Evidence map›Paper›PMID 28803328›Full record

ArticleJournal of cancer research and clinical oncology2017

Traditional Chinese medicine as adjunctive therapy improves the long-term survival of lung cancer patients.

Yueh-Hsiang Liao, Chia-Ing Li, Cheng-Chieh Lin, Jaung-Geng Lin, Jen-Huai Chiang, Tsai-Chung Li

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 3 pooled it
11.2field-weighted citation impact, top 1% 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

95 citing papers in PubMed, 3 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
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  4. Structuring healthcare advance directives: Evidence from Chinese end-of-life cancer patients' treatment preferences.Health expectations : an international journal of public participation in health care and health policy · 2023
    Trial
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35 more citing papers are in PubMed but not listed here.

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

6 authors at 2 institutions in 1 country.

Yueh-Hsiang LiaoSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung, Taiwan.
Chia-Ing LiDepartment of Medical Research, China Medical University Hospital, Taichung, Taiwan.
Cheng-Chieh LinSchool of Medicine, College of Medicine, China Medical University, Taichung, Taiwan.
Jaung-Geng LinSchool of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan.
Jen-Huai ChiangDepartment of Public Health, College of Public Health, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402, Taiwan.
Tsai-Chung LiDepartment of Public Health, College of Public Health, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402, Taiwan. tcli@mail.cmu.edu.tw.ORCID http://orcid.org/0000-0002-3346-7462
China Medical University · TWAsia University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTraditional Chinese medicine is one of the popular alternative treatments for cancer, mainly enhancing host immune response and reducing adverse effect of chemotherapy. This study first explored traditional Chinese medicine treatment effect on long-term survival of lung cancer patients.

methodsThis study evaluated whether traditional Chinese medicine combined with conventional cancer treatment improved overall survival of lung cancer patients. We had conducted a retrospective cohort study on 111,564 newly diagnosed lung cancer patients in 2000-2009 from National Health Insurance Program database.

resultsA total of 23,803 (21.31%) patients used traditional Chinese medicine for lung cancer care. Eligible participants were followed up until 2011 with a mean follow-up period of 1.96 years (standard deviation 2.55) for non-TCM users and 3.04 years (2.85) for traditional Chinese medicine users. Patients with traditional Chinese medicine utilization were significantly more likely to have a 32% decreased risk of death [hazard ratio = 0.62; 95% confidence interval = 0.61-0.63], compared with patients without traditional Chinese medicine utilization after multivariate adjustment. We also observed a similar significant reduction risk across various subgroups of chronic lung diseases. Qing Zao Jiu Fei Tang was the most effective traditional Chinese medicine agent for mortality reduction both in the entire lung cancer (0.81; 0.72-0.91) and matched populations (0.86; 0.78-0.95).

conclusionThis study demonstrated adjunctive therapy with traditional Chinese medicine may improve overall survival of lung cancer patients. This study also suggested traditional Chinese medicine may be used as an adjunctive therapy for cancer treatment. These observational findings need being validated by future randomized controlled trials to rule out the possibility of effect due to holistic care.

Indexed as

AgedCancer SurvivorsChinaCombined Modality TherapyFemaleHumansLung NeoplasmsMaleMedicine, Chinese TraditionalMiddle AgedProportional Hazards ModelsRetrospective StudiesCohort studyHazard ratioLung cancerSurvivalTraditional Chinese medicine

Identifiers

PMID28803328
PMCPMC11819392
OpenAlexW2743664249

What OpenQuestion holds

Textmetadata
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.