Mathie R T, Hansen L, Elliott M F, Hoare J
Faculty of Homeopathy and British Homeopathic Association, Hahnemann House, 29 Park Street West, Luton LU1 3BE, UK.
Homeopathy. 2007 Jan;96(1):27-34. doi: 10.1016/j.homp.2006.10.002.
Targeted research development in veterinary homeopathy is properly informed by the systematic collection and analysis of relevant clinical data obtained by its practitioners. We organised a pilot data collection study, in which 8 Faculty of Homeopathy veterinarians collected practice-based clinical and outcomes data over a 6-month period.
A specifically designed Excel spreadsheet enabled recording of consecutive clinical appointments under the following headings: date; identity of patient and owner (anonymised); age, sex and species of patient; medical condition/complaint treated; whether confirmed diagnosis, chronic or acute, new or follow-up case; owner-assessed outcome (7-point Likert scale: -3 to +3) compared with first appointment; homeopathic medicine/s prescribed; other medication/s for the condition/complaint. Spreadsheets were submitted monthly by e-mail to the project organisers for data checking, synthesis and analysis.
Practitioners submitted data regularly and punctually, and most data cells were completed. 767 individual patients were treated (547 dogs, 155 cats, 50 horses, 5 rabbits, 4 guinea-pigs, 2 birds, 2 goats, 1 cow, and 1 tortoise). Outcome from two or more homeopathic appointments per patient condition was obtained in 539 cases (79.8% showing improvement, 6.1% deterioration, 11.7% no change; outcome not recorded in 2.4% of follow-ups). Strongly positive outcomes (scores of +2 or +3) were achieved in: arthritis and epilepsy in dogs and, in smaller numbers, in atopic dermatitis, gingivitis and hyperthyroidism in cats.
Systematic recording of data by veterinarians in clinical practice is feasible and capable of informing future research in veterinary homeopathy. A refined version of the spreadsheet can be used in larger-scale research-targeted veterinary data collection.
兽医顺势疗法的靶向研究发展需要通过对从业者获取的相关临床数据进行系统收集和分析来提供充分信息。我们组织了一项试点数据收集研究，其中8位顺势疗法学院的兽医在6个月的时间里收集了基于实践的临床和结果数据。
一个专门设计的Excel电子表格能够按照以下标题记录连续的临床预约信息：日期；患者及主人身份（匿名）；患者的年龄、性别和物种；所治疗的医疗状况/病症；是否确诊、慢性或急性、新病例或随访病例；与首次预约相比主人评估的结果（7级李克特量表：-3至+3）；所开的顺势疗法药物；针对该状况/病症的其他药物。电子表格每月通过电子邮件提交给项目组织者进行数据检查、综合和分析。
从业者定期且准时提交数据，并且大多数数据单元格都已填写完整。共治疗了767只个体动物（547只狗、155只猫、50匹马、5只兔子、4只豚鼠、2只鸟、2只山羊、1头牛和1只乌龟）。在539例病例中获得了每位患者病情经过两次或更多次顺势疗法治疗后的结果（79.8%显示改善，6.1%恶化，11.7%无变化；2.4%的随访未记录结果）。在以下病症中取得了强烈的积极结果（得分+2或+3）：犬类的关节炎和癫痫，猫类的特应性皮炎、牙龈炎和甲状腺功能亢进症（数量较少）。
兽医在临床实践中系统记录数据是可行的，并且能够为未来兽医顺势疗法的研究提供信息。该电子表格的改进版本可用于针对大规模研究的兽医数据收集。
