Evidence map›Paper›PMID 31882016›Full record

ArticleTrials2019

Efficacy, safety, and cost-effectiveness analysis of adjuvant herbal medicine treatment, Palmijihwang-hwan, for chronic low back pain: a study protocol for randomized, controlled, assessor-blinded, multicenter clinical trial.

Won-Suk Sung, Sae-Rom Jeon, Ye-Jin Hong, Tae-Hun Kim, Seungwon Shin, Hyun-Jong Lee, Byung-Kwan Seo, Yeon-Cheol Park, Eun-Jung Kim, Dong-Woo Nam

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-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.

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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. 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

10 authors at 3 institutions in 1 country.

Won-Suk SungDepartment of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, 13601, South Korea.
Sae-Rom JeonDepartment of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul, South Korea.
Ye-Jin HongDepartment of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul, South Korea.
Tae-Hun KimClinical Trial Center, Korean Medicine Hospital, Department of Korean Medicine, Kyung Hee University, Seoul, South Korea.
Seungwon ShinClinical Trial Center, Korean Medicine Hospital, Department of Korean Medicine, Kyung Hee University, Seoul, South Korea.
Hyun-Jong LeeDepartment of Acupuncture & Moxibustion, College of Korean Medicine, Daegu Haany University, Gyeongsan-si, Gyeongsangbuk-do, South Korea.
Byung-Kwan SeoDepartment of Acupuncture & Moxibustion, College of Korean Medicine, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.
Yeon-Cheol ParkDepartment of Acupuncture & Moxibustion, College of Korean Medicine, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.
Eun-Jung KimDepartment of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, 13601, South Korea. hanijjung@naver.com.
Dong-Woo NamDepartment of Acupuncture & Moxibustion, College of Korean Medicine, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea. hanisanam@daum.net.ORCID http://orcid.org/0000-0002-7957-3121
Kyung Hee University · KRDongguk University · KRDaegu Haany University · KR

Funding

Korea Health Industry Development Institute HB16C0040NIEHS NIH HHS 27301C0040
6 · The paper itself

Abstract

backgroundLow back pain is a common symptom and continuous or recurrent pain results in chronic low back pain (CLBP). While many patients with CLBP have tried various treatments, complementary and alternative medicine including acupuncture and herbal medicine is one of the commonly used treatments. Palmijihwang-hwan is a herbal medicine used frequently in clinical practice but there has been no report of the efficacy, safety, or cost-effectiveness analysis of Palmijihwang-hwan for CLBP.

methodsThis study is a randomized, assessor-blinded, multicenter, clinical trial with two parallel groups. Four Korean medicine hospitals will recruit 84 participants and randomly allocate them into the control or treatment group in a 1:1 ratio. The control group will receive acupuncture treatment at 11 local and 4 distal acupuncture points for 20 min twice a week for 6 weeks. The treatment group will receive the same acupuncture treatment as the control group and also take Palmijihwang-hwan for 6 weeks. The primary outcome will be the change in visual analog scale (VAS) score between baseline (visit 1) and completion of the intervention (visit 12), and secondary outcomes will be pain-related clinical relevance (minimal clinical important difference or the proportion of the participants who decrease more than 30, or 50% on VAS), disability (Roland and Morris Disability Questionnaire), quality of life (EuroQol-5D), global assessment (Patient Global Impression of Change), and economic analysis (cost-effectiveness and cost-utility analysis). Additionally, safety will be assessed. DISCUSSION: The results of our study will provide the clinical evidence about the efficacy, safety, and cost-effectiveness analysis of Palmijihwang-hwan for CLBP. There will be a chance to provide multiple subdivided influence of this treatment with various outcome measures, but lack of placebo is our limitation.

trial registrationClinical Research Information Service, KCT0002998. Registered on 12 July 2018.

Indexed as

Chronic PainLow Back PainQuality of LifeAcupuncture TherapyAdultHumansMedicine, Korean TraditionalMulticenter Studies as TopicOutcome Assessment, Health CarePain ManagementPain MeasurementPhytotherapyPlants, MedicinalRandomized Controlled Trials as TopicChronic low back painPalmijihwang-hwanRandomized controlled trialStudy protocol

Identifiers

PMID31882016
PMCPMC6935187
OpenAlexW2998569852

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.