Evidence map›Paper›PMID 26986673›Full record

ArticleJournal of alternative and complementary medicine (New York, N.Y.)2016

Long-Term Effectiveness of Combined Treatment with Traditional Chinese Medicine and Western Medicine on the Prognosis of Patients with Lung Cancer.

Woung-Ru Tang, Sien-Hung Yang, Chih-Teng Yu, Chin-Chou Wang, Sheng-Teng Huang, Tzu-Hsin Huang, Ming-Chu Chiang, Yue-Cune Chang

Abstract read
In one paragraph

Article in Journal of alternative and complementary medicine (New York, N.Y.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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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.

Woung-Ru Tang1 School of Nursing, College of Medicine, Chang Gung University , Taoyuan, Taiwan, Republic of China .
Sien-Hung Yang2 Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital , Taoyuan, Taiwan, Republic of China .
Chih-Teng Yu4 Department of Lung Cancer & Interventional Bronchoscope, Chang Gung Memorial Hospital , Taoyuan, Taiwan, Republic of China .
Chin-Chou Wang5 Department of Chest Medicine, Chang Gung Memorial Hospital , Kaohsiung, Taiwan, Republic of China .
Sheng-Teng Huang3 School of Traditional Chinese Medicine, College of Medicine, Chang Gung University , Taoyuan, Taiwan, Republic of China .
Tzu-Hsin Huang7 Department of Nursing, Taoyuan Chang Gung Memorial Hospital , Taoyuan, Taiwan, Republic of China .
Ming-Chu Chiang8 Department of Nursing, Chang Gung Memorial Hospital , Kaohsiung, Taiwan, Republic of China .
Yue-Cune Chang9 Department of Mathematics, Tamkang University , Taipei, Taiwan, Republic of China .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study aim was to compare the long-term effect of Western medicine and combined treatment with Traditional Chinese Medicine (TCM) and Western medicine on the prognosis (survival rate, symptom distress, physical function, and quality of life) of patients with lung cancer.

designLongitudinal study. SETTING/LOCATION: Two medical centers, one each in Northern and Southern Taiwan. PATIENTS: Patients newly diagnosed with lung cancer and treated with Western medicine (n = 54) or TCM plus Western medicine (n = 30). OUTCOME MEASURES: Symptom distress, physical function, and quality of life were measured by using the Symptom Distress Scale, Eastern Cooperative Oncology Group-Performance Status Rating, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaires (EORTC QLQ-C30 and EORTC QLQ-LC13), respectively. Data on these measures were collected at baseline (before treatment) and 1, 3, 6, and 12 months after starting treatment. Survival was estimated by Kaplan-Meier curves. Group differences in outcomes were analyzed by generalized estimating equations.

resultsTreatment groups did not differ significantly at baseline for demographic information; disease severity; symptom distress; or EORTC QLQ-C30 and QLQ-LC13 scores, except for pain and dyspnea. After adjustment for these baseline effects, the combined-treatment group had better physical function and role function than the Western medicine group at 6 months (p < 0.05). The combined treatment group had better cumulative survival, but this difference did not reach significance.

conclusionsTo more precisely estimate the long-term effectiveness of combined treatment on the prognosis of patients with lung cancer, future studies should standardize the number of TCM visits; increase the number of participants by continuous recruitment; and ask patients to complete daily logs with single-item measures of outcomes, such as symptom distress, quality of life, and physical function. Similar studies are suggested in patients with different cancers to develop a collaborative model using Western medicine and TCM.

Indexed as

Medicine, Chinese TraditionalAgedCombined Modality TherapyFemaleHumansLongitudinal StudiesLung NeoplasmsMaleMiddle AgedPrognosisQuality of LifeTaiwan

Identifiers

PMID26986673
PMCPMC4799711

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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.