Evidence map›Paper›PMID 27143990›Full record

ReviewEvidence-based complementary and alternative medicine : eCAM2016

The Efficacy and Safety of the Combination of Total Glucosides of Peony and Leflunomide for the Treatment of Rheumatoid Arthritis: A Systemic Review and Meta-Analysis.

Zhitao Feng, Juan Xu, Guochao He, Meiqun Cao, Lihong Duan, Liguo Chen, Zhengzhi Wu

Open access · hybridAbstract readReview
In one paragraph

Review in Evidence-based complementary and alternative medicine : eCAM, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. 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

7 authors at 3 institutions in 1 country.

Zhitao FengPostdoctoral Workstation of Chinese and Western Integrative Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China; The Futian Affiliated Hospital of Guangdong Medical Institute, Shenzhen, Guangdong, China; The First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China; Shenzhen Institute of Geriatrics, Shenzhen, Guangdong, China.
Juan XuDepartment of Rheumatology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Department of Traditional Chinese Internal Medicine, School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, China.
Guochao HeDepartment of Orthopedic Surgery, Hunan Provincial Hospital of Traditional Chinese Medicine, Zhuzhou, Hunan, China.
Meiqun CaoThe First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China; Shenzhen Institute of Geriatrics, Shenzhen, Guangdong, China.
Lihong DuanThe First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China; Shenzhen Institute of Geriatrics, Shenzhen, Guangdong, China.
Liguo ChenPostdoctoral Workstation of Chinese and Western Integrative Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China.
Zhengzhi WuThe Futian Affiliated Hospital of Guangdong Medical Institute, Shenzhen, Guangdong, China; The First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China; Shenzhen Institute of Geriatrics, Shenzhen, Guangdong, China.
Shenzhen University · CNJinan University · CNNanfang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. To evaluate the efficacy and safety of the total glucosides of peony (TGP) and leflunomide (LEF) for the treatment of rheumatoid arthritis (RA). Methods. Randomized controlled trials (RCTs) on the efficacy and safety of the combination of TGP and LEF versus LEF alone for the treatment of RA were retrieved by searching PubMed, EMBASE, Cochrane Library, the China National Knowledge Infrastructure database, and Wanfang database. Results. Eight RCTs including 643 RA patients were included in the present meta-analysis. The quality of included studies was poor. The levels of ESR (P < 0.0001), CRP (P < 0.0001), and RF (P < 0.0001) in RA patients who received the combination of TGP and LEF were significantly lower than RA patients who received LEF therapy alone. The pooled results suggest that the combination of TGP and LEF caused less abnormal liver function than LEF alone (P = 0.02). No significant difference in the gastrointestinal discomfort was identified between the combination of TGP and LEF and LEF alone groups (P = 0.18). Conclusion. The combination of TGP and LEF in treatment of RA presented the characteristics of notably decreasing the levels of laboratory indexes and higher safety in terms of liver function. However, this conclusion should be further investigated based on a larger sample size.

Identifiers

PMID27143990
PMCPMC4842062
OpenAlexW2291150129

What OpenQuestion holds

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LicenceCC BY
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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.