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Zeitschrift für Ganzheitliche Tiermedizin 2011; 25(04): 138-142
DOI: 10.1055/s-0031-1280298
Ganzheitlicher Exkurs
Sonntag Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG Stuttgart

Evidenzbasierte Regulationsmedizin – passt das zusammen?

Evidence-based regulative medicine: The missing link
Sebastian Arlt
,
Peggy Haimerl
,
Wolfgang Heuwieser
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Publikationsverlauf

Publikationsdatum:
18. November 2011 (online)

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Zusammenfassung

Alternative Therapiemethoden werden im Kontext der evidenzbasierten Veterinärmedizin (EBVM) immer wieder kontrovers diskutiert. Dieser Artikel beschreibt die Grundlagen und Ziele der EBVM und gibt einen Überblick über den derzeitigen wissenschaftlichen Stand der alternativen Therapiemethoden. Zusammenfassend ist festzustellen, dass bisher wenig hochwertige Daten zur Effektivität und zur Sicherheit der Alternativmedizin publiziert wurden. Mögliche Forschungsansätze, welche die Besonderheiten der Regulationsmedizin berücksichtigen, werden diskutiert.

Summary

Complementary and alternative medicine (CAM) is discussed controversially, especially in the context of evidence-based veterinary medicine (EBVM). This paper provides an overview of the principles and aims of EBVM and the currently available scientific data on CAM therapies. To sum up, short rigorous research data concerning the efficacy and safety of CAM is presented. Moreover, possible research strategies with regard to important aspects of CAM are discussed.

Key words

evidence-based veterinary medicine - complementary medicine - alternative medicine - research strategies
 

  • Literatur

  • 1 Evans S. Changing the knowledge base in Western herbal medicine. Soc Sci Med 2008; 67: 2098-2106
    Google Scholar
  • 2 Linde K, Vickers A, Hondras M et al Systematic reviews of complementary therapies – an annotated bibliography. Part 1: Acupuncture. BMC Complement Altern Med 2001; 1: 3
    Google Scholar
  • 3 Chiappelli F, Prolo P, Cajulis O. Evidence-based research in complementary and alternative medicine I: history. Evid Based Complement Alternat Med 2005; 2: 453-458
    Google Scholar
  • 4 Hektoen L. Review of the current involvement of homeopathy in veterinary practice and research. Vet Rec 2005; 157: 224-229
    Google Scholar
  • 5 Hahn I, Zitterl-Eglseer K, Franz C. Phytomedicine in dogs and cats: web-based survey among veterinarians in Austria, Germany and Switzerland. Schweiz Arch Tierheilkd 2005; 147: 135-141
    Google Scholar
  • 6 Fleming P. Nontraditional approaches to pain management. Vet Clin North Am Equine Pract 2002; 18: 83-105
    Google Scholar
  • 7 Holmes M, Ramey D. An introduction to evidence-based veterinary medicine. Vet Clin North Am Equine Pract 2007; 23: 191-200
    Google Scholar
  • 8 Horzinek M. Alternative Methoden vs. evidenzbasierte Tiermedizin. In: LBH, ed. Proceedings 5. Leipziger Tierärztekongress. Leipzig: 2010: 28-29
    Google Scholar
  • 9 Horzinek M. Hokuspokus in der Veterinärmedizin. In: LBH, ed. Proceedings 5. Leipziger Tierärztekongress. Leipzig: 2010: 7
    Google Scholar
  • 10 Cochrane AL. Effectiveness and efficiency: random reflections on health services. London: Royal Society Medicine Press; 1972
    Google Scholar
  • 11 Arlt S, Heuwieser W. Evidenz-Basierte Veterinärmedizin. Dtsch Tierarztl Wochenschr 2005; 112: 146-148
    Google Scholar
  • 12 Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence-based medicine: what it is and what it isn't. BMJ 1996; 312: 71-72
    Google Scholar
  • 13 Holmes MA. Evaluation of the evidence. Vet Clin North Am Small Anim Pract 2007; 37: 447-462
    Google Scholar
  • 14 Brendieck-Worm C. Fakten und Mythen zur Toxizität von Phytotherapeutika. ZGTM 2011; 25: 58-61
    Google Scholar
  • 15 Schmidt PL. Evidence-based veterinary medicine: evolution, revolution, or repackaging of veterinary practice?. Vet Clin North Am 2007; 37: 409-417
    Google Scholar
  • 16 Ernst E. Acupuncture – a critical analysis. J Intern Med 2006; 259: 125-137
    Google Scholar
  • 17 Audette J, Ryan A. The role of acupuncture in pain management. Phys Med Rehabil Clin N Am 2004; 15: 749-772
    Google Scholar
  • 18 Sung H, YS K, IS K. Proteomic analysis of differential protein expression in neuropathic pain and electroacupuncture treatment models. Proteomics 2004; 4: 2805-2813
    Google Scholar
  • 19 Han J-S. Acupuncture and endorphins. Neuroscience Letters 2004; 361: 258-261
    Google Scholar
  • 20 Birch S, Hesselink J, Jonkman F, Hekker T, Bos A. Clinical research on acupuncture: Part 1. What have reviews of the efficacy and safety of acupuncture told us so far?. J Altern Complement Med 2004; 10: 468-480
    Google Scholar
  • 21 Arlt S, Heuwieser W. Evidence-based complementary and alternative veterinary medicine – a contradiction in terms?. Berl Munch Tierarztl Wochenschr 2010; 123: 377-384
    Google Scholar
  • 22 Rijnberk A, Ramey D. The end of veterinary homeopathy. Aust Vet J 2007; 85: 513-516
    Google Scholar
  • 23 Linde K, Clausius N, Ramirez G et al Are the clinical effects of homoeopathy placebo effects? A meta-analysis of placebo-controlled trials. Lancet 1997; 350: 834-843
    Google Scholar
  • 24 Kleijnen J, Knipschild P, Riet G ter. Clinical trials of homoeopathy. BMJ 1991; 302: 316-323
    Google Scholar
  • 25 Shang A, Huwiler-Müntener K, Nartey L et al Are the clinical effects of homoeopathy placebo effects? Comparative study of placebo-controlled trials of homoeopathy and allopathy. Lancet 2005; 366: 726-732
    Google Scholar
  • 26 Lüdtke R, Rutton AL. The conclusions on the effectiveness of homoeopathy highly depend on the set of analyzed trials. J Clin Epidemiol 2008; 61: 1197-1204
    Google Scholar
  • 27 Mathie R, Hansen L, Elliott M, Hoare J. Outcomes from homeopathic prescribing in veterinary practice: a prospective, research-targeted, pilot study. Homeopathy 2007; 96: 27-34
    Google Scholar
  • 28 Fidelak C, Klocke P, Heuwieser W. Homoeopathic prophylaxis in dairy cows on an organic farm part 1 – fertility. Dtsch Tierarztl Wochenschr 2007; 114: 258-274
    Google Scholar
  • 29 Enbergs H, Sensen B. Zur Effizienz homoeopathischer Behandlungen chronischer Endometritiden von Milchkühen. Prakt Tierarzt 2007; 88: 534-543
    Google Scholar
  • 30 Arlt S, Padberg W, Drillich M, Heuwieser W. Efficacy of homoeopathic remedies as prophylaxis of bovine endometritis. J Dairy Sci 2009; 92: 4945-4953
    Google Scholar
  • 31 Poppenga R. Herbal medicine: potential for intoxication and interactions with conventional drugs. Clin Tech Small Anim Pract 2002; 17: 6-18
    Google Scholar
  • 32 Vickers A, Zollman A. ABC of complementary medicine: Herbal medicine. BMJ 1999; 319: 1050-1053
    Google Scholar
  • 33 Linde K. St. John's Wort – an overview. Forsch Komplementmed 2009; 16: 146-155
    Google Scholar
  • 34 Smith-Schalkwijk M. Veterinary phytotherapy: an overview. Can Vet J 1999; 40: 891-892
    Google Scholar
  • 35 Githiori J, Athanasiadou S, Thamsborg S. Use of plants in novel approaches for control of gastrointestinal helminths in livestock with emphasis on small ruminants. Vet Parasitol 2006; 139: 308-320
    Google Scholar
  • 36 Means C. Selected herbal hazards. Vet Clin North Am Small Anim Pract 2002; 32: 367-382
    Google Scholar
  • 37 Holm E, Kowollik H, Reinecke A et al Comparative neurophysiologic studies using valtratum/isovaltratum and valerian extract in cats. Med Welt 1980; 31: 982-990
    Google Scholar
  • 38 Fonnebo V, Grimsgaard S, Walach H et al Researching complementary and alternative treatments – the gatekeepers are not at home. BMC Med Res Meth 2007; 7: 7
    Google Scholar
  • 39 Verhoef MJ, Lewith G, Ritenbaugh C et al Complementary and alternative medicine whole systems research: beyond identification of inadequacies of the RCT. Complement Ther Med 2005; 13: 206-212
    Google Scholar
  • 40 Schuette A. Ist Forschung in der Veterinärhomöopathie gerechtfertigt?. Berl Munch Tierarztl Wochenschr 1994; 107: 229-236
    Google Scholar
  • 41 Ernst E. Evidence-based complementary medicine: A contradiction in terms?. Ann Rheum Dis 1999; 58: 69-70
    Google Scholar
  • 42 Vickers A, Zollman A. ABC of complementary medicine. Homoeopathy. BMJ 1999; 319: 1115-1118
    Google Scholar
  • 43 MacPherson H, Scullion A, Thomas K, Walters S. Patient reports of adverse events associated with acupuncture treatment: a prospective national survey. Qual Saf Health Care 2004; 13: 349-355
    Google Scholar
  • 44 Saxton J. The diversity of veterinary homeopathy. Homeopathy 2007; 96: 3
    Google Scholar
  • 45 Lastein DB, Vaarst M, Enevoldsen C. Veterinary decision making in relation to metritis – a qualitative approach to understand the background for variation and bias in veterinary medical records. Acta Vet Scand 2009; 51: 36
    Google Scholar