Institute for Applied Epistemology and Medical Methodology at the Witten/Herdecke University, Freiburg, Germany,
European Scientific Cooperative on Anthroposophic Medicinal Products, Freiburg, Germany,
Complement Med Res. 2020;27(5):336-347. doi: 10.1159/000507541. Epub 2020 May 25.
Therapy in whole medical systems involves a large number of medicinal products. One source of knowledge of clinical properties of such products is the experience of therapy providers. A systematic approach to documentation, assessment, and aggregation of physicians' experiences with anthroposophic medicinal products (AMPs) has been developed: the Vademecum of Anthroposophic Medicines.
The Vademecum contains structured information on AMPs, including therapeutic rationale, indications, and therapy recommendations. The information is based on a 17-item questionnaire of physicians' therapy experiences, which is peer-reviewed by an interdisciplinary editorial board. We conducted a descriptive analysis of the Vademecum, 4th edition.
The Vademecum comprised 799 different AMPs, used for 1,773 indications, based on 2,543 questionnaires submitted by 274 physicians from 19 countries. The 799 AMPs comprised 52.6% of all AMPs marketed in Germany in 2015-2016. The 1,773 indications corresponded to 544 different ICD-10 three-digit codes, amounting to 29.3% (n = 544/1,854) of all three-digit codes. A total of 30.6% (n = 542/1,773) of indications were supported by ≥2 questionnaires.
The current Vade-mecum covers more than half of all AMPs, used for more than one fourth of all ICD-10 three-digit codes. The Vademecum approach may be relevant for medicinal products from other whole medical systems.
整体医学体系中的治疗涉及大量药物。了解此类产品临床特性的一个知识来源是治疗提供者的经验。我们已经开发出一种系统的方法来记录、评估和汇总医生使用顺势疗法药物（AMPs）的经验：顺势疗法药物实用手册。
实用手册包含关于 AMPs 的结构化信息，包括治疗原理、适应证和治疗建议。这些信息基于医生治疗经验的 17 项问卷调查，由跨学科编辑委员会同行评审。我们对第 4 版实用手册进行了描述性分析。
实用手册包含 799 种不同的 AMPs，用于 1773 种适应证，基于来自 19 个国家的 274 位医生提交的 2543 份问卷。799 种 AMP 涵盖了德国 2015-2016 年上市的所有 AMP 的 52.6%。1773 种适应证对应于 ICD-10 三位数代码的 544 种不同代码，占所有三位数代码的 29.3%（n=544/1854）。总共有 30.6%（n=542/1773）的适应证得到了≥2 份问卷的支持。
目前的实用手册涵盖了所有 AMP 的一半以上，用于 ICD-10 三位数代码的四分之一以上。实用手册方法可能与其他整体医学系统的药物有关。
