There are times where I find my general frustration at stupidity comes to a boiling point. On these occasions, I decide to use this anger as a source of motivation to action, typically to find the will to read through such sources of stupidity, a task I would normally avoid like the black plague.
In this instance, I have been browsing through Australian homeopathic websites. Particularly this one and most interestingly, this paper on Homeopathic medicines for adverse effects of cancer treatments (Sosie Kassab, Mike Cummings, Saul Berkovitz, Robbert van Haselen, Peter Fisher).
It only takes a quick read of the abstract to see that there is quite obviously something wrong in the homeopathic industry, if indeed it is worthy of such a name, for industry implies industrious and industrious implies honest labour; an implication I’m not willing to cede to them.
Main results
Eight controlled trials (seven placebo controlled and one trial against an active treatment) with a total of 664 participants met the inclusion criteria. Three studied adverse effects of radiotherapy, three studied adverse effects of chemotherapy and two studied menopausal symptoms associated with breast cancer treatment.
Homeopathic medicines for adverse effects of cancer treatments (Review) 1 Copyright © 2009 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd. Two studies with low risk of bias demonstrated benefit: one with 254 participants demonstrated superiority of topical calendula over trolamine (a topical agent not containing corticosteroids) for prevention of radiotherapy-induced dermatitis, and another with 32 participants demonstrated superiority of Traumeel S (a proprietary complex homeopathic medicine) over placebo as a mouthwash for chemotherapy-induced stomatitis. Two other studies reported positive results, although the risk of bias was unclear, and four further studies reported negative results. No serious adverse effects or interactions were reported attributable to the homeopathic medicines used.
Authors’ conclusions
This review found preliminary data in support of the efficacy of topical calendula for prophylaxis of acute dermatitis during radiotherapy and Traumeel S mouthwash in the treatment of chemotherapy-induced stomatitis. These trials need replicating. There is no convincing evidence for the efficacy of homeopathic medicines for other adverse effects of cancer treatments. Further research is required.
In Summary. There were 8 trials in total. I must confess myself unfamiliar with proper process in medical trials so I can only take what they have written here at face value. Even so, we have 2 studies showing some benefit, with low risks of bias in the results. 2 more showed positive results, with an unclear risk of bias. The other four trials showed negative results (no mention of bias here).
That means 50% positive (maybe, depending on this elusive bias) and 50% negative (bias unmentioned).
At this point, the reasonable person determines that there is no definite or statistically significant data showing that homeopathic solutions are any better than placebo.
However, the author’s conclusions are that there is preliminary data in support of homeopathic remedies. Surely it would be an equally valid conclusion to say that there is preliminary data (an equal amount in this paper, at least) in support of the inefficacy of homeopathic remedies against the adverse effects of cancer treatment.
The author should have been happy to broaden his comment about how “There is no convincing evidence for the efficacy of homeopathic medicines for other adverse effects of cancer treatments.” to say that there is no evidence for the efficacy of homeopathic medicines for any adverse effects of cancer treatments.
And I haven’t even started delving into the actual substance of the paper…