Evidence map›Paper›PMID 27392481›Full record

Trial reportChinese journal of integrative medicine2017

Effect of integrated Chinese and Western medicine therapy on severe hand, foot and mouth disease: A prospective, randomized, controlled trial.

Xiu-Hui Li, Shuang-Jie Li, Yi Xu, Dan Wei, Qing-Sheng Shi, Qing-Xiong Zhu, Tong Yang, Jian-Bo Ding, Yi-Mei Tian, Ji-Han Huang and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Chinese journal of integrative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01145664 (A Multi-Center Clinical Trial To Evaluate Chinese Herbal Medicines in the Treatment of Severe Hand-foot-mouth Disease), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 30% 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.

NCT01145664 naunknown statusnot on this map

A Multi-Center Clinical Trial To Evaluate Chinese Herbal Medicines in the Treatment of Severe Hand-foot-mouth Disease

TypeinterventionalSponsorBeijing YouAn HospitalRan2010Enrolled390ConditionsHand, Foot and Mouth DiseaseArmsHerbal concentrate-granules plus western therapy, Reduning Injection plus western therapy, Western therapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Current status of hand-foot-and-mouth disease.Journal of biomedical science · 2023
    Review
  5. Article
  6. Review
  7. Review
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

13 authors at 10 institutions in 1 country.

Xiu-Hui LiDepartment of Integrated Traditional Chinese Medicine and Western Medicine, Beijing Youan Hospital Affiliated to Capital Medical University, Beijing, 100069, China.
Shuang-Jie LiDepartment of Communicable Diseases, Children's Hospital of Hunan Province, Changsha, 410007, China.
Yi XuDepartment of Pediatrics, Guangzhou Medical Center for Women and Children, Guangzhou, 510623, China.
Dan WeiDepartment of Pediatrics, First Hospital Affiliated to Guangxi Medical University, Nanning, 530021, China.
Qing-Sheng ShiDepartment of Internal Medicine, Handan Maternal and Child Health Hospital, Handan, Hebei Province, 056001, China.
Qing-Xiong ZhuDepartment of Internal Medicine, Children's Hospital of Jiangxi Province, Nanchang, 330006, China.
Tong YangDepartment of Pediatrics, The People's Hospital of Liuzhou, Liuzhou, Guangxi Province, 545006, China.
Jian-Bo DingDepartment of Integrated Traditional Chinese Medicine and Western Medicine, Beijing Youan Hospital Affiliated to Capital Medical University, Beijing, 100069, China.
Yi-Mei TianDepartment of Integrated Traditional Chinese Medicine and Western Medicine, Beijing Youan Hospital Affiliated to Capital Medical University, Beijing, 100069, China.
Ji-Han HuangCenter for Drug Clinical Research, Shanghai University of Chinese Medicine, Shanghai, 201203, China.
Kun WangCenter for Drug Clinical Research, Shanghai University of Chinese Medicine, Shanghai, 201203, China.
Tao WenMedical Research Center, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China. wentao5281@163.com.
Xi ZhangDepartment of Pediatrics, Kaifeng Children's Hospital, Kaifeng, Henan Province, 475003, China. springmaze@sina.com.
Capital Medical University · CNShanghai University · CNBeijing YouAn Hospital · CNFirst Affiliated Hospital of GuangXi Medical University · CNGuangzhou Women and Children Medical Center · CNHandan College · CNHunan Children's Hospital · CNJiangxi Provincial Children's Hospital · CNKaifeng City Children's Hospital · CNLiuzhou General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of Chinese medicine (CM) plus Western medicine (WM) in the treatment of pediatric patients with severe hand, foot and mouth disease (HFMD) by conducting a prospective, controlled, and randomized trial.

methodsA total of 451 pediatric patients with severe HFMD were randomly assigned to receive WM therapy alone (224 cases, WM therapy group) or CM [Reduning Injection ( ) or Xiyanping Injection ()] plus WM therapy (227 cases, CM plus WM therapy group) for 7-10 days, according to a web-based randomization system. The primary outcome was fever clearance time, which was presented as temperature decreased half-life time. The secondary outcomes included the rate of rash/herpes disappearance within 120 h, as well as the rate for cough, runny nose, lethargy and weakness, agitation or irritability, and vomiting clearance within 120 h. The drug-related adverse events were also recorded.

resultsThe temperature decreased half-life time was 40.4 h in the WM therapy group, significantly longer than 27.2 h in the CM plus WM therapy group (P<0.01). Moreover, the rate for rash/herpes disappearance within 120 h was 43.6% (99/227) in the CM plus WM therapy group, significantly higher than 29.5% (66/224) in the WM therapy group (P<0.01). In addition, the rate for cough, lethargy and weakness, agitation or irritability disappearance within 120 h was 32.6% (74/227) in the CM plus WM therapy group, significantly higher than 19.2% (43/224) in the WM therapy group (P<0.01). No drug-related adverse events were observed during the course of the study.

conclusionThe combined CM and WM therapy achieved a better therapeutic efficacy in treating severe HFMD than the WM therapy alone. Reduning or Xiyanping Injections may become an important complementary therapy to WM for relieving the symptoms of severe HFMD. (Registration No. NCT01145664).

Indexed as

Medicine, Chinese TraditionalChild, PreschoolFemaleHand, Foot and Mouth DiseaseHumansInfant, NewbornMaleProspective StudiesTemperatureTreatment OutcomeChinese medicinefoot and mouth diseasehandReduning InjectionXiyanping Injection

Identifiers

PMID27392481
OpenAlexW2468285584

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.