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DOI: 10.1055/s-0044-1782221
The Patient Population at Homeopathic Outpatient Clinics across India: A Clinical Data Collection Study
Funding The study was funded by the Central Council for Research in Homoeopathy, Ministry of AYUSH, Government of India.![](https://www.thieme-connect.de/media/10.1055-s-00034926/EFirst/lookinside/thumbnails/10-1055-s-0044-1782221_2300122-1.jpg)
Abstract
Background Even though several initiatives have been undertaken in different locations worldwide to collect clinical data in homeopathy, it is important to further investigate these aspects in the context of health care in India.
Objective The study aimed to gather and analyze patients' clinical data and to derive insights into homeopathic treatment using an internet-based software program for data storage, retrieval and repertorization.
Methods A multi-center observational study was conducted across 14 homeopathy outpatient clinics in India that are affiliated with the Central Council for Research in Homoeopathy (CCRH). Patient symptoms and demographic details were documented anonymously, and prescriptions were guided by repertorial suggestions from the Vithoulkas Compass software. During follow-up visits, treatment outcome was also recorded using an online assessment form. A retrospective analysis of data on patients' demographics, follow-up visits, morbidity (International Classification of Diseases 11th Revision), rubrics used, prescribed medicines and the level of improvement was achieved using Microsoft Excel-generated pivot tables.
Results Throughout the study duration of one year a total of 2,811 patients attended the 14 outpatient clinics, of whom 2,468 were new patients with a total of 2,172 initial homeopathic prescription entries. Across the study, there were 3,491 prescriptions and 1,628 follow-up consultations for 868 follow-up patients, all of which data were thoroughly analyzed. The highest frequency of patients was in the 20–49 age group, and a higher proportion of the patients overall was female. Musculoskeletal, dermatological and respiratory complaints were the most frequently reported. The rubrics “Desire for sweets” and “Desire for spices” emerged as the most commonly used in the repertorizations. Further, Sulphur stood out as the most commonly prescribed medicine overall. With homeopathic treatment, some degree of clinical improvement was reported in 86% of the follow-up cases.
Conclusion Homeopathy is prescribed in CCRH outpatient clinics for a wide range of ailments in people across India, with at least some clinical improvement noted in a high proportion of those patients. The large-scale systematic data collection in these clinics has provided clear insights into the use and clinical value of homeopathy in India, with the potential to build a substantive nationwide data inventory over time.
Publikationsverlauf
Eingereicht: 06. Oktober 2023
Angenommen: 19. Januar 2024
Artikel online veröffentlicht:
31. Mai 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 World Health Organization. WHO Global Report on Traditional and Complementary Medicine 2019. Geneva:: World Health Organization; 2019
- 2 Homoeopathy Research Institute. Homeopathy use around the world. Available at: https://www.hri-research.org/resources/essentialevidence/use-of-homeopathy-across-the-world/ . Accessed October 6, 2023
- 3 Prasad R. Homoeopathy booming in India. Lancet 2007; 370: 1679-1680
- 4 Rudra S, Kalra A, Kumar A, Joe W. Utilization of alternative systems of medicine as health care services in India: evidence on AYUSH care from NSS 2014. PLoS One 2017; 12: e0176916
- 5 Manchanda R, Koley M, Saha S. et al. Patients' preference for integrating homoeopathy services within the secondary health care settings in India: the part 3 (PPIH-3) study. J Evid Based Complementary Altern Med 2017; 22: 251-259
- 6 Ganguly N. Empowering patients with a “cafeteria approach” in healthcare. Times of India Blog. April 10, 2023 . Accessed October 6, 2023. Available at: https://timesofindia.indiatimes.com/blogs/voices/empowering-patients-with-a-cafeteria-approach-in-healthcare
- 7 Fisher P. Homeopathy and The Lancet. Evid Based Complement Alternat Med 2006; 3: 145-147
- 8 Ullman D. An analysis of four government-funded reviews of research on homeopathic medicine. Cureus 2021; 13: e15899
- 9 Blonde L, Khunti K, Harris SB, Meizinger C, Skolnik NS. Interpretation and impact of real-world clinical data for the practicing clinician. Adv Ther 2018; 35: 1763-1774
- 10 Catalogue of Bias Collaboration. Carl Heneghan. Centripetal bias. In: Catalogue Of Bias. 2019 . Available at: https://catalogofbias.org/biases/centripetal-bias/ . Accessed October 6, 2023.
- 11 Roche N, Reddel H, Martin R. et al Quality standards for real-world research. Focus on observational database studies of comparative effectiveness. Ann Am Thorac Soc 2014; 11: S99-S104
- 12 Tripepi G, Jager KJ, Dekker FW, Zoccali C. Selection bias and information bias in clinical research. Nephron Clin Pract 2010; 115: c94-c99
- 13 Silberg J, James M. Tackling bias in artificial intelligence (and in Humans). McKinsey & Company. Available at: www.mckinsey.com/featured-insights/artificial-intelligence/tackling-bias-in-artificial-intelligence-and-in-humans . Accessed December 5, 2023
- 14 Norori N, Hu Q, Aellen FM, Faraci FD, Tzovara A. Addressing bias in big data and AI for health care: a call for open science. Patterns (NY) 2021; 2: 100347
- 15 Manchanda RK, Miglani A, Chakraborty M. et al. Impact of bias in data collection of COVID-19 cases. Homeopathy 2022; 111: 57-65
- 16 Richardson WR. Patient benefit survey: Liverpool Regional Department of Homoeopathic Medicine. Br Homeopath J 2001; 90: 158-162
- 17 Spence DS, Thompson EA, Barron SJ. Homeopathic treatment for chronic disease: a 6-year, university-hospital outpatient observational study. J Altern Complement Med 2005; 11: 793-798
- 18 Thompson EA, Mathie RT, Baitson ES. et al. Towards standard setting for patient-reported outcomes in the NHS homeopathic hospitals. Homeopathy 2008; 97: 114-121
- 19 Rutten L, Smedley T, Ives G. et al. Data collection during the COVID-19 pandemic: learning from experience, resulting in a Bayesian repertory. Homeopathy 2021; 110: 94-101
- 20 Rotter G, Binting S, Teut M, Ortiz M, Willich SN, Brinkhaus B. Characteristics of patients presenting at a university outpatient department for complementary and integrative medicine. Complement Med Res 2023; 30: 279-288
- 21 Steel A, Cramer H, Leung B. et al. Characteristics of homeopathy users among internal medicine patients in Germany. Forsch Komplement Med 2016; 23: 284-289
- 22 Thompson E, Viksveen P, Barron S. A patient reported outcome measure in homeopathic clinical practice for long-term conditions. Homeopathy 2016; 105: 309-317
- 23 World Medical Association. WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects. World Medical Association. Accessed October 6, 2023. Available at: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
- 24 World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 11th Revision (ICD-11). Retrieved September 15, 2023, from https://icd.who.int/browse11/l-m/en
- 25 Meier-Girard D, Lüthi E, Rodondi PY, Wolf U. Prevalence, specific and non-specific determinants of complementary medicine use in Switzerland: data from the 2017 Swiss Health Survey. PLoS One 2022; 17: e0274334
- 26 Sharples FMC, van Haselen R, Fisher P. NHS patients' perspective on complementary medicine: a survey. Complement Ther Med 2003; 11: 243-248
- 27 Pradeepa R, Mohan V. Epidemiology of type 2 diabetes in India. Indian J Ophthalmol 2021; 69: 2932-2938
- 28 Ganie MA, Rashid A, Sahu D, Nisar S, Wani IA, Khan J. Prevalence of polycystic ovary syndrome (PCOS) among reproductive age women from Kashmir valley: a cross-sectional study. Int J Gynaecol Obstet 2020; 149: 231-236
- 29 Mathie RT, Ulbrich-Zürni S, Viksveen P. et al. Systematic review and meta-analysis of randomised, other-than-placebo controlled, trials of individualised homeopathic treatment. Homeopathy 2018; 107: 229-243
- 30 Vithoulkas G. An innovative proposal for scientific alternative medical journals. J Med Life 2017; 10: 197-199
- 31 Gaertner K, von Ammon K, Fibert P. et al. Recommendations in the design and conduction of randomised controlled trials in human and veterinary homeopathic medicine. Complement Ther Med 2023; 76: 102961
- 32 Institute of Medicine (US) Roundtable on Value & Science-Driven Health Care. Clinical Data as the Basic Staple of Health Learning: Creating and Protecting a Public Good: Workshop Summary. Washington (DC): National Academies Press (US); 2010 . Summary. Available at https://www.ncbi.nlm.nih.gov/books/NBK54290/