Evidence map›Paper›PMID 32797283›Full record

SynthesisJournal of cancer research and clinical oncology2020

Efficacy and safety of TCM combined with chemotherapy for SCLC: a systematic review and meta-analysis.

Shuntai Chen, Yanju Bao, Jing Xu, Xiwen Zhang, Shulin He, Zhenhua Zhang, Runzhi Qi, Juling Jiang, Rui Liu, Qiujun Guo and 4 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of cancer research and clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 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

14 authors at 2 institutions in 1 country.

Shuntai ChenDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Yanju BaoDepartment of Infection, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Jing XuDepartment of Ophthalmology, China Academy of Chinese Medical Sciences Eye Hospital, Beijing, China.
Xiwen ZhangDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Shulin HeXichengqu Guangwai Hospital, Beijing, China.
Zhenhua ZhangDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Runzhi QiDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Juling JiangDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Rui LiuDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Qiujun GuoDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Xing ZhangDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Yupeng XiDepartment of Integrated, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Honggang ZhengDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Baojin HuaDepartment of Oncology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China. huabaojinxs@126.com.ORCID http://orcid.org/0000-0002-6927-7492
Chinese Academy of Medical Sciences & Peking Union Medical College · CNBeijing University of Chinese Medicine · CN

Funding

National Natural Science Foundation of China 81673961National Natural Science Foundation of China 81774294
6 · The paper itself

Abstract

backgroundChemotherapy is the standard treatment for small cell lung cancer (SCLC), but chemotherapy resistance and adverse reactions remain major problems. Although Traditional Chinese Medicine (TCM) is wildly applied for patients with SCLC in China, the evidence of TCM in the treatment for SCLC is limited. PURPOSE: To evaluate the efficacy and safety of TCM combined with chemotherapy for patients with SCLC.

methodWe conducted a systematic search of PubMed, EMBASE, the Chinese National Knowledge Infrastructure, the VIP Information Database, and the Wanfang Database for randomized-controlled trials (RCTs) that are relevant. The included studies were reviewed by two investigators, with relevant data extracted independently. The effect estimate of interest was the relative risk (RR) or mean difference with 95% confidence intervals (95% CIs).

results22 RCTs involving 1887 patients were included in this study. Compared with patients treated with chemotherapy© alone, those with Chinese herbal medicine and chemotherapy (TCM-C) had better therapeutic effects (RR = 1.295, 95% CI 1.205-1.391, P < 0.001), KPS scores (RR = 1.310, 95% CI 1.210-1.418, P < 0.001), 1-year survival rate (RR = 1.282, 95% CI 1.129-1.456, P < 0.001), 3-year survival rate (RR = 2.109, 95% CI 1.514-2.939, P < 0.001), and 5-year survival rate (RR = 2.373, 95% CI 1.227-4.587, P = 0.01). The incidence of gastrointestinal reaction (RR of = 0.786, 95% CI 0.709-0.870, P < 0.000) and bone marrow depression (RR = 0.837, 95% CI 0.726-0.965, P = 0.014) in TCM-C group were lower than that in the C group.

conclusionThe systematic review indicated that TCM combined with chemotherapy may improve therapeutic effect, quality of life, and prolong survival time. More large-scale and higher quality RCTs are warranted to support our findings. PROSPERO REGISTRATION NUMBER: CRD42016038016.

Indexed as

Antineoplastic AgentsCombined Modality TherapyDrugs, Chinese HerbalHumansLung NeoplasmsMedicine, Chinese TraditionalRandomized Controlled Trials as TopicSmall Cell Lung CarcinomaAntineoplastic AgentsDrugs, Chinese HerbalAdverse eventsKPSSolid tumorSurvival timeTraditional Chinese medicine

Identifiers

PMID32797283
PMCPMC11804371
OpenAlexW3049390729

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.