Evidence map›Paper›PMID 30675667›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Effects of herbal medicine for xerostomia in head and neck cancer patients: an observational study in a tertiary cancer hospital.

Ren Jye Lim, Wan Najbah Nik Nabil, Si Yan Chan, Yoke Fui Wong, Li Xian Han, Jia Ying Gong, Kun Ling Ho, Yee Siang Shew, Li Xu

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Nutrients · 2025
    Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. General Use of Chinese Herbal Products among Female Patients with Mastitis in Taiwan.Evidence-based complementary and alternative medicine : eCAM · 2022
    Article
  8. Article
  9. 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

9 authors at 4 institutions in 3 countries.

Ren Jye LimTraditional & Complementary Medicine (T&CM) Unit, National Cancer Institute (NCI), Ministry of Health, Prescint 7, 62250, Putrajaya, Malaysia. limrenj@hotmail.com.
Wan Najbah Nik NabilTraditional & Complementary Medicine (T&CM) Unit, National Cancer Institute (NCI), Ministry of Health, Prescint 7, 62250, Putrajaya, Malaysia.
Si Yan ChanPharmacy Department, National Cancer Institute (NCI), Ministry of Health, Precinct 7, 62250, Putrajaya, Malaysia.
Yoke Fui WongDepartment of Radiotherapy and Oncology, National Cancer Institute (NCI), Ministry of Health, Prescint 7, 62250, Putrajaya, Malaysia.
Li Xian HanTraditional & Complementary Medicine (T&CM) Unit, National Cancer Institute (NCI), Ministry of Health, Prescint 7, 62250, Putrajaya, Malaysia.
Jia Ying GongTraditional & Complementary Medicine (T&CM) Unit, National Cancer Institute (NCI), Ministry of Health, Prescint 7, 62250, Putrajaya, Malaysia.
Kun Ling HoTraditional & Complementary Medicine (T&CM) Unit, National Cancer Institute (NCI), Ministry of Health, Prescint 7, 62250, Putrajaya, Malaysia.
Yee Siang ShewCancer Centre, Tung Shin Hospital, 102, Jalan Pudu, Bukit Bintang, 55100, Kuala Lumpur, Malaysia.
Li XuFirst Clinical Medicine College, Jiangsu Province Hospital of Traditional Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, 138 Xianlin Road, Nanjing, 210023, People's Republic of China.
National Cancer Institute · MYMinistry of Health · MYHospital Kuala Lumpur · MYNanjing University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMore than 80% head and neck cancer patients endured radiotherapy-induced xerostomia which impacts their quality of life (QoL). This observational study evaluated the effect of herbal treatment on head and neck cancer patients' xerostomia and QoL.

methodsHead and neck cancer patients were recruited from July 2016 till March 2017 at National Cancer Institute, Ministry of Health, Malaysia. All study participants continued their standard oncology surveillance. Treatment group participants additionally received Chinese herbal treatment. The assessments included unstimulated salivary flow rate (USFR), stimulated salivary flow rate (SSFR), and QoL questionnaire.

resultsOf 42 recruited participants, 28 were in the treatment group and 14 were in the control group. Participants were mainly Chinese (71.4%), stage III cancer (40.5%), and had nasopharynx cancer (76.2%). The commonly used single herbs were Wu Mei, San Qi, and Tian Hua Fen. Sha Shen Mai Dong Tang, Liu Wei Di Huang Wan, and Gan Lu Yin were the frequently prescribed herbal formulas. The baseline characteristics, USFR, SSFR, and QoL between control and treatment groups were comparable (p > 0.05). USFR between control and treatment groups were similar throughout the 6-month study period. SSFR for the treatment group significantly improved from 0.15 ± 0.28 ml/min (baseline) to 0.32 ± 0.22 ml/min (p = 0.04; at the 3rd month) and subsequently achieved 0.46 ± 0.23 ml/min (p = 0.001; at the 6th month). The treatment group had better QoL in terms of speech (p = 0.005), eating (p = 0.02), and head and neck pain (p = 0.04) at the 6th month.

conclusionHerbal treatment may improve xerostomia and QoL in post-radiotherapy head and cancer patients.

Indexed as

AdultAgedCancer Care FacilitiesDrug CombinationsDrugs, Chinese HerbalFemaleHead and Neck NeoplasmsHerbal MedicineHumansMalaysiaMaleMiddle AgedPhytotherapyQuality of LifeRadiation InjuriesSurveys and QuestionnairesDrug CombinationsDrugs, Chinese Herbalfructus schizandrae, radix ginseng, radix ophiopogonis drug combinationliu-wei-di-huang wanSan-ChiChinese herbal drugsHead and neck neoplasmsRadiotherapyXerostomia

Identifiers

PMID30675667
OpenAlexW2913217944

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.