American Society of Hirudotherapy

A Systematic Review of Complementary and Alternative Veterinary Medicine: "Miscellaneous Therapies"

Review published in Animals : an open access journal from MDPI (2021)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Narrative reviewGenomics & ProteomicsClinical TrialsBergh A et al. · Animals : an open access journal from MDPI, 2021

Abstract

There is an increasing interest in complementary and alternative veterinary medicine (CAVM). There is, however, an uncertainty of the efficacy of these methods. Therefore, the aim of this systematic literature review is to assess the evidence for clinical efficacy of 24 CAVM therapies used in cats, dogs, and horses. A bibliographic search, restricted to studies in cats, dogs, and horses, was performed on Web of Science Core Collection, CABI, and PubMed. Relevant articles were assessed for scientific quality, and information was extracted on study characteristics, species, type of treatment, indication, and treatment effects. Of 982 unique publications screened, 42 were eligible for inclusion, representing nine different CAVM therapies, which were aromatherapy, gold therapy, homeopathy, leeches (hirudotherapy), mesotherapy, mud, neural therapy, sound (music) therapy, and vibration therapy. For 15 predefined therapies, no study was identified. The risk of bias was assessed as high in 17 studies, moderate to high in 10, moderate in 10, low to moderate in four, and low in one study. In those studies where the risk of bias was low to moderate, there was considerable heterogeneity in reported treatment effects. Therefore, the scientific evidence is not strong enough to define the clinical efficacy of the 24 CAVM therapies.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal ArticleReview

Summary

There is an increasing interest in complementary and alternative veterinary medicine (CAVM).

Why This Matters for Hirudotherapy

This systematic literature review assessed evidence for clinical efficacy of 24 complementary and alternative veterinary medicine therapies in cats, dogs, and horses; of 982 publications screened, 42 were eligible and represented nine therapies, including leeches (hirudotherapy). The abstract reports risk of bias as high in 17 studies, moderate-to-high in 10, moderate in 10, low-to-moderate in four, and low in one, with considerable heterogeneity in treatment effects among low-to-moderate bias studies. It concludes that scientific evidence is not strong enough to define clinical efficacy for the 24 therapies. The review is relevant because it explicitly lists leeches/hirudotherapy as a veterinary modality, but the abstract provides no hirudotherapy-specific efficacy finding or separate insufficiency verdict beyond the general conclusion.

Citation

A Systematic Review of Complementary and Alternative Veterinary Medicine: "Miscellaneous Therapies"

Bergh A et al. · Animals : an open access journal from MDPI, 2021

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

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