{"id":5049,"date":"2014-08-11T13:40:50","date_gmt":"2014-08-11T13:40:50","guid":{"rendered":"https:\/\/www.hri-research.org\/fr\/homeopathy-faqs\/there-isnt-a-single-good-quality-rct-showing-homeopathy-works\/"},"modified":"2022-02-16T12:11:39","modified_gmt":"2022-02-16T12:11:39","slug":"essais-de-bonne-qualite","status":"publish","type":"page","link":"https:\/\/www.hri-research.org\/fr\/ressources\/homeopathy-faqs\/essais-de-bonne-qualite\/","title":{"rendered":"Existe-t-il des essais cliniques de bonne qualit\u00e9 montrant que l&rsquo;hom\u00e9opathie fonctionne ?"},"content":{"rendered":"<p>Beaucoup de personnes croient que tous les essais cliniques contr\u00f4l\u00e9s (ERCs) de haute qualit\u00e9 en hom\u00e9opathie ont eu des r\u00e9sultats n\u00e9gatifs. Ceci est faux.<\/p>\n<p>Les exemples ci-dessous montrent des <a href=\"#\" class=\"definition\" title=\"D\u00e9finition : type d'essai clinique g\u00e9n\u00e9ralement utilis\u00e9 pour tester l'efficacit\u00e9 des m\u00e9dicaments traditionnels et qui est encore toujours consid\u00e9r\u00e9 par certains comme la \u00ab norme de r\u00e9f\u00e9rence absolue \u00bb\">ERCs<\/a> ainsi que des <a href=\"#\" class=\"definition\" title=\"revues syst\u00e9matiques\/m\u00e9ta-analyse : \u00e9tudes qui analysent les r\u00e9sultats combin\u00e9s de plusieurs essais cliniques similaires en vue d'arriver \u00e0 des conclusions plus solides\">revues syst\u00e9matiques\/m\u00e9ta-analyses<\/a> positifs et de haute qualit\u00e9 \u00e9valuant plusieurs sortes d\u2019hom\u00e9opathie\u00a0:<\/p>\n<ul>\n<li><strong>Le traitement hom\u00e9opathique individualis\u00e9 contre la diarrh\u00e9e chez les enfants. <\/strong>Une m\u00e9ta-analyse de trois essais cliniques avec contr\u00f4le placebo de Jacobs et al. en 2003 a d\u00e9montr\u00e9 que le traitement hom\u00e9opathique r\u00e9duisait la dur\u00e9e de la diarrh\u00e9e (p=0.008).<sup><a title=\"Jacobs, J., Jonas, W. B., Jim\u00e9nez-P\u00e9rez, M. &amp; Crothers, D. Homeopathy for childhood diarrhea: combined results and metaanalysis from three randomized, controlled clinical trials. Pediatr. Infect. Dis. J. 22, 229\u2013234 (2003).\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12634583\" target=\"_blank\" rel=\"noopener noreferrer\">1<\/a><\/sup><\/li>\n<li><strong>Le traitement hom\u00e9opathique individualis\u00e9 contre l\u2019otite (otite moyenne) chez les enfants<\/strong><sup><a title=\"Jacobs J, Springer DA, Crothers D. Homeopathic treatment of acute otitis media in children: a preliminary randomized placebo-controlled trial. Pediatr Infect Dis J. 2001; 20(2): 177-83\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11224838\">2<\/a><\/sup><sup>,<a title=\"Sinha, M. N. et al. Randomized controlled pilot study to compare Homeopathy and Conventional therapy in Acute Otitis Media. Homeopat. J. Fac. Homeopat. 101, 5\u201312 (2012).\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22226309\" target=\"_blank\" rel=\"noopener noreferrer\">3<\/a><\/sup><\/li>\n<li><strong>Le m\u00e9dicament hom\u00e9opathique<strong>\u00a0<\/strong><em><strong>Galphimia glauca<\/strong><\/em><strong>\u00a0<\/strong><strong>contre le rhume des foins (rhinite allergique)<\/strong><\/strong><sup><a title=\"Wiesenauer and L\u00fcdtke. A meta analysis of the homeopathic treatment of pollinosis with Galphimia glauca. Forsch. Komplement\u00e4rmed. 1996; 3: 230-234.\" href=\"https:\/\/www.karger.com\/Article\/Pdf\/210233\">4<\/a><\/sup><\/li>\n<li><strong>Le m\u00e9dicament <a href=\"#\" class=\"definition\" title=\"D\u00e9finition : un sous-genre de l'hom\u00e9opathie o\u00f9 le m\u00e9dicament hom\u00e9opathique utilis\u00e9 provient de la m\u00eame substance qui est \u00e0 l'origine des sympt\u00f4mes \u00e0 traiter\">isopathique<\/a><strong>\u00a0<\/strong><em><strong>Pollen 30c<\/strong><\/em><strong>\u00a0contre le rhume des foins<\/strong><\/strong><sup><a title=\"Reilly, D. T., Taylor, M. A., et al. (1986). &quot;Is homoeopathy a placebo response? Controlled trial of homoeopathic potency, with pollen in hayfever as model.&quot; Lancet 2(8512): 881-886.\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/2876326\" target=\"_blank\" rel=\"noopener noreferrer\">5<\/a><\/sup><\/li>\n<li><strong>Le <a href=\"#\" class=\"definition\" title=\"D\u00e9finition : m\u00e9dicament contenant plusieurs m\u00e9dicaments hom\u00e9opathiques\">m\u00e9dicament hom\u00e9opathique complexe<\/a><strong>\u00a0<\/strong><em><strong>Vertigoheel<\/strong><\/em><strong>\u00a0contre le vertige<\/strong><\/strong><strong>.<\/strong><sup><a title=\"Schneider et al. Treatment of vertigo with a homeopathic complex remedy compared with usual treatments \u2013 a meta-analysis of clinical trials, Arzneim.-Forschung 2005, 55(1) 23-29.\" href=\"http:\/\/www.biopathica.co.uk\/Articles\/Dizziness\/19%20-%20Vertigo%20Treatment%20with%20a%20Homeopathic%20Complex%20Remedy.pdf\">6<\/a><\/sup><\/li>\n<\/ul>\n<p>Il est n\u00e9cessaire d&rsquo;effectuer plus de recherche pour confirmer les r\u00e9sultats de ces \u00e9tudes prometteuses et en particulier, des reproductions \u00e0 grande \u00e9chelle men\u00e9es par d&rsquo;autres \u00e9quipes de recherche.<\/p>\n<p>Pour en savoir plus dans les domaines prometteurs de la recherche clinique, voir \u00ab\u00a0<a href=\"https:\/\/www.hri-research.org\/wp-content\/uploads\/2014\/08\/HRI_ResearchArticle_21_TournierRoberts_TargetedResearch.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Homeopathy on trial \u2013 The need for targeted research<\/a>\u00a0\u00bb de Tournier &amp; Roberts, 2013.<\/p>\n<h3><span class=\"accent\">Le \u00ab\u00a0picorage\u00a0\u00bb (<em>cherry picking<\/em>)<\/span><\/h3>\n<p style=\"text-align: left;\"><a href=\"https:\/\/www.hri-research.org\/wp-content\/uploads\/2015\/12\/Cherries_shutterstock_213948859-e1450362194674.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-4866\" src=\"https:\/\/www.hri-research.org\/wp-content\/uploads\/2015\/12\/Cherries_shutterstock_213948859-150x150.jpg\" alt=\"Cherries_shutterstock_213948859\" width=\"150\" height=\"150\" \/><\/a>Le \u00ab <em>cherry picking<\/em> \u00bb ou \u00ab\u00a0picorage\u00a0\u00bb consiste \u00e0 ne publier ou ne citer que les essais cliniques positifs \u00e0 propos d\u2019un certain traitement, en laissant de c\u00f4t\u00e9 les essais n\u00e9gatifs contradictoires. Ceci peut mener \u00e0 une d\u00e9formation des preuves, ce qui a donn\u00e9 lieu \u00e0 des efforts r\u00e9cents pour obliger les instituts de recherche et les compagnies pharmaceutiques \u00e0 publier tous les r\u00e9sultats des essais cliniques &#8211; les positifs ainsi que les n\u00e9gatifs &#8211; pour que l&rsquo;enti\u00e8ret\u00e9 des preuves puisse \u00eatre prise en consid\u00e9ration.<\/p>\n<p>Quand des \u00e9tudes clairement positives sont pr\u00e9sent\u00e9es \u00e0 ceux qui critiquent l&rsquo;hom\u00e9opathie, ils disent souvent que c&rsquo;est du \u00ab\u00a0picorage\u00a0\u00bb puisqu\u2019il existe d&rsquo;autres essais n\u00e9gatifs en hom\u00e9opathie. N\u00e9anmoins, ces essais n\u00e9gatifs auraient seulement leur importance s&rsquo;ils testaient le m\u00eame traitement hom\u00e9opathique pour la m\u00eame pathologie.<\/p>\n<p>Dans le cas des \u00e9tudes pr\u00e9sent\u00e9es ci-dessus, il n&rsquo;existe pas \u00e0 notre connaissance d&rsquo;autres r\u00e9p\u00e9titions de ces essais qui aient produit des r\u00e9sultats n\u00e9gatifs. Les preuves sont donc irr\u00e9futables.<\/p>\n<h3><span class=\"accent\">Le besoins de reproduire les \u00e9tudes existantes<\/span><\/h3>\n<p>Comme le domaine de la recherche en hom\u00e9opathie est relativement r\u00e9cent et que les fonds destin\u00e9s aux nouveaux essais cliniques sont limit\u00e9s, peu d&rsquo;\u00e9tudes de haute qualit\u00e9 ont \u00e9t\u00e9 men\u00e9es et encore moins, reproduites &#8211; une situation que le HRI tient \u00e0 changer.<\/p>\n<p>Au fur et \u00e0 mesure que de nouvelles \u00e9tudes seront disponibles sur ces m\u00eames traitements hom\u00e9opathiques, la base de faits sera mise \u00e0 jour d\u00e8s que ces r\u00e9sultats seront confirm\u00e9s ou contredits par de nouveaux r\u00e9sultats.<\/p>\n<p><a href=\"#\" class=\"expand-content button accent-bg\" id=\"69e653b9b9289\"><span class=\"expand-content-more\">R\u00e9f\u00e9rences<\/span><span class=\"expand-content-less\">Moins<\/span><\/a><\/p><div class=\"collapse-content\" id=\"panel-69e653b9b9289\">\n<ol>\n<li>Jacobs J, Jonas WB, Jim\u00e9nez-P\u00e9rez M &amp; Crothers D. Homeopathy for childhood diarrhea: combined results and metaanalysis from three randomized, controlled clinical trials. <em>Pediatr. Infect. Dis. J.,<\/em>\u00a02003;<strong>22:<\/strong>229\u2013234 |\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12634583\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed<\/a><\/li>\n<li>Jacobs J, Springer DA, Crothers D. Homeopathic treatment of acute otitis media in children: a preliminary randomized placebo-controlled trial. <em>Pediatr Infect Dis J<\/em>., 2001; <strong>20<\/strong>(2): 177-83 | <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11224838\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed<\/a><\/li>\n<li>Sinha MN,\u00a0<em>et al.<\/em> Randomized controlled pilot study to compare Homeopathy and Conventional therapy in Acute Otitis Media. <em>Homeopat. J. Fac. Homeopat., <\/em>2012; <strong>101:<\/strong>\u00a05\u201312 | <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22226309\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed<\/a><\/li>\n<li>Wiesenauer M &amp; L\u00fcdtke R. A meta analysis of the homeopathic treatment of pollinosis with Galphimia glauca. <em>Forsch. Komplement\u00e4rmed.,<\/em> 1996; <strong>3<\/strong>: 230-234 | <a href=\"https:\/\/www.karger.com\/Article\/Pdf\/210233\" target=\"_blank\" rel=\"noopener noreferrer\">Link<\/a><\/li>\n<li>Reilly DT, Taylor MA, et al. Is homoeopathy a placebo response? Controlled trial of homoeopathic potency, with pollen in hayfever as model. <em>Lancet, <\/em>1986; <strong>2<\/strong>(8512): 881-886 | <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/2876326\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed<\/a><\/li>\n<li>Schneider B, et al. Treatment of vertigo with a homeopathic complex remedy compared with usual treatments \u2013 a meta-analysis of clinical trials, <em>Arzneim.-Forschung<\/em>, 2005;\u00a0<strong>55<\/strong>(1): 23-29 |\u00a0<a href=\"http:\/\/www.biopathica.co.uk\/Articles\/Dizziness\/19%20-%20Vertigo%20Treatment%20with%20a%20Homeopathic%20Complex%20Remedy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed<br \/>\n<\/a><\/div><!-- fr --><\/li>\n<\/ol>\n<p><a href=\"https:\/\/www.hri-research.org\/fr\/resources\/homeopathy-faqs\/\">Retour \u00e0 la section FAQs<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Beaucoup de personnes croient que tous les essais cliniques contr\u00f4l\u00e9s (ERCs) de haute qualit\u00e9 en hom\u00e9opathie ont eu des r\u00e9sultats n\u00e9gatifs. Ceci est faux. Les exemples ci-dessous montrent des ainsi que des positifs et de haute qualit\u00e9 \u00e9valuant plusieurs sortes d\u2019hom\u00e9opathie\u00a0: Le traitement hom\u00e9opathique individualis\u00e9 contre la diarrh\u00e9e chez les enfants. Une m\u00e9ta-analyse de trois [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":5008,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"page-translated-faq.php","meta":{"footnotes":""},"class_list":["post-5049","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.hri-research.org\/fr\/wp-json\/wp\/v2\/pages\/5049","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hri-research.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hri-research.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hri-research.org\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hri-research.org\/fr\/wp-json\/wp\/v2\/comments?post=5049"}],"version-history":[{"count":0,"href":"https:\/\/www.hri-research.org\/fr\/wp-json\/wp\/v2\/pages\/5049\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.hri-research.org\/fr\/wp-json\/wp\/v2\/pages\/5008"}],"wp:attachment":[{"href":"https:\/\/www.hri-research.org\/fr\/wp-json\/wp\/v2\/media?parent=5049"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}