Consideration of interactions and side effects of herbal medicines in German S3 guidelines of the Association of the Scientific Medical Societies (AWMF)

Klose, P; Kraft, K; Lauche, R; Cramer, H; Dobos, G; Langhorst, J

Consideration of interactions and side effects of herbal medicines in German S3 guidelines of the Association of the Scientific Medical Societies (AWMF)

Klose, P Kraft, K Lauche, R

Cramer, H Dobos, G Langhorst, J

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Publication Type:: Journal Article
Citation:: Forschende Komplementarmedizin, 2016, 23 (3), pp. 154 - 164
Issue Date:: 2016-07-01

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Field	Value	Language
dc.contributor.author	Klose, P	en_US
dc.contributor.author	Kraft, K	en_US
dc.contributor.author	Lauche, R https://orcid.org/0000-0002-4171-7935	en_US
dc.contributor.author	Cramer, H	en_US
dc.contributor.author	Dobos, G	en_US
dc.contributor.author	Langhorst, J	en_US
dc.date.issued	2016-07-01	en_US
dc.identifier.citation	Forschende Komplementarmedizin, 2016, 23 (3), pp. 154 - 164	en_US
dc.identifier.issn	1661-4119	en_US
dc.identifier.uri	http://hdl.handle.net/10453/63214
dc.description.abstract	© 2016 S. Karger GmbH, Freiburg. Herbal remedies have a long history in the medical care of the German-speaking regions but they are rarely taken into account in the development of medical guidelines. In a prestudy, our working group analyzed as to how far herbal remedies were taken into consideration in the current interdisciplinary evidence- and consensus-based S3 medical guidelines established by the Association of the Scientific Medical Societies (AWMF) in Germany. The aim of this study was to analyze to what extent possible side effects and interactions of herbal remedies are mentioned in the S3 medical guidelines. In January 2015, 134 S3 guidelines were counted and analyzed. 27.6[%] (n = 37) of them show 194 statements summarized under the term 'phytotherapy'. References to side effects and interactions can be found in 28.4[%] of the statements (n = 55); 13.9[%] (n = 27) of these references are backed by the literature. 14 of the statements deal with nutritional supplements, 11 are statements about phytotherapy in general, and 7 summarize at least 2 medical plants in 1 statement. Hence, only 23 statements pay attention to side effects and interactions of individual medical plants; 14 of these are backed by the literature. These results do not correspond to the standards required by the AWMF, which is due to imprecise terms as well as to the insufficiently systematic approach in the search for scientific evidence for the safety of medical plants. Here, the Association for Phytotherapy may achieve an important contribution to quality improvement.	en_US
dc.relation.ispartof	Forschende Komplementarmedizin	en_US
dc.relation.isbasedon	10.1159/000446573	en_US
dc.subject.classification	Complementary & Alternative Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Plants, Medicinal	en_US
dc.subject.mesh	Plant Extracts	en_US
dc.subject.mesh	Phytotherapy	en_US
dc.subject.mesh	Drug Interactions	en_US
dc.subject.mesh	Drug-Related Side Effects and Adverse Reactions	en_US
dc.title	Consideration of interactions and side effects of herbal medicines in German S3 guidelines of the Association of the Scientific Medical Societies (AWMF)	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	23	en_US
utslib.for	1104 Complementary and Alternative Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	23	en_US

Abstract:

© 2016 S. Karger GmbH, Freiburg. Herbal remedies have a long history in the medical care of the German-speaking regions but they are rarely taken into account in the development of medical guidelines. In a prestudy, our working group analyzed as to how far herbal remedies were taken into consideration in the current interdisciplinary evidence- and consensus-based S3 medical guidelines established by the Association of the Scientific Medical Societies (AWMF) in Germany. The aim of this study was to analyze to what extent possible side effects and interactions of herbal remedies are mentioned in the S3 medical guidelines. In January 2015, 134 S3 guidelines were counted and analyzed. 27.6[%] (n = 37) of them show 194 statements summarized under the term 'phytotherapy'. References to side effects and interactions can be found in 28.4[%] of the statements (n = 55); 13.9[%] (n = 27) of these references are backed by the literature. 14 of the statements deal with nutritional supplements, 11 are statements about phytotherapy in general, and 7 summarize at least 2 medical plants in 1 statement. Hence, only 23 statements pay attention to side effects and interactions of individual medical plants; 14 of these are backed by the literature. These results do not correspond to the standards required by the AWMF, which is due to imprecise terms as well as to the insufficiently systematic approach in the search for scientific evidence for the safety of medical plants. Here, the Association for Phytotherapy may achieve an important contribution to quality improvement.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/63214