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Data collection in routine herbal
practice - A CPP pilot project
Dr Saul Berkovitz
on behalf of CPP members
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CPP data collection
Introduction / Rationale
Methods
Results
Discussion
Conclusions
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Introduction
Most herbalists work in isolation
Little or no systematic data
collection or audit
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Introduction
Small group of interested herbalists
convened summer 2008
Pilot project - Systematic data
collection in routine practice
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Methods
Minimal data collection
Data collection and entry bypractitioners
Every consecutive patient
One month (Nov 2008)
Excel spreadsheet
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Methods
Patient data anonymous
Age
Sex New or follow-up
Conditions (up to three)relevant to consultation
Comment
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Methods
Confirmation obtained from UCLH
Ethics Committee that patientinformed consent / ethics approval
not required due to absence of
patient-identifiable data
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Results
Results collated by SB by merging
spreadsheets Descriptive data only
No outcomes in this phase I project
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Results
17 herbalists agreed to participate
One e-mail address incorrect 14 /16 herbalists returned data
(88%)
2 herbalists shared one spreadsheet
and were counted as one
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Results: Number of patients
Number of patients = 383
3 herbalists (21%) contributed 234patients (61%)
Mean number of patients per
herbalist = 29
Median = 14
Range = 2 to 86, SD 45.5
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0
20
40
60
80
100
120
140
160
180
1 2 3 4 5 6 7 8 9 10 11 12 13
Number of patients per herbalist
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Results: Age and Sex
Sex: 126 M, 257 F (M:F ratio 0.49)
Age: Mean 51.5 / Median 54 (range 9m-
92y, SD 19.3) M - Mean 52.2 / Med 57.5 (9m 82y)
F - Mean 51.2 / Med 53 (3-92)
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Age and sex of patients
0
5
10
15
20
25
%
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-100Age (y)
M
F
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Age distribution Whipps Cross
Dermatology Clinic
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Results: N / FU ratio
90 new appts, 293 FU
Mean N / FU ratio = 0.31
Median = 0.25 Range 0-0.75
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Results: Conditions seen
Number of different conditions seen
= 360 (383 patients) 1 condition = 79 pts
2 conditions = 137 pts
3 conditions = 166 pts
Mean number per patient = 2.2
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0
2
4
6
8
10
12
14
16
18
20
%
CONDITION TYPE
Results: Condition type
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0
2
4
6
8
10
12
14
%
CONDITION TYPE
Results: Primary condition type
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Condition type: UWM MYMOP
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Feedback
90 new appts, 293 FU
Mean N / FU ratio = 0.31
Median = 0.25
Range 0-0.75
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Conclusions
Data collection in routine herbal
practice appears feasible over aone-month period
Direct electronic data entry by
herbalists is feasible
The results are interesting
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Usefulness of data
Individual herbalists
Activity
Reflective practice (self-critical approach)
Clinical audit, activity review (CPD)
Outcomes
What are my results in practice?
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Usefulness of data
Herbal profession
Professional identity / shared purpose
A map of herbal practice what do we treat?
Patients, conditions (specialisation)
To inform possible research
Routine monitoring of outcomes (PROMs)
What are our results?
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Next steps
Phase II similar methodology
more CPP members involved
Should we also approach NIMH?
Phase III
longitudinal data collection
including outcomes?