Evidence map›Paper›PMID 32448238›Full record

SynthesisBMC complementary medicine and therapies2020

Shufeng Jiedu capsules for treating acute exacerbations of chronic obstructive pulmonary disease: a systematic review and meta-analysis.

Ru-Yu Xia, Xiao-Yang Hu, Yu-Tong Fei, Merlin Willcox, Ling-Zi Wen, Ming-Kun Yu, Li-Shan Zhang, Meng-Yuan Dai, Guang-He Fei, Mike Thomas and 4 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC complementary medicine and therapies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Chinese medicineFrontiers in pharmacology · 2024
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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

14 authors at 6 institutions in 2 countries.

Ru-Yu XiaCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, No. 11 North Sanhuan East Road, Chaoyang District, Beijing, 100029, China.
Xiao-Yang HuSchool of Primary Care, Population Sciences and Medical Education, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton, SO16 5ST, UK.
Yu-Tong FeiCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, No. 11 North Sanhuan East Road, Chaoyang District, Beijing, 100029, China.
Merlin WillcoxSchool of Primary Care, Population Sciences and Medical Education, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton, SO16 5ST, UK.
Ling-Zi WenCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, No. 11 North Sanhuan East Road, Chaoyang District, Beijing, 100029, China.
Ming-Kun YuCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, No. 11 North Sanhuan East Road, Chaoyang District, Beijing, 100029, China.
Li-Shan ZhangRespiratory Department, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, No.5 Hai Yun Cang, Dongcheng District, Beijing, 100700, China.
Meng-Yuan DaiDepartment of Respiratory and Critical Care Medicine, First Affiliated Hospital of Anhui Medical University, No.210 Jixi Road, shushan District, Hefei, 230022, Anhui Province, China.
Guang-He FeiDepartment of Respiratory and Critical Care Medicine, First Affiliated Hospital of Anhui Medical University, No.210 Jixi Road, shushan District, Hefei, 230022, Anhui Province, China.
Mike ThomasSchool of Primary Care, Population Sciences and Medical Education, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton, SO16 5ST, UK.
Nick FrancisSchool of Primary Care, Population Sciences and Medical Education, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton, SO16 5ST, UK.
Tom WilkinsonClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK.
Michael MooreSchool of Primary Care, Population Sciences and Medical Education, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton, SO16 5ST, UK.
Jian-Ping LiuCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, No. 11 North Sanhuan East Road, Chaoyang District, Beijing, 100029, China. jianping_l@hotmail.com.
University of Southampton · GBBeijing University of Chinese Medicine · CNAnhui Medical University · CNDongzhimen Hospital Affiliated to Beijing University of Chinese Medicine · CNGuangzhou Medical University · CNSouthampton General Hospital · GB

Funding

Innovate UK 104287-610239National Key Research and Development Project 2018YFE0102300NIHR Academic Clinical Lectureship CL-2016-26-005
6 · The paper itself

Abstract

backgroundChinese herbal medicine is widely used in combination with usual care for acute exacerbations of chronic obstructive pulmonary disease (AECOPD) in China. Chinese patent medicine Shufeng Jiedu (SFJD) capsules is widely used for respiratory infectious diseases. This review aims to evaluate effectiveness and safety of SFJD for AECOPD.

methodsA systematic review of randomised controlled trials (RCTs) in patients with AECOPD, who received SFJD as a single intervention or as add-on treatment to usual care. PubMed, the Cochrane Library, EMBASE, Scopus, Web of Science and four Chinese databases were searched from inception to April 2019. Two authors screened trials, extracted data, and assessed risk of bias, independently. Meta-analysis was performed using RevMan 5.3 software. We performed subgroup analyses and sensitivity analyses according to the predefined protocol. Quality of evidence was assessed using GRADE.

resultsThirteen RCTs (1036 patients, with 936 inpatients) were included, all compared SFJD in combination with usual care (including antibiotics) to usual care alone. The mean age of participants ranged from 52 to 67 years, with approximately 60% male. Due to lack of blinding and other factors, all trials were of high risk of bias. SFJD was associated with a significant reduction in treatment failure, from 20.1 to 8.3% (11 trials; 815 patients; relative risk 0.43, 95% confidence interval [CI] 0.30 to 0.62), and duration of hospital stay (2 trials; 79 patients; mean difference - 4.32 days, 95% CI - 5.89 to - 2.75 days). No significant difference in adverse events was found between SFJD and control groups.

conclusionLow certainty evidence suggests SFJD may bring additional benefit in reducing treatment failure, shorten hospital stay, and improving symptoms. Further large, high quality RCTs are needed to confirm its benefit and safety.

trial registrationPROSPERO CRD42019133682.

Indexed as

CapsulesDrugs, Chinese HerbalHumansPulmonary Disease, Chronic ObstructiveRandomized Controlled Trials as TopicCapsulesDrugs, Chinese Herbalshufeng jieduChinese herbal medicineCOPDExacerbationMeta-analysisRandomised controlled trialShufeng JieduSystematic review

Identifiers

PMID32448238
PMCPMC7245765
OpenAlexW3027006304

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.