Evidence map›Paper›PMID 30573993›Full record

ArticleClinical epidemiology2018

The effects of Bu Yang Huan Wu Tang on post-stroke epilepsy: a nationwide matched study.

Shu-Wen Weng, Ta-Liang Chen, Chun-Chieh Yeh, Hsin-Long Lane, Chien-Chang Liao, Chun-Chuan Shih

Open access · goldAbstract read
In one paragraph

Article in Clinical epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 32% 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, 9 citations in OpenAlex.

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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

6 authors at 5 institutions in 2 countries.

Shu-Wen WengDepartment of Chinese Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
Ta-Liang ChenDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan.
Chun-Chieh YehDepartment of Surgery, China Medical University Hospital, Taichung, Taiwan.
Hsin-Long LaneSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung, Taiwan, hwathai@seed.net.tw.
Chien-Chang LiaoDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan.
Chun-Chuan ShihSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung, Taiwan, hwathai@seed.net.tw.
China Medical University · TWI-Shou University · TWMinistry of Health and Welfare · TWTaipei Medical University · TWTaipei Medical University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the long-term risk of epilepsy in stroke patients who use Bu Yang Huan Wu Tang (BYHWT) and those who do not.

methodsIn the Taiwanese national insurance claims data, we identified newly diagnosed stroke patients receiving inpatient care in the years 2000-2004. Using propensity score-matched pairs to balance the baseline characteristics, we selected eligible stroke patients who did (n=8,971) and did not (n=8,971) receive BYHWT. These two groups were followed up until the end of 2009 to track the occurrence of epilepsy. We used Cox proportional hazard models to calculate the adjusted HRs and 95% CIs for post-stroke epilepsy during the follow-up period according to BYHWT use.

resultsCompared with the control group, stroke patients with BYHWT had a reduced risk of epilepsy during the 5-9 years of the follow-up period (HR 0.69, 95% CI 0.61-0.77). The association between BYHWT and reduced post-stroke epilepsy was significant in various subgroups of stroke patients. There was a dose-dependent decrease in the frequency of epilepsy with increasing quantities of BYHWT use from 1 package (HR 0.77, 95% CI 0.66-0.90) to ≥6 packages (HR 0.52, 95% CI 0.42-0.65).

conclusionStroke patients who received BYHWT therapy had a reduced long-term risk of epilepsy, and the beneficial effect could be observed in various subgroups. However, future clinical trials will be necessary to corroborate the present findings and identify the biochemical mechanism involved.

Indexed as

Bu Yang Huan Wu Tangepilepsylong-term riskstroke

Identifiers

PMID30573993
PMCPMC6292405
OpenAlexW2904903569

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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.