27 November, 2020

Review Article – The conclusions on the effectiveness of homeopathy

The conclusions on the effectiveness of homeopathy highly depend on the set of analyzed trials

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R. Lüdtkea, and A.L.B. Ruttenb

Karl und Veronica Carstens-Stiftung, Essen, Germany

Commissie Methode en Validering, Artsenvereniging voor homeopathie VHAN (Association of Dutch homeopathic physicians), Breda, The Netherlands

Abstract
Shang’s recently published meta-analysis on homeopathic remedies (Lancet) based its main conclusion on a subset of eight larger trials out of 21 high quality trials (out of 110 included trials). We performed a sensitivity analysis on various other meaningful trial subsets of all high quality trials.

Study Design
Subsets were defined according to sample size, type of homeopathy, type of publication, and treated disease/condition. For each subset, we estimated the overall odds ratios (ORs) from random effect meta-analyses.

Results
All trials were highly heterogeneous (I2 = 62.2%). Homeopathy had a significant effect beyond placebo (OR = 0.76; 95% CI: 0.59–0.99; p = 0.039). When the set of analyzed trials was successively restricted to larger patient numbers, the ORs varied moderately (median: 0.82, range: 0.71–1.02) and the P-values increased steadily (median: 0.16, range: 0.03–0.93), including Shang’s results for the eight largest trials (OR = 0.88, CI: 0.66–1.18; P = 0.41).
Shang’s negative results were mainly influenced by one single trial on preventing muscle soreness in 400 long-distance runners.

Conclusions
The meta-analysis results change sensitively to the chosen threshold defining large sample sizes. Because of the high heterogeneity between the trials, Shang’s results and conclusions are less definite than had been presented.
Keywords: Homeopathy; Randomize

About Birgitta Williams

Birgitta Williams är rektor för ArcanumSkolan som sedan 1970 bedrivit utbildningar i klassisk homeopati. Birgittas ambition är att genom skolans välutbildade homeopater föra fram klassisk homeopati i Sverige, att statligt kvalitetssäkra skolans utbildningar och att föra fram aktuell forskning.

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