Продолжительные исследования гомеопатического лечения
Homeopathic medical practice: Long-term results of a cohort study with 3981 patients
Claudia M Witt1
, Rainer Lüdtke2
, Roland Baur1
and Stefan N Willich1
BMC Public Health 2008, 8:413doi:10.1186/1471-2458-8-413
Results
A total of 3,709 patients were studied, 73% (2,722 adults, 72.8% female, age at baseline 41.0 ± 12.3; 819 children, 48.4% female, age 6.5 ± 4.0) contributed data to the 8-year follow-up. The most frequent diagnoses were allergic rhinitis and headache in adults, and atopic dermatitis and multiple recurrent infections in children. Disease severity decreased significantly (p < 0.001) between baseline, 2 and 8 years (adults from 6.2 ± 1.7 to 2.9 ± 2.2 and 2.7 ± 2.1; children from 6.1 ± 1.8 to 2.1 ± 2.0 and 1.7 ± 1.9). Physical and mental quality of life sores also increased considerably. Younger age, female gender and more severe disease at baseline were factors predictive of better therapeutic success.
Conclusion
Patients who seek homeopathic treatment are likely to improve considerably. These effects persist for as long as 8 years.
http://www.biomedcentral.com/1471-2458/5/115
======================================================================
How healthy are chronically ill patients after eight years of homeopathic treatment? - Results from a long term observational study
BMC Public Health 2008, 8:413doi:10.1186/1471-2458-8-413
Overall satisfaction
731 (38.4%) adults and 342 (41.8%) children reported to be "very satisfied" with the treatment, in contrast only 246 (12.9%) adults and 84 (10.3%) children were "little satisfied". Accordingly, most patients would use homeopathy again and recommend it to friends with similar complaints (
Conclusion
Our findings demonstrate that patients who seek homeopathic treatment are likely to improve considerably, although this effect must not be attributed to homeopathic treatment alone. These effects persisted for 8 years.
http://www.biomedcentral.com/1471-2458/8/413
===========================================================================================
Homeopathic Treatment for Chronic Disease: A 6-Year, University-Hospital Outpatient Observational Study
David S. Spence, Elizabeth A. Thompson and ,S.J. Barron. The Journal of Alternative and Complementary Medicine. October 2005, 11(5): 793-798. doi:10.1089/acm.2005.11.793.
Results: A total of 6544 consecutive follow-up patients were given outcome scores. Of the patients 70.7% (n = 4627) reported positive health changes, with 50.7% (n = 3318) recording their improvement as better (+2) or much better (+3).
Conclusions: Homeopathic intervention offered positive health changes to a substantial proportion of a large cohort of patients with a wide range of chronic diseases. Additional observational research, including studies using different designs, is necessary for further research development in homeopathy.
http://www.liebertonline.com/doi/abs/10.1089/acm.2005.11.793
http://dcscience.net/spence-jacm-05.pdf
===========================================================================================
Homeopathic treatment of patients with chronic sinusitis:
A prospective observational study with 8 years follow-up!
Background:
An evaluation of Homeopathic treatment and the outcomes in patients suffering from sinusitis for ≥12 weeks in a usual care situation.
Results:
The study included 134 adults (mean age 39.8 ± 10.4 years, 76.1% women), treated by 62 physicians. Patients had suffered from chronic sinusitis for 10.7 ± 9.8 years. Almost all patients (97.0%) had previously been treated with conventional medicine. For sinusitis, effect size (effect divided by standard deviation at baseline) of complaint severity was 1.58 (95% CI 1.77; 1.40), 2.15 (2.38; 1.92), and 2.43 (2.68; 2.18) at 3, 12, and 24 months respectively. QoL improved accordingly, with SF-36 changes in physical component score 0.27 (0.15; 0.39), 0.35 (0.19; 0.52), 0.44 (0.23; 0.65) and mental component score 0.66 (0.49; 0.84), 0.71 (0.50; 0.92), 0.65 (0.39; 0.92), 0.74 (0.49; 1.00) at these points. The effects were still present after 8 years with SF-36 physical component score 0.38 (0.10; 0.65) and mental component score 0.74 (0.49; 1.00).
Conclusion:
This observational study showed relevant improvements that persisted for 8 years in patients seeking Homeopathic treatment because of sinusitis.
Source: Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medical Centre, D-10098 Berlin, Germany. Karl and Veronica Carstens-Foundation, Am Deimelsberg 36, D-45276 Essen, Germany.
Published by: BMC Ear, Nose and Throat Disorders 2009, 9:7doi:10.1186/1472-6815-9-7
http://scienceofhomeopathy.blogspot.com/search/label/Research
http://audesapere.dk/filer/Homeopathic%20Treatment%20of%20Chronic%20Sinusitis.pdf------------------------------------------------------------------------------------
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Treatment for hyperactive children: homeopathy and methylphenidate compared in a family setting.
Frei H, Thurneysen A.
http://www.ncbi.nlm.nih.gov/pubmed/11680802
Abstract
The sharp increase of the prescription of methylphenidate (MPD) in hyperactive children in recent years is a matter of increasing uneasiness among professionals, parents and politicians. There is little awareness of treatment alternatives. The purpose of this prospective trial was to assess the efficacy of homeopathy in hyperactive patients and to compare it MPD. The study was performed in a paediatric practice with conventional and homeopathic backgrounds. Children aged 3-17 y, conforming to the DSM-IV criteria for attention deficit hyperactivity disorder (ADHD) with a Conners Global Index (CGI) of 14 or higher were eligible for the study. All of them received an individual homeopathic treatment. When clinical improvement reached 50%, the parents were asked to reevaluate the symptoms. Those who did not improve sufficiently on homeopathy were changed to MPD, and again evaluated after 3 months. One hundred and fifteen children (92 boys, 23 girls) with a mean age of 8.3 y at diagnosis were included in the study. Prior to treatment the mean CGI was 20.63 (14-30), the mean index of the homeopathy group 20.52 and of the MPD-group 20.94. After an average treatment time of 3.5 months 86 children (75%) had responded to homeopathy, reaching a clinical improvement rating of 73% and an amelioration of the CGI of 55%. Twenty-five children (22%) needed MPD; the average duration of homeopathic (pre-) treatment in this group was 22 months. Clinical improvement under MPD reached 65%, the lowering of the CGI 48%. Three children did not respond to homeopathy nor to MPD, and one left the study. In cases where treatment of a hyperactive child is not urgent, homeopathy is a valuable alternative to MPD. The reported results of homeopathic treatment appear to be similar to the effects of MPD. Only children who did not reach the high level of sensory integration for school had to be changed to MPD. In preschoolers, homeopathy appears a particularly useful treatment for ADHD.
http://heinerfrei.ch/downloads/Downloads%20Publikationen/Improvements_engl.pdf
http://www.adhdinfocentre.com/homeopathy/Treatment%20for%20hyperactive%20children%20homeopathy%20and%20methylphenidate%20compared%20in%20a%20family%20setting.pdf
------------------------------------------------------------------------------
Homeopathy and conventional medicine: an outcomes study comparing effectiveness in a primary care setting.
Riley D, Fischer M, Singh B, Haidvogl M, Heger M.
University of New Mexico Medical School, Albuquerque, USA. dsriley@integrativemed.org
Abstract
BACKGROUND:
Recent meta-analyses of randomized controlled trials in homeopathy have suggested that homeopathy is more than a placebo response.
OBJECTIVE:
Comparison of the effectiveness of homeopathy in primary care with conventional medicine in primary care for three commonly encountered clinical conditions.
DESIGN:
An international multicenter, prospective, observational study in a real world medical setting comparing the effectiveness of homeopathy with conventional medicine.
PARTICIPANTS:
Thirty (30) investigators with conventional medical licenses at six clinical sites in four countries enrolled 500 consecutive patients with at least one of the following three complaints: (1) upper respiratory tract complaints including allergies; (2) lower respiratory tract complaints including allergies; or (3) ear complaints.
MAIN OUTCOME MEASURES:
The primary outcomes criterion was the response to treatment, defined as cured or major improvement after 14 days of treatment. Secondary outcomes criteria were: (1) rate of recovery; (2) occurrence of adverse events; (3) patient satisfaction; and (4) length of consultation.
RESULTS:
Four hundred and fifty-six (456) patient visits were compared: 281 received homeopathy, 175 received conventional medicine. The response to treatment as measured by the primary outcomes criterion for patients receiving homeopathy was 82.6%, for conventional medicine it was 68%. Improvement in less than 1 day and in 1 to 3 days was noted in 67.3% of the group receiving homeopathy and in 56.6% of those receiving conventional medicine. The adverse events for those treated with conventional medicine was 22.3% versus 7.8% for those treated with homeopathy. Seventy-nine percent (79.0%) of patients treated with homeopathy were very satisfied and 65.1% of patients treated with conventional, medicine were very satisfied. In both treatment groups 60% of cases had consultations lasting between 5 and 15 minutes.
CONCLUSIONS:
Homeopathy appeared to be at least as effective as conventional medical care in the treatment of patients with the three conditions studied.
http://www.ncbi.nlm.nih.gov/pubmed/11327521
http://www.integrativemed.org/text/OutcomeStudy.pdf
----------------------------------------------------------------------------------------------
http://www.ncbi.nlm.nih.gov/pubmed/16226198
http://www.altcancerweb.com/homeopathy/outcome-829-homeopathy-uk.pdf
Audit of outcome in 455 consecutive patients treated with homeopathic medicines.
Sevar R.
Source
raymondsevar@aol.com
Abstract
This paper reports an audit of clinical outcome in 455 consecutive patients (1100 consultations) presenting for private homeopathic treatment of a chronic illness in which conventional treatment had either: failed, reached a plateau in effect, or was contra-indicated by side effects, age or condition of the patient. Three hundred and four patients (66.8%) derived benefit from homeopathic treatment. One hundred and forty-eight patients (32.5%) were able to stop or maintain a substantial reduction in their conventional drugs. The 10 most frequent clinical conditions treated were eczema, anxiety, depression, osteoarthritis, asthma, back pain, chronic cough, chronic fatigue, headaches and essential hypertension. These 195 patients constitute 43% of the total, 151 of them (77%) were improved. The success rate of treatment is similar between age ranges. There was a difference in outcome between the sexes in adults: 296 females treated, success rate 71.3%; 159 males treated, success rate 58.5%. Two patients (0.4%) had prolonged aggravation of their presenting complaints apparently attributable to homeopathic treatment.
http://homeopathyplus.com.au/what-do-patients-think-of-homeopathy/
Claudia M Witt1
, Rainer Lüdtke2
, Roland Baur1
and Stefan N Willich1
BMC Public Health 2008, 8:413doi:10.1186/1471-2458-8-413
Results
A total of 3,709 patients were studied, 73% (2,722 adults, 72.8% female, age at baseline 41.0 ± 12.3; 819 children, 48.4% female, age 6.5 ± 4.0) contributed data to the 8-year follow-up. The most frequent diagnoses were allergic rhinitis and headache in adults, and atopic dermatitis and multiple recurrent infections in children. Disease severity decreased significantly (p < 0.001) between baseline, 2 and 8 years (adults from 6.2 ± 1.7 to 2.9 ± 2.2 and 2.7 ± 2.1; children from 6.1 ± 1.8 to 2.1 ± 2.0 and 1.7 ± 1.9). Physical and mental quality of life sores also increased considerably. Younger age, female gender and more severe disease at baseline were factors predictive of better therapeutic success.
Conclusion
Patients who seek homeopathic treatment are likely to improve considerably. These effects persist for as long as 8 years.
http://www.biomedcentral.com/1471-2458/5/115
======================================================================
How healthy are chronically ill patients after eight years of homeopathic treatment? - Results from a long term observational study
BMC Public Health 2008, 8:413doi:10.1186/1471-2458-8-413
Overall satisfaction
731 (38.4%) adults and 342 (41.8%) children reported to be "very satisfied" with the treatment, in contrast only 246 (12.9%) adults and 84 (10.3%) children were "little satisfied". Accordingly, most patients would use homeopathy again and recommend it to friends with similar complaints (
Conclusion
Our findings demonstrate that patients who seek homeopathic treatment are likely to improve considerably, although this effect must not be attributed to homeopathic treatment alone. These effects persisted for 8 years.
http://www.biomedcentral.com/1471-2458/8/413
===========================================================================================
Homeopathic Treatment for Chronic Disease: A 6-Year, University-Hospital Outpatient Observational Study
David S. Spence, Elizabeth A. Thompson and ,S.J. Barron. The Journal of Alternative and Complementary Medicine. October 2005, 11(5): 793-798. doi:10.1089/acm.2005.11.793.
Results: A total of 6544 consecutive follow-up patients were given outcome scores. Of the patients 70.7% (n = 4627) reported positive health changes, with 50.7% (n = 3318) recording their improvement as better (+2) or much better (+3).
Conclusions: Homeopathic intervention offered positive health changes to a substantial proportion of a large cohort of patients with a wide range of chronic diseases. Additional observational research, including studies using different designs, is necessary for further research development in homeopathy.
http://www.liebertonline.com/doi/abs/10.1089/acm.2005.11.793
http://dcscience.net/spence-jacm-05.pdf
===========================================================================================
Homeopathic treatment of patients with chronic sinusitis:
A prospective observational study with 8 years follow-up!
Background:
An evaluation of Homeopathic treatment and the outcomes in patients suffering from sinusitis for ≥12 weeks in a usual care situation.
Results:
The study included 134 adults (mean age 39.8 ± 10.4 years, 76.1% women), treated by 62 physicians. Patients had suffered from chronic sinusitis for 10.7 ± 9.8 years. Almost all patients (97.0%) had previously been treated with conventional medicine. For sinusitis, effect size (effect divided by standard deviation at baseline) of complaint severity was 1.58 (95% CI 1.77; 1.40), 2.15 (2.38; 1.92), and 2.43 (2.68; 2.18) at 3, 12, and 24 months respectively. QoL improved accordingly, with SF-36 changes in physical component score 0.27 (0.15; 0.39), 0.35 (0.19; 0.52), 0.44 (0.23; 0.65) and mental component score 0.66 (0.49; 0.84), 0.71 (0.50; 0.92), 0.65 (0.39; 0.92), 0.74 (0.49; 1.00) at these points. The effects were still present after 8 years with SF-36 physical component score 0.38 (0.10; 0.65) and mental component score 0.74 (0.49; 1.00).
Conclusion:
This observational study showed relevant improvements that persisted for 8 years in patients seeking Homeopathic treatment because of sinusitis.
Source: Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medical Centre, D-10098 Berlin, Germany. Karl and Veronica Carstens-Foundation, Am Deimelsberg 36, D-45276 Essen, Germany.
Published by: BMC Ear, Nose and Throat Disorders 2009, 9:7doi:10.1186/1472-6815-9-7
http://scienceofhomeopathy.blogspot.com/search/label/Research
http://audesapere.dk/filer/Homeopathic%20Treatment%20of%20Chronic%20Sinusitis.pdf------------------------------------------------------------------------------------
------------------------------------------------------------------------------------
Treatment for hyperactive children: homeopathy and methylphenidate compared in a family setting.
Frei H, Thurneysen A.
http://www.ncbi.nlm.nih.gov/pubmed/11680802
Abstract
The sharp increase of the prescription of methylphenidate (MPD) in hyperactive children in recent years is a matter of increasing uneasiness among professionals, parents and politicians. There is little awareness of treatment alternatives. The purpose of this prospective trial was to assess the efficacy of homeopathy in hyperactive patients and to compare it MPD. The study was performed in a paediatric practice with conventional and homeopathic backgrounds. Children aged 3-17 y, conforming to the DSM-IV criteria for attention deficit hyperactivity disorder (ADHD) with a Conners Global Index (CGI) of 14 or higher were eligible for the study. All of them received an individual homeopathic treatment. When clinical improvement reached 50%, the parents were asked to reevaluate the symptoms. Those who did not improve sufficiently on homeopathy were changed to MPD, and again evaluated after 3 months. One hundred and fifteen children (92 boys, 23 girls) with a mean age of 8.3 y at diagnosis were included in the study. Prior to treatment the mean CGI was 20.63 (14-30), the mean index of the homeopathy group 20.52 and of the MPD-group 20.94. After an average treatment time of 3.5 months 86 children (75%) had responded to homeopathy, reaching a clinical improvement rating of 73% and an amelioration of the CGI of 55%. Twenty-five children (22%) needed MPD; the average duration of homeopathic (pre-) treatment in this group was 22 months. Clinical improvement under MPD reached 65%, the lowering of the CGI 48%. Three children did not respond to homeopathy nor to MPD, and one left the study. In cases where treatment of a hyperactive child is not urgent, homeopathy is a valuable alternative to MPD. The reported results of homeopathic treatment appear to be similar to the effects of MPD. Only children who did not reach the high level of sensory integration for school had to be changed to MPD. In preschoolers, homeopathy appears a particularly useful treatment for ADHD.
http://heinerfrei.ch/downloads/Downloads%20Publikationen/Improvements_engl.pdf
http://www.adhdinfocentre.com/homeopathy/Treatment%20for%20hyperactive%20children%20homeopathy%20and%20methylphenidate%20compared%20in%20a%20family%20setting.pdf
------------------------------------------------------------------------------
Homeopathy and conventional medicine: an outcomes study comparing effectiveness in a primary care setting.
Riley D, Fischer M, Singh B, Haidvogl M, Heger M.
University of New Mexico Medical School, Albuquerque, USA. dsriley@integrativemed.org
Abstract
BACKGROUND:
Recent meta-analyses of randomized controlled trials in homeopathy have suggested that homeopathy is more than a placebo response.
OBJECTIVE:
Comparison of the effectiveness of homeopathy in primary care with conventional medicine in primary care for three commonly encountered clinical conditions.
DESIGN:
An international multicenter, prospective, observational study in a real world medical setting comparing the effectiveness of homeopathy with conventional medicine.
PARTICIPANTS:
Thirty (30) investigators with conventional medical licenses at six clinical sites in four countries enrolled 500 consecutive patients with at least one of the following three complaints: (1) upper respiratory tract complaints including allergies; (2) lower respiratory tract complaints including allergies; or (3) ear complaints.
MAIN OUTCOME MEASURES:
The primary outcomes criterion was the response to treatment, defined as cured or major improvement after 14 days of treatment. Secondary outcomes criteria were: (1) rate of recovery; (2) occurrence of adverse events; (3) patient satisfaction; and (4) length of consultation.
RESULTS:
Four hundred and fifty-six (456) patient visits were compared: 281 received homeopathy, 175 received conventional medicine. The response to treatment as measured by the primary outcomes criterion for patients receiving homeopathy was 82.6%, for conventional medicine it was 68%. Improvement in less than 1 day and in 1 to 3 days was noted in 67.3% of the group receiving homeopathy and in 56.6% of those receiving conventional medicine. The adverse events for those treated with conventional medicine was 22.3% versus 7.8% for those treated with homeopathy. Seventy-nine percent (79.0%) of patients treated with homeopathy were very satisfied and 65.1% of patients treated with conventional, medicine were very satisfied. In both treatment groups 60% of cases had consultations lasting between 5 and 15 minutes.
CONCLUSIONS:
Homeopathy appeared to be at least as effective as conventional medical care in the treatment of patients with the three conditions studied.
http://www.ncbi.nlm.nih.gov/pubmed/11327521
http://www.integrativemed.org/text/OutcomeStudy.pdf
----------------------------------------------------------------------------------------------
http://www.ncbi.nlm.nih.gov/pubmed/16226198
http://www.altcancerweb.com/homeopathy/outcome-829-homeopathy-uk.pdf
Audit of outcome in 455 consecutive patients treated with homeopathic medicines.
Sevar R.
Source
raymondsevar@aol.com
Abstract
This paper reports an audit of clinical outcome in 455 consecutive patients (1100 consultations) presenting for private homeopathic treatment of a chronic illness in which conventional treatment had either: failed, reached a plateau in effect, or was contra-indicated by side effects, age or condition of the patient. Three hundred and four patients (66.8%) derived benefit from homeopathic treatment. One hundred and forty-eight patients (32.5%) were able to stop or maintain a substantial reduction in their conventional drugs. The 10 most frequent clinical conditions treated were eczema, anxiety, depression, osteoarthritis, asthma, back pain, chronic cough, chronic fatigue, headaches and essential hypertension. These 195 patients constitute 43% of the total, 151 of them (77%) were improved. The success rate of treatment is similar between age ranges. There was a difference in outcome between the sexes in adults: 296 females treated, success rate 71.3%; 159 males treated, success rate 58.5%. Two patients (0.4%) had prolonged aggravation of their presenting complaints apparently attributable to homeopathic treatment.
http://homeopathyplus.com.au/what-do-patients-think-of-homeopathy/