Evidence map›Paper›PMID 27145957›Full record

Observational studyBMC complementary and alternative medicine2016

Homeopathic medical practice for anxiety and depression in primary care: the EPI3 cohort study.

Lamiae Grimaldi-Bensouda, Lucien Abenhaim, Jacques Massol, Didier Guillemot, Bernard Avouac, Gerard Duru, France Lert, Anne-Marie Magnier, Michel Rossignol, Frederic Rouillon and 2 more

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in BMC complementary and alternative medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
6.4field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Observational
  3. Homeopathy Use in the United States and Implications for Public Health: A Review.Homeopathy : the journal of the Faculty of Homeopathy · 2018
    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

12 authors at 6 institutions in 4 countries.

Lamiae Grimaldi-BensoudaLA-SER, 10 place de Catalogne, 75014, Paris, France. Lamiae.Grimaldi@la-ser.com.
Lucien AbenhaimLA-SER Europe Limited, 66 Chiltern St, London, W1U 4JT, UK.
Jacques MassolFaculty of Medicine, University of Franche Comté, 9 Rue Ambroise Paré, 25000, Besançon, France.
Didier GuillemotPasteur Institute, 28 rue du Docteur Roux, 75015, Paris, France.
Bernard AvouacLA-SER, 10 place de Catalogne, 75014, Paris, France.
Gerard DuruCyklad group, 16 Rue André Le Nôtre, 69140, Rillieux-la-Pape, France.
France LertINSERM U1018, Centre for Epidemiology and Population Health, Hôpital Paul Brousse, Bât 15/16, 16 Avenue Paul Vaillant Couturier, 94807, Villejuif, France.
Anne-Marie MagnierFaculty of Medicine, University Pierre and Marie Curie, 4 Place Jussieu, 75005, Paris, France.
Michel RossignolDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Purvis Hall, 1020 Pine Avenue West, Montreal, QC, H3A 1A2, Canada.
Frederic RouillonSainte-Anne Hospital, University of Paris V René Descartes, 100 rue de la Santé, 75674, Paris, France.
Bernard BegaudINSERM U657, University Victor Segalen Bordeaux 2, 146 rue Léo Saignat, 33076, Bordeaux, France.
EPI3-LA-SER group
Inserm · FRInstitut Pasteur · FRConservatoire National des Arts et Métiers · FRSorbonne Université · FRUniversité Paris Cité · FRUniversity of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of the study was to compare utilization of conventional psychotropic drugs among patients seeking care for anxiety and depression disorders (ADDs) from general practitioners (GPs) who strictly prescribe conventional medicines (GP-CM), regularly prescribe homeopathy in a mixed practice (GP-Mx), or are certified homeopathic GPs (GP-Ho).

methodsThis was one of three epidemiological cohort studies (EPI3) on general practice in France, which included GPs and their patients consulting for ADDs (scoring 9 or more in the Hospital Anxiety and Depression Scale, HADS). Information on all medication utilization was obtained by a standardised telephone interview at inclusion, 1, 3 and 12 months.

resultsOf 1562 eligible patients consulting for ADDs, 710 (45.5 %) agreed to participate. Adjusted multivariate analyses showed that GP-Ho and GP-Mx patients were less likely to use psychotropic drugs over 12 months, with Odds ratio (OR) = 0.29; 95 % confidence interval (CI): 0.19 to 0.44, and OR = 0.62; 95 % CI: 0.41 to 0.94 respectively, compared to GP-CM patients. The rate of clinical improvement (HADS <9) was marginally superior for the GP-Ho group as compared to the GP-CM group (OR = 1.70; 95 % CI: 1.00 to 2.87), but not for the GP-Mx group (OR = 1.49; 95 % CI: 0.89 to 2.50).

conclusionsPatients with ADD, who chose to consult GPs prescribing homeopathy reported less use of psychotropic drugs, and were marginally more likely to experience clinical improvement, than patients managed with conventional care. Results may reflect differences in physicians' management and patients' preferences as well as statistical regression to the mean.

Indexed as

HomeopathyPrimary Health CareAdolescentAdultAnxietyCohort StudiesDepressive DisorderFemaleHumansMaleMiddle AgedPsychotropic DrugsYoung AdultPsychotropic DrugsAnxietyDepressionHomeopathyPrimary care

Identifiers

PMID27145957
PMCPMC4855343
OpenAlexW2345852232

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.