Subscribe to RSS
DOI: 10.1055/s-0031-1280298
Evidenzbasierte Regulationsmedizin – passt das zusammen?
Evidence-based regulative medicine: The missing linkAuthors
Publication History
Publication Date:
18 November 2011 (online)

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.
-
Literatur
- 1 Evans S. Changing the knowledge base in Western herbal medicine. Soc Sci Med 2008;
67: 2098-2106
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 4 Hektoen L. Review of the current involvement of homeopathy in veterinary practice
and research. Vet Rec 2005; 157: 224-229
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 6 Fleming P. Nontraditional approaches to pain management. Vet Clin North Am Equine
Pract 2002; 18: 83-105
Reference Ris Wihthout Link
- 7 Holmes M, Ramey D. An introduction to evidence-based veterinary medicine. Vet Clin
North Am Equine Pract 2007; 23: 191-200
Reference Ris Wihthout Link
- 8 Horzinek M. Alternative Methoden vs. evidenzbasierte Tiermedizin. In: LBH, ed. Proceedings
5. Leipziger Tierärztekongress. Leipzig: 2010: 28-29
Reference Ris Wihthout Link
- 9 Horzinek M. Hokuspokus in der Veterinärmedizin. In: LBH, ed. Proceedings 5. Leipziger
Tierärztekongress. Leipzig: 2010: 7
Reference Ris Wihthout Link
- 10 Cochrane AL. Effectiveness and efficiency: random reflections on health services.
London: Royal Society Medicine Press; 1972
Reference Ris Wihthout Link
- 11 Arlt S, Heuwieser W. Evidenz-Basierte Veterinärmedizin. Dtsch Tierarztl Wochenschr
2005; 112: 146-148
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 13 Holmes MA. Evaluation of the evidence. Vet Clin North Am Small Anim Pract 2007; 37:
447-462
Reference Ris Wihthout Link
- 14 Brendieck-Worm C. Fakten und Mythen zur Toxizität von Phytotherapeutika. ZGTM 2011;
25: 58-61
Reference Ris Wihthout Link
- 15 Schmidt PL. Evidence-based veterinary medicine: evolution, revolution, or repackaging
of veterinary practice?. Vet Clin North Am 2007; 37: 409-417
Reference Ris Wihthout Link
- 16 Ernst E. Acupuncture – a critical analysis. J Intern Med 2006; 259: 125-137
Reference Ris Wihthout Link
- 17 Audette J, Ryan A. The role of acupuncture in pain management. Phys Med Rehabil Clin
N Am 2004; 15: 749-772
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 19 Han J-S. Acupuncture and endorphins. Neuroscience Letters 2004; 361: 258-261
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 21 Arlt S, Heuwieser W. Evidence-based complementary and alternative veterinary medicine
– a contradiction in terms?. Berl Munch Tierarztl Wochenschr 2010; 123: 377-384
Reference Ris Wihthout Link
- 22 Rijnberk A, Ramey D. The end of veterinary homeopathy. Aust Vet J 2007; 85: 513-516
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 24 Kleijnen J, Knipschild P, Riet G ter. Clinical trials of homoeopathy. BMJ 1991; 302:
316-323
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 29 Enbergs H, Sensen B. Zur Effizienz homoeopathischer Behandlungen chronischer Endometritiden
von Milchkühen. Prakt Tierarzt 2007; 88: 534-543
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 31 Poppenga R. Herbal medicine: potential for intoxication and interactions with conventional
drugs. Clin Tech Small Anim Pract 2002; 17: 6-18
Reference Ris Wihthout Link
- 32 Vickers A, Zollman A. ABC of complementary medicine: Herbal medicine. BMJ 1999; 319:
1050-1053
Reference Ris Wihthout Link
- 33 Linde K. St. John's Wort – an overview. Forsch Komplementmed 2009; 16: 146-155
Reference Ris Wihthout Link
- 34 Smith-Schalkwijk M. Veterinary phytotherapy: an overview. Can Vet J 1999; 40: 891-892
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 36 Means C. Selected herbal hazards. Vet Clin North Am Small Anim Pract 2002; 32: 367-382
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 40 Schuette A. Ist Forschung in der Veterinärhomöopathie gerechtfertigt?. Berl Munch
Tierarztl Wochenschr 1994; 107: 229-236
Reference Ris Wihthout Link
- 41 Ernst E. Evidence-based complementary medicine: A contradiction in terms?. Ann Rheum
Dis 1999; 58: 69-70
Reference Ris Wihthout Link
- 42 Vickers A, Zollman A. ABC of complementary medicine. Homoeopathy. BMJ 1999; 319:
1115-1118
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link
- 44 Saxton J. The diversity of veterinary homeopathy. Homeopathy 2007; 96: 3
Reference Ris Wihthout Link
- 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
Reference Ris Wihthout Link