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Health SciencesMedicineComplementary and alternative medicine

The use of complementary and alternative medicine (CAM) in Europe
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Overview
Paper Summary
Conflicts of Interest
Identified Weaknesses
Rating Explanation
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Paper Summary
Paperzilla title
Got Money, Got CAM? European Spending Habits Reveal the Richer You Are the More Likely You'll Explore Alternative Medicine!
This study found CAM use in Europe is more common among women, more educated individuals, and those with greater financial resources. At a country level, higher health expenditures are strongly associated with more CAM use, particularly for physical treatments like acupuncture and chiropractics, suggesting greater resource availability plays a role in both individual and national CAM utilization.
Possible Conflicts of Interest
None identified
Identified Weaknesses
Cross-sectional design
The cross-sectional design of the study makes it difficult to establish causal relationships between variables. For instance, while the study finds a correlation between dissatisfaction with healthcare and CAM use, it's unclear whether dissatisfaction leads to CAM use or vice-versa.
Self-reported data
The study's reliance on self-reported data introduces potential biases, as respondents may not accurately recall or report their CAM use or other health-related behaviors.
Limited measure of CAM use
The measure of CAM use lacks granularity. A person using CAM weekly should be considered differently than a person using such treatments once a year. The frequency of CAM use is important, but the study misses this.
Limited number of countries
Although the authors acknowledge potential issues due to only having 21 countries in the sample, limiting the analysis to just one country-level variable at a time to mitigate this is still problematic. It may obscure complex interactions between country-level factors and CAM use.
Simplistic CAM categorization
The categorization of CAM treatments into 'physical' and 'consumable' might be overly simplistic and may not adequately capture the diversity of CAM practices.
Rating Explanation
This study provides valuable insights into the individual and country-level determinants of CAM use in Europe. The large sample size and inclusion of diverse European countries are strengths. However, the cross-sectional design, reliance on self-reported data, and limited measure of CAM use prevent stronger causal inferences and a more nuanced understanding of CAM practices. While some methodological limitations are addressed the ones listed are key weakness in the study and for that reason the article is rated a 3.
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Topic Hierarchy
File Information
Original Title:
The use of complementary and alternative medicine (CAM) in Europe
File Name:
s12906-020-02903-w.pdf
[download]
File Size:
0.45 MB
Uploaded:
July 14, 2025 at 10:45 AM
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