemiology, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Baden-Württemberg, GermanyObjectives Complementary and alternative medicine (CAM) is frequently used in Western countries within general medicine and internal medicine. Information on the use in orthopaedic and trauma surgery is widely lacking. The aim of this study was to investigate usage and needs regarding CAM for these patients.Design Prospective paper-based, pseudoanonymous, cross-sectional survey.Setting From August to December 2018, a questionnaire composed of 17 questions was distributed to all eligible patients.Participants In-house patients in orthopaedic and trauma surgery at a high-volume medical centre in Germany.Primary and secondary outcome measures Previous or current usage of CAM, interest and requests towards CAM as well as communication about CAM.Results Overall, 457 orthopaedic and trauma surgical patients took part in the survey. They were on average 52 years old and 54% were male. Most of the patients were admitted due to bone fractures and most underwent operative therapy. Previous or current CAM usage was stated by 76% and 30% of patients, respectively. Most of the patients stated to be interested in usage of CAM and demanded for more clinical usage of CAM and reliable information about CAM. More than 90% of patients did not discuss CAM interest or usage with their treating physicians. Patients stated that physicians should have knowledge about CAM. They wish to be treated in a holistic manner and want to strengthen self-efficacy.Conclusions Usage of CAM of patients in orthopaedic and trauma surgery appears to be high. Only a few patients discuss their interest and usage of CAM with their treating physician. Therefore, surgeons should ask their patients about CAM and should consider evidence-based CAM approaches for complementary treatment.Trial registration number DRKS0001544.https://bmjopen.bmj.com/content/10/9/e037192.full
spellingShingle Anica Kilper
Alexander Müller
Roman Huber
Niklas Reimers
Ludwig Schütz
Ann-Kathrin Lederer
Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs
BMJ Open
title Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs
title_full Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs
title_fullStr Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs
title_full_unstemmed Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs
title_short Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs
title_sort complementary medicine in orthopaedic and trauma surgery a cross sectional survey on usage and needs
url https://bmjopen.bmj.com/content/10/9/e037192.full
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