Homeopathic Treatment as an Add-On Therapy May Improve Quality of Life and Prolong Survival in Patients with Non-Small Cell Lung Cancer: A Prospective, Randomized, Placebo-Controlled, Double-Blind, Three-Arm, Multicenter Study (Publication with Expression of Concern)

被引:21
作者
Frass, Michael [1 ,2 ]
Lechleitner, Peter [3 ]
Gruendling, Christa
Pirker, Claudia [4 ]
Grasmuk-Siegl, Erwin [4 ]
Domayer, Julian [4 ]
Hochmair, Maximilian [4 ]
Gaertner, Katharina [5 ]
Duscheck, Cornelia [1 ]
Muchitsch, Ilse [6 ]
Marosi, Christine [1 ]
Schumacher, Michael [7 ]
Zoechbauer-Mueller, Sabine [1 ]
Manchanda, Raj K. [8 ,9 ]
Schrott, Andrea [10 ]
Burghuber, Otto [11 ,12 ,13 ]
机构
[1] Med Univ Vienna, Clin Div Oncol, Dept Med 1, Waehringer Guertel 18-20, A-1090 Vienna, Austria
[2] Inst Homeopath Res, Gaudenzdorfer Guertel 63, A-1120 Vienna, Austria
[3] Hosp Lienz, Dept Med, Lienz, Austria
[4] Karl Landsteiner Inst Lung Res & Pulm Oncol, Dept Resp & Crit Care Med, Resp Oncol Unit, Klin Floridsdorf, Vienna, Austria
[5] Univ Bern, Inst Complementary Med, Inselspital, Bern, Switzerland
[6] HomResearch, Interdisciplinary Homeopath Res Grp, Dept Vienna, Austrian Chamber Pharmacists, Vienna, Austria
[7] Elisabethinenspital, Dept Med, Linz, Austria
[8] Govt India, Cent Council Res Homeopathy, Minist AYUSH, Delhi, India
[9] LMHI, Delhi, India
[10] Stat Ambulanz, Consulting Co, Leobendorf, Austria
[11] Otto Wagner Hosp, Dept Resp & Crit Care Med, Vienna, Austria
[12] Otto Wagner Hosp, Ludwig Boltzmann Inst Lung Hlth, Vienna, Austria
[13] Sigmund Freud Univ, Med Sch, Vienna, Austria
关键词
Additive homeopathy; Adult oncology; Complementary and alternative medicine; Global health status; Lung cancer; Survival; SYMPTOM BURDEN; PHASE-III; CHEMOTHERAPY;
D O I
10.1002/onco.13548
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Lessons Learned Conventional medicine and homeopathy work well together. Quality of life improves with additive homeopathy in patients with non-small cell lung cancer (NSCLC). Survival improves with additive homeopathy in patients with NSCLC. Background Patients with advanced non-small cell lung cancer (NSCLC) have limited treatment options. Alongside conventional anticancer treatment, additive homeopathy might help to alleviate side effects of conventional therapy. The aim of the present study was to investigate whether additive homeopathy might influence quality of life (QoL) and survival in patients with NSCLC. Methods In this prospective, randomized, placebo-controlled, double-blind, three-arm, multicenter, phase III study, we evaluated the possible effects of additive homeopathic treatment compared with placebo in patients with stage IV NSCLC, with respect to QoL in the two randomized groups and survival time in all three groups. Treated patients visited the outpatients' centers every 9 weeks: 150 patients with stage IV NSCLC were included in the study; 98 received either individualized homeopathic remedies (n = 51) or placebo (n = 47) in a double-blinded fashion; and 52 control patients without any homeopathic treatment were observed for survival only. The constituents of the different homeopathic remedies were mainly of plant, mineral, or animal origin. The remedies were manufactured by stepwise dilution and succussion, thereby preparing stable Good Manufacturing Practice grade formulations. Results QoL as well as functional and symptom scales showed significant improvement in the homeopathy group when compared with placebo after 9 and 18 weeks of homeopathic treatment (p < .001). Median survival time was significantly longer in the homeopathy group (435 days) versus placebo (257 days; p = .010) as well as versus control (228 days; p < .001). Survival rate in the homeopathy group differed significantly from placebo (p = .020) and from control (p < .001). Conclusion QoL improved significantly in the homeopathy group compared with placebo. In addition, survival was significantly longer in the homeopathy group versus placebo and control. A higher QoL might have contributed to the prolonged survival. The study suggests that homeopathy positively influences not only QoL but also survival. Further studies including other tumor entities are warranted.
引用
收藏
页码:E1930 / E1955
页数:26
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