COMPLEMENTARY MEDICINE - WHAT PHYSICIANS THINK OF IT - A METAANALYSIS
COMPLEMENTARY MEDICINE - WHAT PHYSICIANS THINK OF IT - A METAANALYSIS
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DOI：
10.1001/archinte.155.22.2405
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发表时间：
1995-12-11
影响因子：
--
通讯作者：
WHITE, AR
中科院分区：
文献类型：
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作者：
ERNST, E;RESCH, KL;WHITE, AR
背景：补充（或替代）医学已成为大多数工业化国家的普遍现象。目前，随机对照试验调查其有效性的证据是零碎的，因此inconclusive.Objective：要评估医生是否认为补充医学有用和/或effective.Method：进行文献检索，检索所有相关文章。12个调查解决这个问题，发现和分析评估感知有用性和/或effectiveness.Results：结果显示了显着的变化之间的调查。平均而言，医生认为补充医学是中等有效的，在0到100分的范围内，评分为46+/-18。年轻的医生似乎比他们经验丰富的同事更乐观地判断补充医学。没有任何趋势表明补充医学越来越被认为是有用和/或有效的。数据没有回答的问题，医生是否认为补充医学作为一个非特异性的强大的安慰剂或作为具体effective.Conclusion：补充医学可能是有用的，但是，这个概念迫切需要在随机对照试验中进行测试。
Background: Complementary (or alternative) medicine has become a prevalent phenomenon in most industrialized countries. At present the evidence from randomized controlled trials investigating its effectiveness is fragmentary and therefore inconclusive.Objective: To assess whether physicians perceive complementary medicine as useful and/or effective.Method: A literature search was performed to retrieve all relevant articles. Twelve surveys addressing this question were found and analyzed by evaluating perceived usefulness and/or effectiveness.Results: The results show a remarkable variability between surveys. On average physicians perceive complementary medicine as moderately effective-the rating was 46+/-18 on a scale of 0 to 100 points. Young physicians seem to judge complementary medicine more optimistically than their more seasoned colleagues. There is no trend to suggest that complementary medicine is increasingly perceived as useful and/or effective. The data do not answer the question whether physicians view complementary medicine as a nonspecific powerful placebo or as specifically effective.Conclusion: Complementary medicine may be useful; however, the notion urgently needs to be tested in randomized controlled trials.