- Email: [email protected]
Consumption of herbal and dietary supplements in patients undergoing bariatric surgery: Cross-sectional prospective study
Abstracts / European Journal of Integrative Medicine 7S (2015) 1–53
Poster presentations Development of a case report guideline for anthroposophic art therapy Annemarie Catharina Abbing ∗ , Anne Ponstein, Gunver Kienle, Gruber Harald, Erik Baars University of Applied Sciences Leiden, Professor in Anthroposophic Healthcare, Zernikedreef 11, Leiden 2333CK, Netherlands E-mail address: [email protected] (A.C. Abbing). Introduction: Anthroposophic music therapy (AMT) is a part of antroposophic art therapy (AAT). AAT also includes visual art therapy and speech therapy. Until now, most case reports on AMT/AAT are narratives of poor scientific quality. A guideline for scientific case reports could contribute to better quality case reports. The recently published guideline for medical case reports (the CARE Guidelines, covering diagnosis, treatment and outcomes) is not completely suitable for AAT. This study aimed at the development of a case report guideline for AAT, based on the CARE Guidelines. Methods: The CARE Guidelines were adjusted following the recommended steps for health reporting guidelines. Based on AAT literature and AAT practice, proposed adjustments were presented to an expert panel. The face validity of the new CAREAAT Guideline was judged by an international group of 35 AATs and three experts on case-study methodology. Results: Additions, specifications and modifications were made to seven of the thirteen items of the CARE Guidelines: Introduction, Client or patient information, Clinical findings, Diagnostic assessment, Therapeutic Intervention, Follow-up and Outcomes, Discussion. One item (Treatment objectives and plan) had to be added and six items could be used without change. The face validity of the new guideline is good. Conclusions: The CARE-AAT Guideline is suitable for scientific case reporting of AAT practice. It is assumed to be suitable for conventional art therapy case reporting as well. Usability and completeness of the guideline will be examined in clinical practice. If necessary, the guideline will be further optimized. http://dx.doi.org/10.1016/j.eujim.2015.09.072
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Consumption of herbal and dietary supplements in patients undergoing bariatric surgery: Cross-sectional prospective study Samuel Attias a,b,c,∗ , Ilana Levy a,b,c , Eran Ben-Arye a,b,c , Ibrahim Matter a,b,c , Gideon Sroka a,b,c , Ofra Grimberg a,b,c , Elad Schiff a,b,c a
MPH, Complementary and Integrative Service, Bnai-Zion Medical Center, Israel b School of Public Health, University of Haifa, Israel c Department of Surgery, Bnai Zion Medical Center, 47 Golomb street, PO Box 4940, Haifa 31048, Israel E-mail address: [email protected] (S. Attias). Introduction: Use of dietary and herbal supplements (DHS) is common in the general population and in hospitalized patients with specific morbid conditions. DHS may induce side effects and potential interactions with conventional drugs. This is why their consumption should be identified, most importantly before bariatric surgery. We assessed the extent of DHS consumption and their characteristics in hospitalized patients undergoing bariatric surgery. Methods: This was a cross-sectional prospective study on a cohort of hospitalized patients undergoing bariatric surgery in the surgical department of Bnai-Zion Medical Center in Haifa. 237 patients filled questionnaires about DHS consumption and their socio-demographic and medical status. Meanwhile, patients’ charts were checked for medical history, BMI, surgery they underwent and documentation of DHS consumption. Results: 36% of bariatric surgery candidates hospitalized in Bnai-Zion Medical Center used DHS during the last year. In this population, the consumption was more common in women, elderly (more than 50 years old) and patients with cardiovascular disease, and less common in patients with liver and biliary disease. DHS use was documented in the medical chart of only 12% of DHS users. Out of all reported supplements to ward physicians, 28.8% were documented in chart. Conclusions: Patients hospitalized for bariatric surgery use less DHS than the general hospitalized population. Most patients do not report DHS consumption to their physicians and physicians under-report DHS use in medical charts. Educational programs for medical staff about patients’ questioning on DHS consumption in the perioperative period and their documentation in medical files should be established. http://dx.doi.org/10.1016/j.eujim.2015.09.073
Poster presentations Development of a case report guideline for anthroposophic art therapy Annemarie Catharina Abbing ∗ , Anne Ponstein, Gunver Kienle, Gruber Harald, Erik Baars University of Applied Sciences Leiden, Professor in Anthroposophic Healthcare, Zernikedreef 11, Leiden 2333CK, Netherlands E-mail address: [email protected] (A.C. Abbing). Introduction: Anthroposophic music therapy (AMT) is a part of antroposophic art therapy (AAT). AAT also includes visual art therapy and speech therapy. Until now, most case reports on AMT/AAT are narratives of poor scientific quality. A guideline for scientific case reports could contribute to better quality case reports. The recently published guideline for medical case reports (the CARE Guidelines, covering diagnosis, treatment and outcomes) is not completely suitable for AAT. This study aimed at the development of a case report guideline for AAT, based on the CARE Guidelines. Methods: The CARE Guidelines were adjusted following the recommended steps for health reporting guidelines. Based on AAT literature and AAT practice, proposed adjustments were presented to an expert panel. The face validity of the new CAREAAT Guideline was judged by an international group of 35 AATs and three experts on case-study methodology. Results: Additions, specifications and modifications were made to seven of the thirteen items of the CARE Guidelines: Introduction, Client or patient information, Clinical findings, Diagnostic assessment, Therapeutic Intervention, Follow-up and Outcomes, Discussion. One item (Treatment objectives and plan) had to be added and six items could be used without change. The face validity of the new guideline is good. Conclusions: The CARE-AAT Guideline is suitable for scientific case reporting of AAT practice. It is assumed to be suitable for conventional art therapy case reporting as well. Usability and completeness of the guideline will be examined in clinical practice. If necessary, the guideline will be further optimized. http://dx.doi.org/10.1016/j.eujim.2015.09.072
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Consumption of herbal and dietary supplements in patients undergoing bariatric surgery: Cross-sectional prospective study Samuel Attias a,b,c,∗ , Ilana Levy a,b,c , Eran Ben-Arye a,b,c , Ibrahim Matter a,b,c , Gideon Sroka a,b,c , Ofra Grimberg a,b,c , Elad Schiff a,b,c a
MPH, Complementary and Integrative Service, Bnai-Zion Medical Center, Israel b School of Public Health, University of Haifa, Israel c Department of Surgery, Bnai Zion Medical Center, 47 Golomb street, PO Box 4940, Haifa 31048, Israel E-mail address: [email protected] (S. Attias). Introduction: Use of dietary and herbal supplements (DHS) is common in the general population and in hospitalized patients with specific morbid conditions. DHS may induce side effects and potential interactions with conventional drugs. This is why their consumption should be identified, most importantly before bariatric surgery. We assessed the extent of DHS consumption and their characteristics in hospitalized patients undergoing bariatric surgery. Methods: This was a cross-sectional prospective study on a cohort of hospitalized patients undergoing bariatric surgery in the surgical department of Bnai-Zion Medical Center in Haifa. 237 patients filled questionnaires about DHS consumption and their socio-demographic and medical status. Meanwhile, patients’ charts were checked for medical history, BMI, surgery they underwent and documentation of DHS consumption. Results: 36% of bariatric surgery candidates hospitalized in Bnai-Zion Medical Center used DHS during the last year. In this population, the consumption was more common in women, elderly (more than 50 years old) and patients with cardiovascular disease, and less common in patients with liver and biliary disease. DHS use was documented in the medical chart of only 12% of DHS users. Out of all reported supplements to ward physicians, 28.8% were documented in chart. Conclusions: Patients hospitalized for bariatric surgery use less DHS than the general hospitalized population. Most patients do not report DHS consumption to their physicians and physicians under-report DHS use in medical charts. Educational programs for medical staff about patients’ questioning on DHS consumption in the perioperative period and their documentation in medical files should be established. http://dx.doi.org/10.1016/j.eujim.2015.09.073