Evidence map›Paper›PMID 26413149›Full record

ArticleChinese medicine2015

Efficacy of combining oral Chinese herbal medicine and NB-UVB in treating psoriasis vulgaris: a systematic review and meta-analysis.

Lihong Yang, Claire Shuiqing Zhang, Brian May, Jingjie Yu, Xinfeng Guo, Anthony Lin Zhang, Charlie Changli Xue, Chuanjian Lu

Open access · goldAbstract read
In one paragraph

Article in Chinese medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Influence of phytochemicals in induced psoriasis (Review).Experimental and therapeutic medicine · 2020
    Review
  7. Article
  8. Review
  9. Article
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 2 institutions in 2 countries.

Lihong YangEvidence Based Medicine and Clinical Research Service Group, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China ; The 2nd Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China ; Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, 510120 China.
Claire Shuiqing ZhangChina-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT Health Innovations Research Institute, RMIT University, PO Box 71, Bundoora, Melbourne, VIC 3083 Australia.
Brian MayChina-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT Health Innovations Research Institute, RMIT University, PO Box 71, Bundoora, Melbourne, VIC 3083 Australia.
Jingjie YuDepartment of Dermatology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
Xinfeng GuoEvidence Based Medicine and Clinical Research Service Group, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China ; The 2nd Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China ; Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, 510120 China.
Anthony Lin ZhangChina-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT Health Innovations Research Institute, RMIT University, PO Box 71, Bundoora, Melbourne, VIC 3083 Australia.
Charlie Changli XueThe 2nd Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China ; Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, 510120 China ; China-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT Health Innovations Research Institute, RMIT University, PO Box 71, Bundoora, Melbourne, VIC 3083 Australia.
Chuanjian LuDepartment of Dermatology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China ; The 2nd Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China ; Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, 510120 China ; China-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT Health Innovations Research Institute, RMIT University, PO Box 71, Bundoora, Melbourne, VIC 3083 Australia.
Guangzhou University of Chinese Medicine · CNRMIT University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe combination of a Chinese herbal medicine (CHM) bath and narrowband ultraviolet B (NB-UVB) improved the efficacy of NB-UVB treatment of psoriasis vulgaris, but bath therapy is inconvenient. Oral CHM plus NB-UVB has been tested in clinical practice. This study aims to evaluate whether adding oral CHM could be beneficial for NB-UVB therapy by a systematic review and meta-analysis.

methodsNine English and Chinese databases were searched from their inception to April 2014. Randomized controlled trials (RCTs) comparing the combination of orally administered CHM and NB-UVB with that of CHM placebo and NB-UVB or NB-UVB alone for treating psoriasis vulgaris and reporting Psoriasis Area Severity Index (PASI) outcomes were included. A systematic review, meta-analysis, risk of bias assessment and the GRADE assessment were conducted in accordance with Cochrane Collaboration methodology to assess the evidence for efficacy outcome. Data were analyzed in RevMan5.2.

resultsEighteen eligible RCTs (n = 1416) were included for systematic review, and 17 (n = 1342) of them were included in meta-analysis. Risk of bias in terms of blinding was high and so was in publication bias. Quality of evidence was low according the GRADE assessment. PASI-60 or above [risk ratio (RR) = 1.35, 95 % confidence interval (CI) 1.26-1.45, I(2) = 5 %, number needed to treat = 4.27] and PASI-90 or above (RR = 1.71, 95 % CI 1.45-2.01, I(2) = 0 %, number needed to treat = 5.92) were higher in the intervention group. The combination treatment conferred a 24 % benefit of PASI-60 or above (83 vs 59 %, RR = 1.35, 95 % CI 1.26-1.45, P < 0.01). The incidence of NB-UVB-induced adverse events was lower in the intervention group (95/464 vs 123/428, RR = 0.66, 95 % CI 0.46-0.96, P < 0.01). Mild gastrointestinal reactions (2.87 %) and liver function impairments (0.68 %) were reported in the intervention group. No serious adverse events were reported.

conclusionThe orally administrated CHM combined with NB-UVB in treating psoriasis vulgaris showed improved efficacy but quality of evidence was low.

Identifiers

PMID26413149
PMCPMC4583725
OpenAlexW2138345909

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.