Transcript The french Association of research in Thermalism

The French Association of
Research in Thermalism
- AFRETH Christian-F Roques MD*, W Tabone **, R Rettig ***
* Professor of Physical & Rehabilitation Medicine
(Toulouse III University)
President AFRETH scientific committee
** AFRETH General Secretary
*** President AFRETH Administrative Committee
PARIS
The AFRETH – Dec 2004
• The origin : research an obligation in the
convention SPA contractors – Social security
• 3 partners
– The CNETH (contractors)
– The ANMCT (spa resorts town councils)
– The FTCF (french branch of the FEMTEC)
• 2 Committees
– Administrative committee (strategy and financial
decisions)(AC)
– Scientific committee (scientific instruction and
validation of the yearly call for projects)(SC)
• A budget
– Functioning : 50000 € (CNETH, ANMCT, FTCF)
– Investigation : 1,3 Million € (yearly)(CNETH 2/3,
ANMCT 1/3)
Call for projects – results 1
(2005 + 2006)
PreProjects
Eligible
Medical
Service
Security
34
26
22
4
3
3
Biology
7
3
3
45
32
28
Total
Complete
Projects
External expertal advices
•
•
•
•
•
•
Clinical sciences
Biological sciences
Methodological sciences
Economical sciences
Medical ethics
TOTAL
22
8
26
4
24
84
The Health Department clinical trial
analysis form
Scientific and material
conditions of the clinical trials
• Well designed pragmatic studies
–
–
–
–
–
–
Relevance (doctors of spa resorts +++)
Randomisation
Accurate control population treatment
Criteria of judgement pertinent, validated, feasable
Size of the populations well calculated
Accurate statistics, …
• Ethically correct (french laws)
• Well organized and supported
– Methodological support team (university)
– Operating support team (investigating doctors, assessing
doctors, clinical research assistants, …)
– Good legal conventions previously signed
• Financially well-calibrated
Call for projects – results 2
(2005 + 2006)
PreEligible Compl. Scientif. Financ.
Valid
Projects
Projects Valid
(SC)
(AC)
Medical
Service
Security
34
26
22
8
8
4
3
3
3
2
Biology
7
3
3
3
1
45
32
28
14
11
Total
Medical service
• Osteoarthritis of the knee (2 RCT)
• Venous insufficiency (RCT)
• Rheumatic diseases – a medico
economic approach (pilot study)
• Children mucous otitis (RCT)
• Adults sinusitis (RCT)
• Overweight (RCT)
• Atopic dermatitis (RCT)
Others actions 2006
• Meta-analysis of RCT on spa-therapy
(INSERM)
• Expert consensus on methodology of
clinical trials in spa therapy (Aix les Bains
November 16th 2006)
• Scientific symposium on research in Spa
therapy (Aix les Bains, November 17th 2006)
AFRETH website : www.afreth.org
2007 call for projects
• A) Medical service of Spa therapy in poorly
investigated areas : dermatology,
neurology,urinary tract, digestive tract, …
• B) News trends in SPA therapy : education,
prevention, rehabilitation, ageing
management, … in spa resorts
• C) Health security of spa therapy regular
national survey : study of feasability
(adverse effects collection and exploitation)