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LETTER TO THE EDITOR
Year : 2009  |  Volume : 41  |  Issue : 2  |  Page : 91
 

Still in search of a herbal medicine: Culprit is poor methodological quality of research


Department of Pharmacology, Govt. Medical College and New Civil Hospital, Surat, Gujarat, India

Correspondence Address:
Jaykaran
Department of Pharmacology, Govt. Medical College and New Civil Hospital, Surat, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7613.51351

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How to cite this article:
Jaykaran. Still in search of a herbal medicine: Culprit is poor methodological quality of research. Indian J Pharmacol 2009;41:91

How to cite this URL:
Jaykaran. Still in search of a herbal medicine: Culprit is poor methodological quality of research. Indian J Pharmacol [serial online] 2009 [cited 2021 Jul 28];41:91. Available from: https://www.ijp-online.com/text.asp?2009/41/2/91/51351


Sir,

I read the editorial "Still in search of a herbal medicine…" by Thatte. [1] She mentioned that "in spite of increasing research in herbal medicines… there is still no product, no drug, that has made a difference to therapeutics". She mentioned various problems inherently associated with herbal research such as identification of plants, standardization, toxicological data etc. I believe something else we should not overlook is "methodological problems associated with the animal studies". Studies show that animal studies are poor predictors of effects in humans. [2] Among 20 reviews examining clinical utility, animal models demonstrated the potential to contribute significantly toward the development of human clinical interventions in only two cases. [3] There are various types of methodological problems associated with these studies. Some of these are as follows: [2]

  • Disparate animal species and strains.
  • Different models for inducing illness or injury with varying similarity to the human condition.
  • Variations in drug dosing schedules and regimen that are of uncertain relevance to the human condition.
  • Variability in the way animals are selected for study.
  • Methods of randomization.
  • Choice of comparison therapy (none, placebo, vehicle).
  • Reporting of loss to follow-up.
  • Small experimental groups with inadequate power.
  • Simplistic statistical analysis that does not account for potential confounding.
  • Failure to follow intention to treat principles.
  • Nuances in laboratory technique that may influence results may be neither recognized nor reported-e.g. methods for blinding investigators and selection of a variety of outcome measures, which may be disease surrogates or precursors and which are of uncertain relevance to the human clinical condition, etc.
I observed that in 2007 and 2008 among the articles published in IJP 84% were animal studies and many of the studies incorporated one of the problems mentioned above, such as randomization and blinding which can easily be done in animal experiments. Unfortunately either randomization or blinding are not done or are not declared in the many articles published in the journals. [2],[3] In clinical research where the drug is administered to the human, both randomization and blinding are very important. [4],[5] It has been shown that human clinical trials that lack randomization or blinding often overestimate the magnitude of treatment effects. [5] Animal studies that do not utilize randomization and blinding are more likely to report a difference between study groups than studies that employ these methods. [4] These methodological problems should be properly addressed while conducting research in animals.

 
 » References Top

1.Thatte U. Still in search of a herbal medicine. Indian J Pharmacol 2009;41:1-3.  Back to cited text no. 1    Medknow Journal
2.Pandora P. Where is the evidence that animal research benefits humans? BMJ 2004;328:514-17.  Back to cited text no. 2    
3.Knight A. Systematic reviews of animal experiments demonstrate poor human clinical and toxicological utility. ALTEX 2007;14:125-30.  Back to cited text no. 3    
4.Bebarta V, Luyten D, Heard K. Emergency medicine animal research: Does use of randomization and blinding affect the results? Acad Emerg Med 2003;10:684-7.  Back to cited text no. 4  [PUBMED]  
5.Hackam DG. Translating animal research into clinical benefit. BMJ 2007;334:163-4.  Back to cited text no. 5  [PUBMED]  [FULLTEXT]




 

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