Su 1016 pazienti con malattie respiratorie acute l'Antroposofia è più efficace della medicina convenzionale ed ha meno eventi avversi posted on 19-04-2007
Notizia, adattamento e commento a cura di Andrea Valeri, responsabile del Dipartimento di ricerca clinica della Società Italiana di Medicina Omeopatica. firstname.lastname@example.org
Wien Klin Wochenschr. 2005 Apr;117(7-8):256-68.
Anthroposophic vs. conventional therapy of acute respiratory and ear infections: a prospective outcomes study.
Hamre HJ, Fischer M, Heger M, Riley D, Haidvogl M, Baars E, Bristol E, Evans M,
Schwarz R, Kiene H.Institute for Applied Epistemology and Medical Methodology, Freiburg, Germany.email@example.com
CONTEXT: Acute respiratory and ear symptoms are frequently treated with
antibiotics. Anthroposophic treatment of these symptoms relies primarily on
anthroposophic medications. OBJECTIVE: To compare anthroposophic treatment to
conventional treatment of acute respiratory and ear symptoms regarding clinical
outcome, medication use and safety, and patient satisfaction. DESIGN:
Prospective, non-randomised comparison of outcomes in patients self-selected to
anthroposophic or conventional therapy under real-world conditions. SETTING: 29
primary care practices in Austria, Germany, Netherlands, UK, and USA.
PARTICIPANTS AND THERAPY: 1016 consecutive outpatients aged > or = 1 month,
consulting an anthroposophic (n = 715 A-patients) or conventional physician (n =
301 C-patients) with a chief complaint of acute (< or = 7 days) sore throat, ear
pain, sinus pain, runny nose or cough. Patients were treated according to the
PRIMARY OUTCOME: Patients' self-report of treatment
outcome (complete recovery/major improvement/slight to moderate improvement/no
change/deterioration) at Day 14. RESULTS: Most common chief complaints were
cough (39.9% of A-patients vs. 33.9% of C-patients, p = 0.0772), sore throat
(26.3% vs. 23.3%, p=0.3436), and ear pain (20.0% vs. 18.9%, p=0.7302). Baseline
chief complaint severity was severe or very severe in 60.5% of A-patients and
53.3% of C-patients (p=0.0444), mean severity (0-4) of complaint-related
symptoms was 1.3 +/- 0.7 vs. 1.2 +/- 0.6 (p=0.5197). During the 28-day follow-up
antibiotics were prescribed to 5.5% of A-patients and 33.6% of C-patients
(p<0.0001), anthroposophic medicines were prescribed to all A-patients and no
OUTCOMES: Improvement within 24 hours occurred in 30.9% (221/715) of
A-patients and 16.6% (50/301) of C-patients (p<0.0001), improvement within 3
days in 73.1% and 57.1% (p<0.0001). At Day 7 complete recovery or major
improvement was reported by 77.1% of A-patients and 66.1% of C-patients
(p=0.0004), at Day 14 by 89.7% and 84.4% (p=0.0198). Complete recovery rates at
Day 7 were 30.5% and 23.3% (p<0.0001); at Day 14 they were 64.2% and 49.5%
(p<0.0001). 69.9% of A-patients and 60.5% of C-patients were very satisfied with
their physician (p=0.0043); 95.7% and 83.4% would choose the same therapy again
for their chief complaint (p<0.0001). After adjustment for country, gender, age,
chief complaint, duration of complaint, previous episode of complaint within
last year, and baseline symptom severity, odds ratios favoured the A-group for
all these outcomes. Adverse drug reactions were reported in 2.7% of A-patients
and 6.0% of C-patients (p=0.0157).
CONCLUSION: Compared to conventional treatment, anthroposophic treatment of primary care patients with acute respiratory and ear symptoms had more favourable outcomes, lower antibiotic prescription rates, less adverse drug reactions, and higher patient satisfaction.
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