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顺势疗法作为附加治疗可能改善非小细胞肺癌患者的生活质量并延长其生存时间:一项前瞻性、随机、安慰剂对照、双盲、三臂、多中心研究。

Homeopathic Treatment as an Add-On Therapy May Improve Quality of Life and Prolong Survival in Patients with Non-Small Cell Lung Cancer: A Prospective, Randomized, Placebo-Controlled, Double-Blind, Three-Arm, Multicenter Study.

机构信息

Medical University of Vienna, Department of Medicine I, Clinical Division of Oncology and Institute for Homeopathic Research, Vienna, Austria.

Scientific Society for Homeopathy (WissHom), Koethen, Germany.

出版信息

Oncologist. 2020 Dec;25(12):e1930-e1955. doi: 10.1002/onco.13548. Epub 2020 Nov 7.

Abstract

LESSONS LEARNED

Conventional medicine and homeopathy work well together. Quality of life improves with additive homeopathy in patients with non-small cell lung cancer (NSCLC). Survival improves with additive homeopathy in patients with NSCLC.

BACKGROUND

Patients with advanced non-small cell lung cancer (NSCLC) have limited treatment options. Alongside conventional anticancer treatment, additive homeopathy might help to alleviate side effects of conventional therapy. The aim of the present study was to investigate whether additive homeopathy might influence quality of life (QoL) and survival in patients with NSCLC.

METHODS

In this prospective, randomized, placebo-controlled, double-blind, three-arm, multicenter, phase III study, we evaluated the possible effects of additive homeopathic treatment compared with placebo in patients with stage IV NSCLC, with respect to QoL in the two randomized groups and survival time in all three groups. Treated patients visited the outpatients' centers every 9 weeks: 150 patients with stage IV NSCLC were included in the study; 98 received either individualized homeopathic remedies (n = 51) or placebo (n = 47) in a double-blinded fashion; and 52 control patients without any homeopathic treatment were observed for survival only. The constituents of the different homeopathic remedies were mainly of plant, mineral, or animal origin. The remedies were manufactured by stepwise dilution and succussion, thereby preparing stable Good Manufacturing Practice grade formulations.

RESULTS

QoL as well as functional and symptom scales showed significant improvement in the homeopathy group when compared with placebo after 9 and 18 weeks of homeopathic treatment (p < .001). Median survival time was significantly longer in the homeopathy group (435 days) versus placebo (257 days; p = .010) as well as versus control (228 days; p < .001). Survival rate in the homeopathy group differed significantly from placebo (p = .020) and from control (p < .001).

CONCLUSION

QoL improved significantly in the homeopathy group compared with placebo. In addition, survival was significantly longer in the homeopathy group versus placebo and control. A higher QoL might have contributed to the prolonged survival. The study suggests that homeopathy positively influences not only QoL but also survival. Further studies including other tumor entities are warranted.

摘要

经验教训

顺势疗法与常规医学相结合效果良好。顺势疗法可改善非小细胞肺癌 (NSCLC) 患者的生活质量。顺势疗法可改善 NSCLC 患者的生存。

背景

晚期非小细胞肺癌 (NSCLC) 患者的治疗选择有限。除常规抗癌治疗外,顺势疗法可能有助于缓解常规治疗的副作用。本研究旨在探讨顺势疗法是否可能影响 NSCLC 患者的生活质量 (QoL) 和生存。

方法

在这项前瞻性、随机、安慰剂对照、双盲、三臂、多中心、III 期研究中,我们评估了与安慰剂相比,补充顺势疗法治疗对 IV 期 NSCLC 患者 QoL 的可能影响,以及所有三组患者的生存时间。接受治疗的患者每 9 周访问一次门诊中心:共有 150 名 IV 期 NSCLC 患者入组;98 名患者接受了个体化顺势疗法治疗(n = 51)或安慰剂(n = 47),均采用双盲法;52 名未接受任何顺势疗法治疗的对照患者仅观察生存。不同顺势疗法治疗的成分主要来自植物、矿物或动物。这些疗法通过逐步稀释和摇动制成,从而制备出稳定的符合良好生产规范 (GMP) 等级的配方。

结果

与安慰剂相比,接受顺势疗法治疗 9 周和 18 周后,顺势疗法组的 QoL 以及功能和症状量表均显著改善(p <.001)。与安慰剂(p = .010)和对照(p <.001)相比,顺势疗法组的中位生存时间显著延长(435 天)。与安慰剂(p =.020)和对照(p <.001)相比,顺势疗法组的生存率差异有统计学意义。

结论

与安慰剂相比,顺势疗法组的 QoL 显著改善。此外,与安慰剂和对照组相比,顺势疗法组的生存时间显著延长。较高的 QoL 可能有助于延长生存。该研究表明,顺势疗法不仅能提高 QoL,还能延长生存。需要进一步研究包括其他肿瘤实体的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bde/8108047/473cb07b5884/ONCO-25-e13548-g013.jpg

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