Alternative Medicine’ Complaints Lodged to the Tehran Forensic Medicine Organization From 2011 to 2017
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 10 No. 2 (2020),
21 June 2020
,
Page 26707
https://doi.org/10.32598/ijmtfm.v10i2.26707
Abstract
Background: Complementary and alternative medicine is a non-conventional therapy and includes a wide range of medical treatments in different countries. This study was done to evaluate alternative medicine complaints lodged to the Tehran Forensic Medicine Organization from 2011-2017.
Methods: In this cross-sectional study, all documented complaints of complementary medicine lodged to the Tehran Forensic Medicine Organization from 2011-2017 were reviewed and assessed with retrospective follow-up. The inclusion criterion was complaints from complementary and alternative medicine, and the exclusion criterion was incomplete data. The study data included patients’ demographic data, the therapist, the specialty of the therapist, type of disease, treatment method, adverse effects, the initial and final decision by the commission, and the amount of medical error. This information was extracted from the existing documents and recoded in the checklists.
Results: Medical errors were found in 53.4% of the complaints examined. The most common cause of complaint (63%) was the adverse effects, of which the most common ones were phytotherapy (45.2%) and cupping (Hijama) (20.5%). The error was significantly different between physician and non-physician healers (P=0.001).
Conclusion: Based on this study, among the alternative medicine complaints lodged to the Tehran Forensic Medicine Organization from 2011-2017, the adverse effects were the main problem of complementary therapies confirmed in more than half of the complaints.
- Alternative medicine
- Complementary medicine
- Forensic medicine
- Malpractice
How to Cite
References
Tehrani-Banihashemi SA, Asgharifard H, Haghdoust AA, Barghamadi M, Mohammad-Hosseini N. [The use of complementary/alternative medicine among the general population in Tehran, Iran (Persian)]. Payesh J. 2008; 7(4):355-62. https://www.sid.ir/En/Journal/ViewPaper.aspx?ID=117989
Behnood-Rod A, Afzali Poor Khoshkbejari M, Pourzargar P, Hassanzadeh M, Moharamzad Y, Foroughi F. Complementary and alternative medicine use among Iranian patients attending urban outpatient general practices. Complement Ther Clin Pract. 2018; 30:58-63. [DOI:10.1016/j.ctcp.2017.12.008] [PMID]
Taghipour A, Bahrami Taghanaky H, Hoseinzade H, Noras MR. Ethical and legal challenges in Complementary and alternative medicine. Iranian Journal of Medical Ethics and History of Medicine. 2016; 9(3):23-31. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?ID=547206
Montross-Thomas LP, Meier EA, Reynolds-Norolahi K, Raskin EE, Slater D, Mills PJ, et al. Inpatients’ preferences, beliefs, and stated willingness to pay for complementary and alternative medicine treatments. J Altern complement med. 2017; 23(4):259-63. [DOI:10.1089/acm.2016.0288] [PMID]
Mahmoudian A, Golshiri P, Rezaei G, Akbari M. Patients’ satisfaction form Iranian traditional medicine. Journal of Isfahan Medical School. 2012; (30):1550-8. Available from: file:///C:/Users/Negah-R-04/Downloads/2221-10182-2-PB.pdf
Harpwood V. Guidelines in medical practice: The legal issues. Cephalalgia. 1998; 21(Suppl. 18):56-62. [DOI:10.1177/0333102498018S2114] [PMID]
Mohammadynejad Toolarood H. Islamic Penal Code.Tehran: Akhavan Publication; 2014.
Kelly DC, Manguno-Mire G. Commentary: Helling v. carey, caveat medicus. J Am Acad Psychiatry Law. 2008; 36(3):306-9. [PMID]
Maksymovicz K, Jurek T, Trubner K. [Regulations of forensic medicine specialists employed as legal experts in Germany and in Poland (Polish)]. Arch Med Sadowej Kryminol. 2005; 55(2):157-61. [PMID]
Roscam Abbing HD. [Practice guidelines for medical treatment from the perspective of health law (Dutch)]. Ned Tijdschr Geneeskd. 1998; 142(45):2480-4. [PMID]
Lee JS, Choe JH, Lee HS, Seo JT. Urologic complications following obstetric and gynecologic surgery. Korean J Urol. 2012; 53(11):795-9. [DOI:10.4111/kju.2012.53.11.795] [PMID] [PMCID]
Dolinak D, Matshes E, Lew E. Forensic pathology: Principles and practice. Burlington, Mass: Elsevier Academic Press; 2005.
Zakersalehi G. [Study on the Legal Status of Traditional and Complementary Medicine and the Challenges Ahead in Iran (Persian)]. Iran J Med Law. 2017; 10(39):101-20. Available from: http://ijmedicallaw.ir/article-1-656-en.pdf
WHO Health Organization. WHO Traditional Medicine Strategy 2002-2005. Geneva: WHO Publication; 2002. http://www.beovita.eu/pdf/WHO_EDM_TRM_2004.pdf
Kalantarmotamedi MH, Aboui A, Hafezi-Nejad N, Saadat S, Rahimi-movaghar A, Motevalian A et al. Prevalence and costs of complementary and alternative medicine among traumatic patients in Iran. Iranian J Public Health. 2018; 47(10):1558-66. [PMID]
Mehta DH, Davis RB, MacCarthy EP. Use of complementary and alternative therapies by Asian Americans. Results from the National Health Interview Survey. J Gen Intern Med. 2007; 22(6):762-7. [DOI:10.1007/s11606-007-0166-8] [PMID] [PMCID]
Oh IH, Yoon S-J, Park M, An S. Disease-specific differences in use of traditional Korean medicine in Korea. BMC Complement Altern Med. 2015; 15:141. [DOI:10.1186/s12906-015-0657-9] [PMID] [PMCID]
Ekor M. The growing use of herbal medicines: Issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol. 2013; 4:177. [DOI:10.3389/fphar.2013.00177] [PMID] [PMCID]
Barnes J. Quality, efficacy and safety of complementary medicines: Fashions, facts and future. Part I Regulation and quality. Br J Clin Pharmacol. 2003; 55(3):226-33. [DOI:10.1046/j.1365-2125.2003.01810.x] [PMID] [PMCID]
Ghaedi F, Dehghan M, Salari M, Sheikhrabori A. Complementary and alternative medicines: Usage and its determinant factors among outpatients in southeast of Iran. J Evid Based Complementary Altern Med. 2017; 22(2):210-5. [DOI:10.1177/2156587215621462] [PMID] [PMCID]
Sheikhrabori A, Dehghan M, Ghaedi F, Khademi GR. Complementary and alternative medicine usage and its determinant factors among diabetic patients: An Iranian case. J Evid Based Complementary Altern Med. 2017; 22(3):449-54. [DOI:10.1177/2156587216675079] [PMID] [PMCID]
Dastgheib L, Farahangiz S, Adelpour Z, Salehi A. The prevalence of complementary and alternative medicine use among dermatology outpatients in Shiraz, Iran. J Evid Based Complementary Altern Med. 2017; 22(4):731-5. [DOI:10.1177/2156587217705054] [PMID] [PMCID]
Abolhassani H, Naseri M, Mahmoudzadeh S. A survey of complementary and alternative medicine in Iran. Chin J Integr Med. 2012; 18(6):409-16. [DOI:10.1007/s11655-012-1124-9] [PMID]
Sadeghi M, Rabiepoor S, Forough AS, Jabbari S, Shahabi S. A Survey of medical students’ knowledge and attitudes toward complementary and alternative medicine in Urmia, Iran. J Evid Based Complementary Altern Med. 2016; 21(4):306-10. [DOI:10.1177/2156587215605751] [PMID]
Anbari K, Gholami M. evaluation of trends in the use of complementary and alternative medicine in health centers in Khorramabad (West of Iran). Glob J Health Sci. 2015; 8(2):72-6. [DOI:10.5539/gjhs.v8n2p72] [PMID] [PMCID]
Hashempur MH, Heydari M, Mosavat SH, Heydari ST, Shams M. Complementary and alternative medicine use in Iranian patients with diabetes mellitus. J Integr Med. 2015; 13(5):319-25. [DOI:10.1016/S2095-4964(15)60196-0]
Mahmoudi GA, Almasi V, Lorzadeh N, Khansari A. The reasons for using and not using alternative medicine in Khorramabad women, west of Iran. J Pak Med Assoc. 2015; 65(6):623-5. https://www.ncbi.nlm.nih.gov/pubmed/26060159
Hejazi ZA, Namjooyan F, Khanifar M. Complementary and alternative medicine for osteoporosis. Iran J Med Sci. 2016; 41(Suppl. 3):S27. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5103533/
Barikani A, Beheshti A, Javadi M, Yasi M. Knowledge, attitude and practice of general practitioners toward complementary and alternative medicine: A cross-sectional study. Acta Med Iran. 2015; 53(8):501-6. https://www.ncbi.nlm.nih.gov/pubmed/26545995
Dehghan M, Mokhtarabadi S, Heidari FG. Complementary and alternative medicine usage and its determinant factors among Iranian infertile couples. J Complement Integr Med. 2018; 15(2). [DOI:10.1515/jcim-2017-0138] [PMID]
Zafarghandi N, Pirasteh A, Khjavi K, Bateni FS. Knowledge, attitude and behaviors of people referred to health centers of Tehran about Iranian traditional medicine. J Alborz-Univ Med. 2012; 1(2): 65-70. [DOI:10.18869/acadpub.aums.1.2.65]
Bordbar M, Pasalar M, Safaei S, Kamfiroozi R, Zareifar S, Zekavat O, et al. Complementary and alternative medicine use in thalassemia patients in Shiraz, southern Iran: A cross-sectional study. J Tradit Complement Med. 2017; 8(1):141-6. [DOI:10.1016/j.jtcme.2017.05.002] [PMID] [PMCID]
Bordbar M, Pasalar M, Aresehiri R, Haghpanah S, Zareifar S, Amirmoezi F. A cross-sectional study of complementary and alternative medicine use in patients with coagulation disorders in Southern Iran. J Integr Med. 2017; 15(5):359-64. [DOI:10.1016/S2095-4964(17)60343-1]
Ayati MH, Pourabbasi A, Namazi N, Zargaran A, Kheiry Z, Kazemi AH, et al. The necessity for integrating traditional, complementary, and alternative medicine into medical education curricula in Iran. J Integr Med. 2019; 17(4):296-301. https://www.sciencedirect.com/science/article/abs/pii/S2095496419300524
Mosavat SH, Heydari M, Hashempur MH, Dehghani SM. Use of complementary and alternative medicine among paediatric patients with hepatogastrointestinal diseases. East Mediterr Health J. 2018; 24(10):1018-25. [DOI:10.26719/2018.24.10.1018] [PMID]
Namjooyan F, Ghanavati R, Majdinasab N, Jokari S, Janbozorgi M. Uses of complementary and alternative medicine in multiple sclerosis. J Tradit Complement Med. 2014; 4(3):145-52. [DOI:10.4103/2225-4110.136543] [PMID] [PMCID]
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