{"id":9321,"date":"2014-08-11T13:40:50","date_gmt":"2014-08-11T13:40:50","guid":{"rendered":"https:\/\/www.hri-research.org\/homeopathy-faqs\/there-isnt-a-single-good-quality-rct-showing-homeopathy-works\/"},"modified":"2022-02-17T15:27:59","modified_gmt":"2022-02-17T15:27:59","slug":"forsok-av-hog-kvalitet","status":"publish","type":"page","link":"https:\/\/www.hri-research.org\/sv\/homeopathy-faqs\/forsok-av-hog-kvalitet\/","title":{"rendered":"Finns det h\u00f6gkvalitativa studier som visar att homeopati fungerar?"},"content":{"rendered":"<p>M\u00e5nga m\u00e4nniskor tror att alla h\u00f6gkvalitativa randomiserade kontrollerade studier (RCT) som testat homeopati har varit negativa. Det \u00e4r inte sant.<\/p>\n<p>Nedan finns exempel p\u00e5 positiva h\u00f6gkvalitativa <a href=\"#\" class=\"definition\" title=\"Den typ av studie som brukar anv\u00e4ndas f\u00f6r att testa effekten av konventionella medicinska l\u00e4kemedel och fortfarande betraktas av vissa att vara \u201cguldstandard\u201d.\">RCT:s<\/a> och <a href=\"#\" class=\"definition\" title=\"Studier som analyserar de kombinerade resultaten av flera liknande studier f\u00f6r att n\u00e5 p\u00e5litligare slutsatser\">systematiska \u00f6versikter\/metaanalyser<\/a> som testat olika typer av homeopati:<\/p>\n<ul>\n<li><strong>Individualiserad homeopatisk behandling av diarr\u00e9 hos barn<\/strong>. En metaanalys av tre placebokontrollerade randomiserade studier av Jacobs et al. 2003 visade att homeopatiska behandlingar f\u00f6rkortade sjukdomstiden vid diarr\u00e9 (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>Individualiserad homeopatisk behandling f\u00f6r \u00f6roninflammationer (otitis media) hos barn.<\/strong>\u00a0<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\" target=\"_blank\" rel=\"noopener noreferrer\">2<\/a>,<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>Den homeopatiska medicinen <em>Galphima glauca<\/em> mot h\u00f6snuva<\/strong> (allergisk rhinitis).<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\" target=\"_blank\" rel=\"noopener noreferrer\">4<\/a><\/sup><\/li>\n<li><strong>Den <a href=\"#\" class=\"definition\" title=\"En behandling d\u00e4r det homeopatiska l\u00e4kemedlet som anv\u00e4nds \u00e4r tillverkat av samma substans som orsakar symptomen som behandlas\">isopatiska<\/a> medicinen Pollen 30c f\u00f6r h\u00f6snuva.<\/strong><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\"><sup>5<\/sup><\/a><\/li>\n<li><strong>Den <a href=\"#\" class=\"definition\" title=\"som inneh\u00e5ller flera homeopatiska l\u00e4kemedel\">komplex-homeopatiska medicinen<\/a> <em>Vertigoheel<\/em> mot yrsel.<\/strong><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\" target=\"_blank\" rel=\"noopener noreferrer\"><sup>6<\/sup><\/a><\/li>\n<\/ul>\n<p>Flera studier beh\u00f6vs f\u00f6r att bekr\u00e4fta resultaten av dessa lovande studier, s\u00e4rskilt storskaliga och h\u00f6gkvalitativa repetitioner av andra forskargrupper.<\/p>\n<p>F\u00f6r att hitta fler lovande omr\u00e5den inom klinisk forskning, se \u2018<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>\u2019 av Tournier &amp; Roberts, 2013.<\/p>\n<h3><span class=\"accent\">\u2018Problemet med \u2018cherry picking\u2019<\/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>\u201dCherry picking\u201d (= k\u00f6rsb\u00e4rsplockande) inneb\u00e4r att publicera eller citera positiva studier av en given behandling samtidigt som motstridiga eller negativa studier ignoreras. Detta kan leda till en f\u00f6rvr\u00e4ngning av evidens, vilket \u00e4r orsaken att det nyligen har uppkommit krav p\u00e5 att f\u00f6rs\u00f6ka tvinga forskningsinstitut och medicintillverkare att visa alla forskningsresultat \u2013 b\u00e5de positiva och negativa \u2013 s\u00e5 att evidensbalansen kan beaktas i sin helhet.<\/p>\n<p>N\u00e4r starka positiva studier presenteras f\u00f6r homeopati-kritiker avf\u00e4rdas de ofta som \u201dcherry picking\u201d eftersom det finns andra negativa studier om homeopati. Emellertid \u00e4r de negativa studierna enbart relevanta om de pr\u00f6var samma homeopatiska behandling f\u00f6r samma tillst\u00e5nd.<\/p>\n<p>N\u00e4r de g\u00e4ller de studier som listas ovan, finns det till v\u00e5r k\u00e4nnedom inga andra repetitioner av dessa studier som har gett negativt resultat, s\u00e5 evidensen \u00e4r entydig.<\/p>\n<h3><strong><span class=\"accent\">Behovet av upprepning av befintliga studier<\/span><br \/>\n<\/strong><\/h3>\n<p>Eftersom forskning inom homeopati \u00e4r ett relativt nytt omr\u00e5de och det finns begr\u00e4nsade forskningsmedel f\u00f6r att st\u00f6dja nya studier, g\u00f6rs det endast ett f\u00e5tal h\u00f6gkvalitativa studier, och \u00e4nnu f\u00e4rre upprepningar \u2013 n\u00e5got som HRI \u00e4r angel\u00e4gna om att f\u00f6r\u00e4ndra.<\/p>\n<p>Om och n\u00e4r fler studier blir tillg\u00e4ngliga som vidare testar samma homeopatiska behandlingar, kommer evidensbasen att uppdateras vartefter de tidigare studiernas resultat antingen kommer att bekr\u00e4ftas eller mots\u00e4gas.<\/p>\n<p><a href=\"#\" class=\"expand-content button accent-bg\" id=\"69deac4a73040\"><span class=\"expand-content-more\">Referenser<\/span><span class=\"expand-content-less\">Mindre<\/span><\/a><\/p><div class=\"collapse-content\" id=\"panel-69deac4a73040\">\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><!-- sv --><\/li>\n<\/ol>\n<p><a href=\"https:\/\/www.hri-research.org\/sv\/resources\/homeopathy-faqs\/\">Tillbaka till Homeopati FAQ<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>M\u00e5nga m\u00e4nniskor tror att alla h\u00f6gkvalitativa randomiserade kontrollerade studier (RCT) som testat homeopati har varit negativa. Det \u00e4r inte sant. Nedan finns exempel p\u00e5 positiva h\u00f6gkvalitativa och som testat olika typer av homeopati: Individualiserad homeopatisk behandling av diarr\u00e9 hos barn. En metaanalys av tre placebokontrollerade randomiserade studier av Jacobs et al. 2003 visade att homeopatiska [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9313,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"page-translated-faq.php","meta":{"footnotes":""},"class_list":["post-9321","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.hri-research.org\/sv\/wp-json\/wp\/v2\/pages\/9321","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hri-research.org\/sv\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hri-research.org\/sv\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hri-research.org\/sv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hri-research.org\/sv\/wp-json\/wp\/v2\/comments?post=9321"}],"version-history":[{"count":0,"href":"https:\/\/www.hri-research.org\/sv\/wp-json\/wp\/v2\/pages\/9321\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.hri-research.org\/sv\/wp-json\/wp\/v2\/pages\/9313"}],"wp:attachment":[{"href":"https:\/\/www.hri-research.org\/sv\/wp-json\/wp\/v2\/media?parent=9321"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}