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AVALIAÇÃO DOS ENSAIOS CLÍNICOS HOMEOPÁTICOS NA ÁREA DAS DOENÇAS INFECCIOSAS E PARASITÁRIAS
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Affilliation
Abstract in Portuguese
Dentre os ensaios publicados sobre medicamentos homeopáticos na literatura não foi encontrada avaliação adequada sobre a qualidade dos mesmos. Isso motivou este estudo, baseado no levantamento bibliográfico de ensaios com portadores de doença infecciosa ou parasitária. Na avaliação da qualidade dos ensaios foi usada a escala de Jadad modificada, com pontuação entre 0 a 9 pontos. Dos 132 artigos, apenas 18 (13,6%) observaram os critérios de inclusão deste estudo e entre esses houve boa concordância (K=0,76) na avaliação de dois examinadores externos. Consi de rando a pontuação mediana – (=5), 55,6%, – dos ensaios, foram classificados como bons os com limites de pontos entre 5 a 9. Mesmo com o aperfeiçoamento da escala aplicada, necessita-se de mais estudos nessa área e mais rigorosos .
Abstract
Among the clinical trials with homeopathic remedies published in the literature, it was not found an adequate evaluation of their quality. This was the reason for the present study, performed on clinical trials involving patients with infectious or parasitary diseases. Literature was reviewed on electronic data-bases, reference lists of the selected studies, specialists and institutions were consulted. In the evaluation of the quality of the selected studies it was employed a modified scale of Jadad, ranging from 0 to 9. From 132 trials selected, only 18% met the criteria of inclusion; among them, there was good concordance (K=0.76%) in the assessment by 2 external reviewers. Considering the median punctuation (=5), 55.6% of the trials were considered of good quality, with limit values between 5 and 9. Even taken into account the need to improved the scale employed, the results indicate the need of further and more methodologically rigorous studies in this field.
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