Evidence map›Paper›PMID 24855343›Full record

ArticlePatient preference and adherence2014

Coprescription of Chinese herbal medicine and Western medication among female patients with breast cancer in Taiwan: analysis of national insurance claims.

Bih-Ru Wang, Yuh-Lih Chang, Tzeng-Ji Chen, Jen-Hwey Chiu, Jing Chong Wu, Min-Shan Wu, Chia-Lin Chou, Yueh-Ching Chou

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
13.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 31 citations in OpenAlex.

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  5. Trends in Coprescription Among Taiwanese Children from 2002 to 2012.Journal of multidisciplinary healthcare · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Bih-Ru WangDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan ; Department and Institute of Pharmacology, National Yang-Ming University, Taipei, Taiwan.
Yuh-Lih ChangDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan ; Department and Institute of Pharmacology, National Yang-Ming University, Taipei, Taiwan.
Tzeng-Ji ChenDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan ; Institute of Hospital and Health Care Administration, National Yang-Ming University, Taipei, Taiwan.
Jen-Hwey ChiuDivision of General Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan ; Institute of Traditional Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Jing Chong WuTraditional Medicine Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Min-Shan WuDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan.
Chia-Lin ChouDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan.
Yueh-Ching ChouDepartment of Pharmacy, Taipei Veterans General Hospital, Taipei, Taiwan ; Department and Institute of Pharmacology, National Yang-Ming University, Taipei, Taiwan ; College of Pharmacy, Taipei Medical University, Taipei, Taiwan.
Taipei Veterans General Hospital · TWKaohsiung Veterans General Hospital · TWNational Yang Ming Chiao Tung University · TWNational Yang Ming Chiao Tung University · TWTaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany female breast cancer (FBC) patients take Chinese herbal medicine (CHM) and Western medication (WM) concurrently in Taiwan. Despite the possibility of interactions between the CHM and WM mentioned in previous studies, the pattern of these coprescriptions in FBC patients remains unclear. Hence, the aim of the present study is to investigate the utilization of coprescriptions of CHM and WM among the FBC patients in Taiwan.

methodsThe study was a cross-sectional survey using the sampled cohort in 2009 obtained from the National Health Insurance Research Database in Taiwan. There were 3,507 FBC patients identified from the registry for catastrophic illness patients. Ambulatory visit records, corresponding prescriptions, and the data of beneficiaries belonging to the FBC patients were further extracted. A total of 1,086 FBC patients used CHM at least once. CHM and WM prescribed within any overlapping duration were defined as coprescriptions.

resultsThere were 868 (80.0%) patients simultaneously receiving CHM and WM. A total of 4,927 CHM prescriptions and 6,358 WM prescriptions were prescribed concurrently. Among these coprescriptions, the most frequently used CHM was jia-wei-xiao-yao-san (21.2%), and the most frequently coprescribed WM was acetaminophen (38.9%), followed by tamoxifen (25.5%). There were 346 patients using systemic adjuvant therapy and CHM concurrently. The most commonly coprescribed CHM with chemotherapy, endocrine therapy, and trastuzumab was xiang-sha-liu-jun-zi-tang, jia-wei-xiao-yao-san, and zhi-gan-cao-tang, respectively.

conclusionThe combined use of CHM with WM is prevalent. The main purpose of combining CHM with systemic cancer treatment is to alleviate the treatment-related adverse effects. However, the combination may result in the potential risk of drug-herb interactions. Further clinical studies are needed to evaluate the efficacy and safety of the CHM and WM coprescriptions for FBC patients.

Indexed as

complementary and alternative medicinedrug utilization patternspharmacoepidemiology

Identifiers

PMID24855343
PMCPMC4019611
OpenAlexW2120963405

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.