Most complementary therapies are unproven, says UK's only professor of complementary medicine
Main Category: Cancer / OncologyArticle Date: 02 Aug 2004 - 14:00 PDT
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Edzard Ernst is the UK's only professor of complementary medicine - he says that the public should not place too much faith in complementary medicine's ability to cure. He said most claims made by complementary therapies are unproven. Some have been tested vigorously and do work well - but others have not.
Edzard Ernst warned people to be wary of web sites that claim to offer cures for cancer. He also mentioned the risks of herbal medicines affecting the way orthodox drugs work. If a claim sounds to be true it probably is (too good to be true), he said.
He advised people not to just accept a complementary therapist at face value. You should ask for proof of indemnity cover and experience. He also tells people to check exactly what the treatment plans are before they start.
Professor Edzard Ernst works at the Plymouth Peninsula Medical School, UK.
Edzard Ernst and colleagues studied 32 cancer web sites, all of them popular. They found that the information on them varied considerably.
He described his findings as "quite an eye opener and pretty scary stuff. A lot of unproven stuff is being recommended to cancer patients. Cancer patients, particularly those who are seriously ill, are desperate patients, and desperate patients will cling to any claim and promise that is being made to them. Therefore, I think bogus claims for alternative cancer cures are very, very dangerous."
He said such therapies as consuming powdered shark fin and apricot kernels were unproven.
More worrying, Edzard Ernst said, were web sites that told people to stop taking their regular cancer drugs. Edzard said there must be some people around who have come to an earlier than expected death as a result of following that advice.
Edzard Ernst said that what was needed was an approval scheme. Good sites could be given a seal which showed they were reliable.
Some complementary products undermine the activity of crucial life saving drugs. Edzard Ernst gave the example of St. John's Wort, which undermines the effectiveness of Warfarin and leaves the patient at much higher risk of a heart attack (patients who are already at high risk).
Edzard said patients should tell their GPs if they are on complementary therapies.
40,000 alternative/complementary therapists work in the UK. Many of them are unregulated. About one quarter of the UK population uses complementary therapy each year.
Edzard Ernst prefers the term, 'complementary' to 'alternative'. 'Alternative' suggests the patient should abandon his/her current orthodox treatment.
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Visitor Opinions In Chronological Order (2)
Ernst is too critical
posted by Dr Denis MacEoin on 2 Aug 2004 at 6:27 pmI am growing increasingly wary of Professor Ernst and what is becoming a one-sided tirade against complementary and alternative medicine. He's quite right that there are rogues and charlatans out there and that many therapies are unproven. I'd go further and say that too many CAM therapies are mystical, occult, or plain metaphysical in origin and practice.
But, although there is a lot of good practice out there, I never see articles by Ernst pointing this out. There are numerous successful clinical trials and laboratory tests on homoeopathy and other therapies, but Ernst never publicizes them.
It is also important to point out that fatalities and injuries directly attributable to CAM are very few in number. If Professor Ernst ever reads the BMJ, he will know that the 3 July issue this year carried a lead article in which it is calculated that the number of deaths from adverse drug reactions (ADRs) per year in the UK is 10,000. And that's just the ADRs. Further deaths occur from infections acquired in hospital (many the result of the overprescription of antibiotics), from surgery and other interventions, and from accidents. In the interests of proportion, the professor had a duty to refer to this and other studies of iatrogenesis from Illich to the present day. Why does he never do that?
My wife is a busy homoeopath of long standing. She has successful outcomes with a majority of patients, often curing intractable, long-term conditions. She never claims to cure cancer, AIDS, and similar conditions (though she can palliate in many cases). She refers patients to GPs when appropriate. When it's time, and with GP cooperation, she weans patients off their drugs, giving them a drug-free existence. None of her patients have ever so far suffered an ADR or been deprived of essential orthodox treatment. She is, all in all, a great deal safer than many orthodox doctors, and with many conditions much more effective. Is Ernst even aware that such people exist and that they represent a challenge to the negative side of orthodox medicine as well as a potential boost to its positive side.
I wish Professor Ernst well in clearing away the rubbish that has collected around CAM, and I hope he can persuade more CAM specialists of the value of scientific method. But I fear that his regular excursions into print with headlines about how dangerous CAM is may do real harm, not so much to the charlatans, but to genuine, caring therapists who have enough difficulty gaining acceptance without gratuitous and partial remarks like these.
Complimentary therapies do work
posted by marlene thompson on 11 Aug 2004 at 12:33 amIt is difficult to evaluare complimetary therapies since they are tailored to suit the individual, taking into account diet and lifestyle factors, unlike conventional medicine which treats symptoms only, leaving underlying causes untouched.
Thousands of people can testify to their succes, and many have been cured after the failure of modern medicine. Bearing in mind that official scientific sources admit that the majority of (conventional) drugs do not work in most people and are a major cause of death one questions why Prof. Ernst is so resistant to alternative therapies that could help thousands of people. Many complimenray practioners are conventionally trained doctors -and vets.
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