Gaertner Katharina, Müllner Michael, Friehs Helmut, Schuster Ernst, Marosi Christine, Muchitsch Ilse, Frass Michael, Kaye Alan David
Medical University Vienna, Department of Medicine I, Clinical Division of Oncology, Waehringer Guertel 18-20, 1090 Vienna, Austria; Institute of Complementary Medicine, Medical University Bern, Inselspital, 3010 Bern, Switzerland.
Medical University Vienna, Department of Medicine I, Clinical Division of Oncology, Waehringer Guertel 18-20, 1090 Vienna, Austria.
Complement Ther Med. 2014 Apr;22(2):320-32. doi: 10.1016/j.ctim.2013.12.014. Epub 2014 Jan 8.
Current literature suggests a positive influence of additive classical homeopathy on global health and well-being in cancer patients. Besides encouraging case reports, there is little if any research on long-term survival of patients who obtain homeopathic care during cancer treatment.
Data from cancer patients who had undergone homeopathic treatment complementary to conventional anti-cancer treatment at the Outpatient Unit for Homeopathy in Malignant Diseases, Medical University Vienna, Department of Medicine I, Vienna, Austria, were collected, described and a retrospective subgroup-analysis with regard to survival time was performed. Patient inclusion criteria were at least three homeopathic consultations, fatal prognosis of disease, quantitative and qualitative description of patient characteristics, and survival time.
In four years, a total of 538 patients were recorded to have visited the Outpatient Unit Homeopathy in Malignant Diseases, Medical University Vienna, Department of Medicine I, Vienna, Austria. 62.8% of them were women, and nearly 20% had breast cancer. From the 53.7% (n=287) who had undergone at least three homeopathic consultations within four years, 18.7% (n=54) fulfilled inclusion criteria for survival analysis. The surveyed neoplasms were glioblastoma, lung, cholangiocellular and pancreatic carcinomas, metastasized sarcoma, and renal cell carcinoma. Median overall survival was compared to expert expectations of survival outcomes by specific cancer type and was prolonged across observed cancer entities (p<0.001).
Extended survival time in this sample of cancer patients with fatal prognosis but additive homeopathic treatment is interesting. However, findings are based on a small sample, and with only limited data available about patient and treatment characteristics. The relationship between homeopathic treatment and survival time requires prospective investigation in larger samples possibly using matched-pair control analysis or randomized trials.
当前文献表明,辅助性古典顺势疗法对癌症患者的整体健康和幸福感有积极影响。除了令人鼓舞的病例报告外,对于在癌症治疗期间接受顺势疗法护理的患者的长期生存情况,几乎没有相关研究。
收集、描述了在奥地利维也纳医科大学第一医学部恶性疾病顺势疗法门诊接受与传统抗癌治疗互补的顺势疗法治疗的癌症患者的数据,并对生存时间进行了回顾性亚组分析。患者纳入标准为至少接受三次顺势疗法会诊、疾病预后为致命、对患者特征进行定量和定性描述以及生存时间。
在四年时间里,共有538名患者被记录到曾就诊于奥地利维也纳医科大学第一医学部恶性疾病顺势疗法门诊。其中62.8%为女性,近20%患有乳腺癌。在四年内至少接受三次顺势疗法会诊的53.7%(n = 287)患者中,18.7%(n = 54)符合生存分析的纳入标准。所调查的肿瘤包括胶质母细胞瘤、肺癌、胆管细胞癌和胰腺癌、转移性肉瘤以及肾细胞癌。将总体中位生存期与特定癌症类型的专家预期生存结果进行比较,发现各观察到的癌症实体的生存期均延长(p < 0.001)。
在这个预后为致命但接受辅助性顺势疗法治疗的癌症患者样本中,生存期延长令人感兴趣。然而,研究结果基于小样本,且关于患者和治疗特征的可用数据有限。顺势疗法治疗与生存时间之间的关系需要在更大样本中进行前瞻性研究,可能采用配对对照分析或随机试验。