if its not a clinical trial its irrelevant
disagree completely. Many of this type of study leads to clinical studies/trials and provides a foundation of future research and treatments. would also point out that there are treatments used by doctors based on anecdotal evidence and their experience in the field that do not have complete clinical trial evidence either.
A rheumy in Portland Oregon is beginning to treat as patients with fecal matter transplants, pending FDA permission, based on small studies like you are ignoring above.