An Open-Label Observational Trial to Evaluate the Possible Effects of Individualized Homoeopathic Medicines in Symptomatic Nasal Polyp

Main Article Content

Aniruddha Banerjee
Birendra Prasad Srivastava
Munmun Koley
Subhranil Saha

Abstract

Introduction: Nasal polyps presenting with chronic rhino-sinusitis (CRS) is a commonly encountered condition characterized by nasal obstruction, loss of sense of smell (anosmia), postnasal drip, headache, and sleep disorders. Possibly 60-65% of the populations suffering from CRS has predisposition to nasal polyps. Homoeopathic literature claims to offer successful treatment of nasal polyps; but scarcely subjected to systematic research.


Materials and Methods: A prospective, open, non-randomized, single arm, observational trial of pre-post comparison design was conducted on 44 patients suffering from symptomatic nasal polyps. Sino-nasal outcome test (SNOT-20) and European Quality of Life (EQ-5D-5L) questionnaires were taken as the primary and secondary outcome measures respectively; assessed at baseline and after 3 months. Individualized homoeopathic medicines were prescribed on ‘totality of symptoms’. Intention to treat sample was subjected to statistical analysis. Data distribution was examined. Non-parametric Wilcoxon signed rank test and post hoc parametric paired t test were used accordingly. P values less than 0.05 were considered as statistically significant.


Results: Forty four patients were enrolled; 4 dropped out. Skiagrams revealed complete regressions of polyps in 23 (58%) cases. Statistically significant improvements were observed in both the subjective patient-rated outcomes – mean reduction of SNOT-20 scores by 19.9 [sd 15.5; 95% CI 15.5 to 24.2; P < 0.001], EQ-5D-5L questionnaire score by 0.9 [sd 2.6; 95% CI 0.1 to 1.7; P = 0.029]; and EQ-5D-5L VAS by 14.4 [sd 4.7; 95% CI 12.9 to 15.9; P < 0.001].


Conclusion: Homoeopathic medicines showed promising treatment effect in symptomatic nasal polyps. Randomized trials are warranted.

Article Details

How to Cite
1.
Banerjee A, Srivastava BP, Koley M, Saha S. An Open-Label Observational Trial to Evaluate the Possible Effects of Individualized Homoeopathic Medicines in Symptomatic Nasal Polyp. BJOHNS [Internet]. 2019Apr.30 [cited 2024Nov.21];27(1):51-9. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/225
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Main article
Author Biographies

Aniruddha Banerjee, Bengal Homoeopathic Medical College & Hospital, Asansol 713301, West Bengal

Lecturer, Dept. Of Community Medicine

Birendra Prasad Srivastava, National Institute of Homoeopathy, Block GE, Sector III, Salt Lake, Kolkata 700106, West Bengal

Professor, Dept. of Repertory

Munmun Koley, Central Council of Homoeopathy; Village Champsara, PO Baidyabati, Hooghly 712222, West Bengal

Independent Researcher

Subhranil Saha, Central Council of Homoeopathy; 93/2/1, Shibpur Road, PO and PS Shibpur, Howrah 711102, West Bengal

Independent Researcher

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