51. Homeopathy For Clinical Conditions

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51. Homeopathy For Clinical Conditions

 

 

CATEGORY:Alternative Medicines 300 Courses

COURSE NUMBER: 51

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Syllabus

Executive Summary ……………………………………………………………………………………………. 7
1 Background ………………………………………………………………………………………………….9
1.1 The purpose of this overview ……………………………………………………………………………………………………………. 10
2 Objective……………………………………………………………………………………………………12
3 Overview methodology ………………………………………………………………………………..12
3.1 Research question development……………………………………………………………………………………………………….. 13
3.1.1 Description of conditions examined …………………………………………………………………………………….. 13
3.1.2 Description of the interventions examined …………………………………………………………………………… 14
3.1.3 Description of the comparators examined ……………………………………………………………………………. 14
3.1.4 Description of the outcomes examined………………………………………………………………………………… 14
3.2 Literature searches………………………………………………………………………………………………………………………….. 14
3.3 Study eligibility ……………………………………………………………………………………………………………………………….. 16
3.4 Data extraction……………………………………………………………………………………………………………………………….. 17
3.5 Critical appraisal ……………………………………………………………………………………………………………………………… 17
3.6 Assessment of the body of evidence………………………………………………………………………………………………….. 18
3.6.1 Evidence summaries ………………………………………………………………………………………………………….. 18
3.6.2 Development of evidence statements………………………………………………………………………………….. 19
3.7 Independent methodological review …………………………………………………………………………………………………. 19
3.8 Changes from the research protocol………………………………………………………………………………………………….. 20
4 Results of the overview ………………………………………………………………………………..22
4.1 Results of the literature searches, data extraction and quality appraisal ………………………………………………… 22
4.2 Summary of systematic reviews that broadly examined the effectiveness of homeopathy across a range of
clinical conditions ……………………………………………………………………………………………………………………………………. 26
4.2.1 Bellavite et al (2011) ………………………………………………………………………………………………………….. 26
4.2.2 Davidson et al (2011) …………………………………………………………………………………………………………. 26
4.2.3 Simonart et al (2011) …………………………………………………………………………………………………………. 26
4.2.4 Altunc et al (2007)……………………………………………………………………………………………………………… 27
4.2.5 Cucherat et al (2000) …………………………………………………………………………………………………………. 27
4.2.6 Ernst and Pittler (1998)………………………………………………………………………………………………………. 27
4.2.7 Linde and Melchart (1998)………………………………………………………………………………………………….. 28
4.2.8 Linde et al (1997) ………………………………………………………………………………………………………………. 28
4.4 Eye, ear and labyrinth disorders………………………………………………………………………………………………………… 29
4.4.1 Children with otitis media…………………………………………………………………………………………………… 29
4.4.2 Glaucoma…………………………………………………………………………………………………………………………. 35
4.5 Gastrointestinal disorders………………………………………………………………………………………………………………… 35

EFFECTIVENESS OF HOMEOPATHY FOR CLINICAL CONDITIONS: OVERVIEW REPORT October 2013

Prepared for the NHMRC Homeopathy Working Committee by Optum 3
4.5.1 Children with constipation………………………………………………………………………………………………….. 35
4.5.2 Children with diarrhoea ……………………………………………………………………………………………………… 36
4.5.3 Irritable bowel syndrome……………………………………………………………………………………………………. 43
4.5.4 Postoperative ileus ……………………………………………………………………………………………………………. 45
4.5.5 Proctocolitis……………………………………………………………………………………………………………………… 52
4.6 Genitourinary disorders……………………………………………………………………………………………………………………. 54
4.6.1 Nocturnal enuresis…………………………………………………………………………………………………………….. 54
4.6.2 Men with lower urinary tract symptoms………………………………………………………………………………. 54
4.7 Infections and infestations……………………………………………………………………………………………………………….. 55
4.7.1 Amebiasis and giardiasis…………………………………………………………………………………………………….. 55
4.7.2 Cholera…………………………………………………………………………………………………………………………….. 57
4.7.3 Human immunodeficiency virus (HIV) ………………………………………………………………………………….. 59
4.7.4 Influenza-like illness…………………………………………………………………………………………………………… 61
4.7.5 Malaria…………………………………………………………………………………………………………………………….. 69
4.7.6 Recurrent vulvovaginal candidiasis………………………………………………………………………………………. 71
4.8 Injury, trauma and postoperative disorders………………………………………………………………………………………… 73
4.8.1 Acute ankle sprains……………………………………………………………………………………………………………. 73
4.8.2 Acute trauma ……………………………………………………………………………………………………………………. 75
4.8.3 Mild traumatic brain injury …………………………………………………………………………………………………. 77
4.8.4 Postoperative pain-agitation syndrome………………………………………………………………………………… 79
4.9 Musculoskeletal and connective tissue disorders ………………………………………………………………………………… 82
4.9.1 Ankylosing spondylitis………………………………………………………………………………………………………… 82
4.9.2 Chronic polyarthritis ………………………………………………………………………………………………………….. 84
4.9.3 Delayed-onset muscle soreness…………………………………………………………………………………………… 86
4.9.4 Fibromyalgia …………………………………………………………………………………………………………………….. 92
4.9.5 Knee joint haematoma……………………………………………………………………………………………………… 104
4.9.6 Osteoarthritis………………………………………………………………………………………………………………….. 106
4.9.7 Rheumatoid arthritis………………………………………………………………………………………………………… 114
4.10 Neurological …………………………………………………………………………………………………………………………………. 119
4.10.1 Broca’s aphasia in people who have had a stroke ………………………………………………………………… 119
4.10.2 Stroke…………………………………………………………………………………………………………………………….. 121
4.10.3 Migraine and headache ……………………………………………………………………………………………………. 123
4.11 Pregnancy and childbirth………………………………………………………………………………………………………………… 131
4.11.1 Dystocia …………………………………………………………………………………………………………………………. 131
4.11.2 Induction of labour or reducing duration of labour………………………………………………………………. 133
4.12 Psychiatric and behavioural disorders………………………………………………………………………………………………. 136
4.12.1 Children with attention deficit/hyperactivity disorder………………………………………………………….. 136

EFFECTIVENESS OF HOMEOPATHY FOR CLINICAL CONDITIONS: OVERVIEW REPORT October 2013

Prepared for the NHMRC Homeopathy Working Committee by Optum 4
4.12.2 Anxiety or stress-related conditions…………………………………………………………………………………… 145
4.12.3 Borderline personality disorder…………………………………………………………………………………………. 152
4.12.4 Dementia ……………………………………………………………………………………………………………………….. 152
4.12.5 Depression ……………………………………………………………………………………………………………………… 153
4.12.6 Heroin addiction ……………………………………………………………………………………………………………… 156
4.13 Reproductive system and breast disorders……………………………………………………………………………………….. 158
4.13.1 Premenstrual syndrome …………………………………………………………………………………………………… 158
4.13.2 Lactation in postpartum women who elect not to breastfeed ……………………………………………….. 162
4.14 Respiratory and allergic ………………………………………………………………………………………………………………….. 164
4.14.1 Adenoid vegetation in children………………………………………………………………………………………….. 164
4.14.2 Allergic rhinitis………………………………………………………………………………………………………………… 167
4.14.3 Asthma…………………………………………………………………………………………………………………………… 179
4.14.4 Bronchitis……………………………………………………………………………………………………………………….. 193
4.14.5 Cough…………………………………………………………………………………………………………………………….. 195
4.14.6 Oral lichen planus ……………………………………………………………………………………………………………. 197
4.14.7 Non-allergic rhinitis………………………………………………………………………………………………………….. 199
4.14.8 Sinusitis………………………………………………………………………………………………………………………….. 203
4.14.9 Upper respiratory tract infection……………………………………………………………………………………….. 207
4.15 Skin and subcutaneous tissue disorders……………………………………………………………………………………………. 214
4.15.1 Acne vulgaris…………………………………………………………………………………………………………………… 214
4.15.2 Boils and pyoderma …………………………………………………………………………………………………………. 216
4.15.3 Bruising ………………………………………………………………………………………………………………………….. 218
4.15.4 Second and third degree burns………………………………………………………………………………………….. 220
4.15.5 Eczema…………………………………………………………………………………………………………………………… 222
4.15.6 Seborrhoeic dermatitis …………………………………………………………………………………………………….. 226
4.15.7 Ulcers…………………………………………………………………………………………………………………………….. 228
4.15.8 Uraemic pruritis………………………………………………………………………………………………………………. 231
4.15.9 Warts …………………………………………………………………………………………………………………………….. 233
4.16 Sleep disorders and fatigue …………………………………………………………………………………………………………….. 238
4.16.1 Chronic fatigue syndrome…………………………………………………………………………………………………. 238
4.16.2 Sleep or circadian rhythm disturbances………………………………………………………………………………. 245
4.17 Adverse effects of cancer treatments ………………………………………………………………………………………………. 255
4.17.1 Adverse effects of venous cannulation……………………………………………………………………………….. 255
4.17.2 Chemotherapy-associated nausea/vomiting ……………………………………………………………………….. 257
4.17.3 Chemotherapy-induced stomatitis …………………………………………………………………………………….. 259
4.17.4 Hot flushes in women with a history of breast cancer…………………………………………………………… 265
4.17.5 Radiodermatitis in breast cancer patients undergoing radiotherapy ………………………………………. 271

EFFECTIVENESS OF HOMEOPATHY FOR CLINICAL CONDITIONS: OVERVIEW REPORT October 2013

Prepared for the NHMRC Homeopathy Working Committee by Optum 5
4.18 Pain……………………………………………………………………………………………………………………………………………… 275
4.18.1 Chronic facial pain……………………………………………………………………………………………………………. 275
4.18.2 Lower back pain ………………………………………………………………………………………………………………. 276
4.18.3 Pain in dental practice ……………………………………………………………………………………………………… 278
4.18.4 Pain following orthopaedic surgery ……………………………………………………………………………………. 282
5 Discussion ………………………………………………………………………………………………..284
5.1 Summary of main results………………………………………………………………………………………………………………… 284
5.2 Overall completeness and quality of evidence…………………………………………………………………………………… 284
5.3 Limitations……………………………………………………………………………………………………………………………………. 285
5.4 Research Gaps………………………………………………………………………………………………………………………………. 287
6 Conclusion………………………………………………………………………………………………..288
7 References ……………………………………………………………………………………………….289
7.1 References – Systematic Reviews…………………………………………………………………………………………………….. 289
7.1.1 Included reviews……………………………………………………………………………………………………………… 289
7.1.2 Excluded reviews …………………………………………………………………………………………………………….. 291
7.1.3 Studies not published in English ………………………………………………………………………………………… 299
7.2 References – Other………………………………………………………………………………………………………………………… 300
Appendix A – Data extraction and quality assessment forms
Appendix B – AMSTAR Measurement Toolkit
Appendix C – Criteria for developing evidence statements

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