Homeopathy, Acupuncture and Phytotherapy in the Veterinary Treatment or Prophylaxis of Diseases in Animals: An Overview of Systematic Reviews

IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Homeopathy Pub Date : 2024-09-16 DOI:10.1055/s-0044-1788570
Edna Cristiane da Matta, Maristela Takeda, Nathalia Salles Scortegagna de Medeiros, Jorge Kioshi Hosomi, Leoni Villano Bonamin
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Abstract

Introduction Complementary and alternative veterinary medicine (CAVM) has been intensively used, and there is currently an increasing demand for a more rigorous approach regarding its clinical effectiveness.

Aims The objectives of this overview were: first, to identify systematic reviews on homeopathy, acupuncture and phytotherapy in veterinary medicine and assess their methodological quality; and second, to map interventions and findings in the treatment or prophylaxis of any medical conditions in any animal species for which high-quality systematic reviews had identified reliable evidence of efficacy or effectiveness in randomized controlled trials (RCTs) or controlled clinical trials (CCTs).

Method The study was an overview of systematic reviews published in the years 2000 to 2022 inclusive. The following databases were used: CAB Abstracts, PubMed and Vet Index, from which the abstracts of 173 articles were extracted, 22 of which were initially included for complete analysis. After excluding 15 studies according to the exclusion/inclusion criteria, 7 review papers were comprehensively analyzed. The review quality was assessed by the Measurement Tool to Assess Systematic Reviews (AMSTAR 2) method. The reported RCTs/CCTs in these reviews were analyzed for their reliability, and the results were classified according to statistical significance and risk of bias.

Results Seven eligible systematic reviews reported studies on dogs, horses, cats, cattle, sheep, goats, swine, rabbits and poultry. The number of primary RCTs/CCTs was 38 for homeopathy, 35 for acupuncture, and 171 for phytotherapy. The AMSTAR 2 evaluation ranked two reviews of veterinary homeopathy as high-quality, in which two placebo-controlled RCTs comprised reliable evidence, one of which reported efficacy of homeopathy as prophylaxis for diarrhea in pigs. The systematic reviews of acupuncture and phytotherapy were all of low quality, preventing formal assessment of their reviewed RCTs/CCTs.

Conclusion Only the systematic reviews of homeopathy were rated of sufficient quality to enable the assessment of reliable evidence within their reviewed RCTs. Contemporary high-quality systematic reviews of clinical trials in each of the three areas of CAVM are required.

顺势疗法、针灸和植物疗法在兽医治疗或预防动物疾病中的应用:系统综述
引言 补充和替代兽医学(CAVM)已被广泛使用,目前对其临床有效性的更严格方法的需求日益增加。目的 本综述的目的是:首先,确定有关兽医学中顺势疗法、针灸和植物疗法的系统综述,并评估其方法学质量;其次,绘制在随机对照试验(RCT)或对照临床试验(CCT)中,高质量的系统综述确定了可靠的疗效或有效性证据的任何动物物种的任何病症的治疗或预防方面的干预措施和研究结果。研究方法 该研究对 2000 年至 2022 年(含 2022 年)发表的系统综述进行了概述。使用了以下数据库CAB Abstracts、PubMed 和 Vet Index,从中提取了 173 篇文章的摘要,并初步纳入了其中的 22 篇文章进行完整分析。根据排除/纳入标准排除了 15 项研究后,对 7 篇综述论文进行了全面分析。综述质量采用系统综述评估工具(AMSTAR 2)方法进行评估。对这些综述中报告的 RCT/CCT 进行了可靠性分析,并根据统计显著性和偏倚风险对结果进行了分类。结果 七篇符合条件的系统综述报告了关于狗、马、猫、牛、绵羊、山羊、猪、兔子和家禽的研究。顺势疗法的主要 RCT/CCT 为 38 项,针灸为 35 项,植物疗法为 171 项。AMSTAR 2评估将两篇兽医顺势疗法综述评为高质量,其中两篇安慰剂对照RCT研究提供了可靠的证据,其中一篇报告了顺势疗法作为猪腹泻预防疗法的疗效。针灸和植物疗法的系统综述质量均较低,因此无法对其综述的RCT/CCT进行正式评估。结论 只有顺势疗法的系统综述被评为具有足够的质量,可以对其受评 RCT 中的可靠证据进行评估。需要对 CAVM 三个领域中每个领域的临床试验进行当代高质量的系统综述。
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来源期刊
Homeopathy
Homeopathy 医学-全科医学与补充医学
CiteScore
3.40
自引率
70.60%
发文量
34
审稿时长
20.1 weeks
期刊介绍: Homeopathy is an international peer-reviewed journal aimed at improving the fundamental understanding and clinical practice of homeopathy by publishing relevant high-quality original research articles, reviews, and case reports. It also promotes commentary and debate on matters of topical interest in homeopathy.
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