Evidence map›Paper›PMID 25480654›Full record

SynthesisSystematic reviews2014

Randomised placebo-controlled trials of individualised homeopathic treatment: systematic review and meta-analysis.

Robert T Mathie, Suzanne M Lloyd, Lynn A Legg, Jürgen Clausen, Sian Moss, Jonathan R T Davidson, Ian Ford

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05468801 (Randomized, Triple-blind, Placebo Controlled Study to Evaluate the Efficacy of Individualized Homeopathic Remedies With High Grade of Pathological Similarity vs Conventional Standardized Pharmacological Treatment in Patients With Migraine.), which is not on this map. Cited by 49 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 12 pooled it
41.3field-weighted citation impact, top 1% 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.

NCT05468801 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Randomized, Triple-blind, Placebo Controlled Study to Evaluate the Efficacy of Individualized Homeopathic Remedies With High Grade of Pathological Similarity vs Conventional Standardized Pharmacological Treatment in Patients With Migraine.

TypeinterventionalSponsorHospital General de Agudos Bernardino RivadaviaRan2019 to 2023Enrolled72ConditionsMigraineArmsIndividualized Homeopathic Remedy, Placebo
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 12 syntheses or guidelines pooled it, 217 citations in OpenAlex.

  1. Pooled it
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  5. Vitamin D supplementation, COVID-19 and disease severity: a meta-analysis.QJM : monthly journal of the Association of Physicians · 2021
    Pooled it
  6. Is HomeopathicFrontiers in surgery · 2021
    Pooled it
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  13. Trial
  14. Trial
  15. Article
  16. Subcutaneous application ofFrontiers in public health · 2026
    Observational
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 3 countries.

Robert T MathieBritish Homeopathic Association, Luton, UK. rmathie@britishhomeopathic.org.
Suzanne M Lloyd
Lynn A Legg
Jürgen Clausen
Sian Moss
Jonathan R T Davidson
Ian Ford
University of Glasgow · GBBristol Homeopathic Hospital · GBDuke University Hospital · USHomeopathy Research Institute · GBKarl und Veronica Carstens-Stiftung · DEUniversity of Strathclyde · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA rigorous and focused systematic review and meta-analysis of randomised controlled trials (RCTs) of individualised homeopathic treatment has not previously been undertaken. We tested the hypothesis that the outcome of an individualised homeopathic treatment approach using homeopathic medicines is distinguishable from that of placebos.

methodsThe review's methods, including literature search strategy, data extraction, assessment of risk of bias and statistical analysis, were strictly protocol-based. Judgment in seven assessment domains enabled a trial's risk of bias to be designated as low, unclear or high. A trial was judged to comprise 'reliable evidence' if its risk of bias was low or was unclear in one specified domain. 'Effect size' was reported as odds ratio (OR), with arithmetic transformation for continuous data carried out as required; OR > 1 signified an effect favouring homeopathy.

resultsThirty-two eligible RCTs studied 24 different medical conditions in total. Twelve trials were classed 'uncertain risk of bias', three of which displayed relatively minor uncertainty and were designated reliable evidence; 20 trials were classed 'high risk of bias'. Twenty-two trials had extractable data and were subjected to meta-analysis; OR = 1.53 (95% confidence interval (CI) 1.22 to 1.91). For the three trials with reliable evidence, sensitivity analysis revealed OR = 1.98 (95% CI 1.16 to 3.38).

conclusionsMedicines prescribed in individualised homeopathy may have small, specific treatment effects. Findings are consistent with sub-group data available in a previous 'global' systematic review. The low or unclear overall quality of the evidence prompts caution in interpreting the findings. New high-quality RCT research is necessary to enable more decisive interpretation.

Indexed as

Randomized Controlled Trials as TopicHomeopathyHumansPrecision MedicineTreatment Outcome

Identifiers

PMID25480654
PMCPMC4326322
OpenAlexW2126492696

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.