Evidence map›Paper›PMID 34358263›Full record

ArticlePloS one2021

Pharmacological treatments of Chinese herbal medicine for irritable bowel syndrome in adults: A network meta-analysis of randomized controlled trials.

Yun-Bo Wu, Yun-Kai Dai, Ling Zhang, Huai-Geng Pan, Wei-Jing Chen, Ru-Liu Li, Ling Hu

Open access · goldAbstract readNetwork Meta-Analysis
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 11 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

7 authors at 1 institution in 1 country.

Yun-Bo WuInstitute of Gastroenterology, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Yun-Kai DaiInstitute of Gastroenterology, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Ling ZhangInstitute of Gastroenterology, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Huai-Geng PanInstitute of Gastroenterology, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Wei-Jing ChenInstitute of Gastroenterology, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Ru-Liu LiInstitute of Gastroenterology, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Ling HuInstitute of Gastroenterology, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.ORCID 0000-0003-3104-8050
Guangzhou University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPlenty of clinical studies have suggested the value of Chinese herbal medicine (CHM) for patients with irritable bowel syndrome (IBS), but their efficacy and safety have not been systematically concluded yet. This article aimed to compare and rank the therapeutic effect and safety of CHM with routine pharmacotherapies and placebo in the treatment of IBS.

methodsRandomized controlled trials regarding CHM to treat IBS were searched in six databases from inception to Jan 31, 2020. A network meta-analysis was conducted to analyze the data of included publications. The quality assessment was assessed by Cochrane Handbook and GRADEpro software. The risk ratio was calculated for dichotomous outcomes while the standardized mean difference was used for continuous variables with 95% credible intervals. A Funnel plot was performed to evaluate publication bias. The surface under the cumulative ranking curve was conducted to rank the included interventions. Data were analyzed with STATA 15.0 and Review Manager 5.3.

result3194 records were searched, and 28 eligible trials involving 3323 patients ere identified. Compared with conventional therapies and placebo, Jianpi-Chushi therapy showed significant improvement in adequate relief and IBS symptom severity scale; Shugan-Jianpi therapy showed the best efficacy in relieving the abdominal pain and abdominal distension; Wenshen-Jianpi therapy had a better effect on avoiding adverse effects and improving stool character.

conclusionThis study confirmed that CHM could be beneficial for patients with IBS in relieving their clinical symptoms and should be recommended as alternative therapies. The quality of evidence in this study based on the GRADE system was "low".

Indexed as

Randomized Controlled Trials as TopicAbdominal PainAdultDatabases, FactualDrugs, Chinese HerbalHumansIrritable Bowel SyndromeOdds RatioPhytotherapyTreatment OutcomeDrugs, Chinese Herbalshugan jianpi

Identifiers

PMID34358263
PMCPMC8345858
OpenAlexW3189451572

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.