Evidence map›Paper›PMID 18251757›Full record

Trial reportBritish journal of clinical pharmacology2008

Effect of homeopathy on analgesic intake following knee ligament reconstruction: a phase III monocentre randomized placebo controlled study.

A Paris, N Gonnet, C Chaussard, P Belon, F Rocourt, D Saragaglia, J L Cracowski

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05283434 (Arnica and the Management of Pain in Acute Musculoskeletal Extremity Injuries), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05283434 phase2 / phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

Arnica and the Management of Pain in Acute Musculoskeletal Extremity Injuries

TypeinterventionalSponsorChildren's Hospitals and Clinics of MinnesotaRan2021 to 2023Enrolled324ConditionsPain, Muscle, Pain, AcuteArmsArnica, Placebo
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Effects ofPlants (Basel, Switzerland) · 2024
    Review
  5. Review
  6. Against all odds-the persistent popularity of homeopathy.Wiener klinische Wochenschrift · 2020
    Review
  7. Article
  8. Article
  9. Supported by science?: what canadian naturopaths advertise to the public.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2011
    Article
  10. Novel wound healing powder formulation for the treatment of venous leg ulcers.The journal of the American College of Certified Wound Specialists · 2011
    Article
  11. Use of homeopathy in pediatric oncology in Germany.Evidence-based complementary and alternative medicine : eCAM · 2011
    Article
  12. The truth about homeopathy.British journal of clinical pharmacology · 2008
    Review
  13. Sensitivity: real (interferons, odorants) and imagined (homeopathy).British journal of clinical pharmacology · 2008
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

A ParisInserm, CIC003, CHU Grenoble, Grenoble F-38043, Grenoble, France.
N Gonnet
C Chaussard
P Belon
F Rocourt
D Saragaglia
J L Cracowski
Centre Hospitalier Universitaire de Grenoble · FRBoiron (France) · FRUniversité Grenoble Alpes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

what is already known about this subjectThe efficacy of homeopathy is still under debate and a recent meta-analysis recommended further randomized double-blind clinical trials to identify any clinical situation in which homeopathy might be effective. WHAT THIS STUDY ADDS: The complex of homeopathy tested in this study (Arnica montana 5 CH, Bryonia alba 5 CH, Hypericum perforatum 5 CH and Ruta graveolens 3 DH) is not superior to placebo in reducing 24 h morphine consumption after knee ligament reconstruction.

aimsThe efficacy of homeopathy is still under debate. The objective of this study was to assess the efficacy of homeopathic treatment (Arnica montana 5 CH, Bryonia alba 5 CH, Hypericum perforatum 5 CH and Ruta graveolens 3 DH) on cumulated morphine intake delivered by PCA over 24 h after knee ligament reconstruction.

methodsThis was an add-on randomized controlled study with three parallel groups: a double-blind homeopathic or placebo arm and an open-label noninterventional control arm. Eligible patients were 18-60 years old candidates for surgery of the anterior cruciate ligament. Treatment was administered the evening before surgery and continued for 3 days. The primary end-point was cumulated morphine intake delivered by PCA during the first 24 h inferior or superior/equal to 10 mg day(-1).

resultsOne hundred and fifty-eight patients were randomized (66 in the placebo arm, 67 in the homeopathic arm and 25 in the noninterventional group). There was no difference between the treated and the placebo group for primary end-point (mean (95% CI) 48% (35.8, 56.3), and 56% (43.7, 68.3), required less than 10 mg day(-1) of morphine in each group, respectively). The homeopathy treatment had no effect on morphine intake between 24 and 72 h or on the visual analogue pain scale, or on quality of life assessed by the SF-36 questionnaire. In addition, these parameters were not different in patients enrolled in the open-label noninterventional control arm.

conclusionsThe complex of homeopathy tested in this study was not superior to placebo in reducing 24 h morphine consumption after knee ligament reconstruction.

Indexed as

Plastic Surgery ProceduresAdolescentAdultAnalgesicsChildFemaleHomeopathyHumansKnee JointLigaments, ArticularMaleMiddle AgedMorphinePostoperative PainAnalgesicsMorphine

Identifiers

PMID18251757
PMCPMC2291233
OpenAlexW2078696051

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.