Evidence map›Paper›PMID 32702837›Full record

ArticleMedicine2020

Effects of Sihogayonggolmoryeo-tang (Saikokaryukotsuboreito or Chai-Hu-Jia-Long-Gu-Mu-Li-Tang) for insomnia disorder with prehypertension or stage 1 hypertension: A study protocol for a randomized controlled trial.

Boram Lee, Yeong-Eun Jeong, Hyo-Ju Park, Young-Eun Choi, Hoseok Kim, Bo-Young Kim, Changsop Yang, In Chul Jung

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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

8 authors at 2 institutions in 1 country.

Boram LeeClinical Medicine Division, Korea Institute of Oriental Medicine, Yuseong-gu, Daejeon.
Yeong-Eun JeongClinical Medicine Division, Korea Institute of Oriental Medicine, Yuseong-gu, Daejeon.
Hyo-Ju ParkClinical Medicine Division, Korea Institute of Oriental Medicine, Yuseong-gu, Daejeon.
Young-Eun ChoiClinical Medicine Division, Korea Institute of Oriental Medicine, Yuseong-gu, Daejeon.
Hoseok KimClinical Medicine Division, Korea Institute of Oriental Medicine, Yuseong-gu, Daejeon.
Bo-Young KimClinical Medicine Division, Korea Institute of Oriental Medicine, Yuseong-gu, Daejeon.
Changsop YangClinical Medicine Division, Korea Institute of Oriental Medicine, Yuseong-gu, Daejeon.ORCID 0000-0003-1277-3329
In Chul JungDepartment of Oriental Neuropsychiatry, Daejeon Korean Medicine Hospital of Daejeon University, Seo-gu, Daejeon, Republic of Korea.
Korea Institute of Oriental Medicine · KRDaejeon University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsomnia and hypertension are diseases with a high prevalence and a known association with each other. Sihogayonggolmoryeo-tang (SYM) is an herbal medicine traditionally used for the treatment of insomnia disorder concurrent with hypertension. However, no scientific clinical evidence exists supporting the effects of SYM on these disorders. This study aims to explore the feasibility, effectiveness, and safety of SYM for the treatment of insomnia disorder with concurrent prehypertension or stage 1 hypertension.

methodsA prospective, randomized, wait-list controlled, parallel, pilot clinical trial has been designed for a study to be conducted in Daejeon, Republic of Korea. Thirty insomnia disorder patients with prehypertension or stage 1 hypertension will be randomly assigned to a SYM or wait-list group at a 1:1 ratio. The SYM group will be administered SYM granules twice a day for 4 weeks and followed-up for 2 weeks while the wait-list group will not receive SYM granules. All participants in both groups will be given brochures with instructions for maintaining sleep hygiene and lifestyle modifications to reduce hypertension. Data will be collected at baseline and at 2, 4, and 6 weeks after allocation. The primary outcome is the Insomnia Severity Index score at 4 weeks post-treatment. The secondary outcomes will consist of the Pittsburgh Sleep Quality Index, sleep diary, systolic and diastolic blood pressure, brachial-ankle pulse wave velocity, ankle-brachial index, atherosclerosis biomarkers, the Hospital Anxiety and Depression Scale, the 5-level EuroQol-5 dimensions, and the Patient Global Impression of Change. Adverse events and laboratory test results will be monitored to assess the safety. Data will be recorded in electronic case report forms and analyzed using SPSS Statistics, Version 24.0. DISCUSSION: This is the first clinical trial to explore the effectiveness and safety of SYM for the treatment of insomnia disorder concurrent with prehypertension or stage 1 hypertension. The results of this study can form the foundation for a future multicenter, large-scale, confirmatory clinical trial.

trial registrationClinical Research Information Service, KCT0005001 (registered on May 8, 2020).

Indexed as

BupleurumDrugs, Chinese HerbalPhytotherapyAnxietyDepressionHumansHypertensionPrehypertensionQuality of LifeRandomized Controlled Trials as TopicSleep Initiation and Maintenance DisordersSurveys and QuestionnairesVisual Analog ScaleDrugs, Chinese Herbalsaiko-ka-ryukotsu-borei-to

Identifiers

PMID32702837
PMCPMC7373580
OpenAlexW3042291212

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.