Evidence map›Paper›PMID 34664842›Full record

SynthesisMedicine2021

Traditional herbal medicine combined with first-line platinum-based chemotherapy for advanced non-small-cell lung cancer: A PRISMA-compliant systematic review and meta-analysis.

Hayun Jin, Su Bin Park, Jee-Hyun Yoon, Jee Young Lee, Eun Hye Kim, Seong Woo Yoon

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. The Antiproliferative Effect of Chloroform Fraction ofPharmaceuticals (Basel, Switzerland) · 2023
    Article
  8. Article
  9. 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

6 authors at 2 institutions in 3 countries.

Hayun JinCollege of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.ORCID 0000-0002-0186-886
Su Bin ParkKorean Medicine Cancer Center, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.ORCID 0000-0002-2219-5975
Jee-Hyun YoonKorean Medicine Cancer Center, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.ORCID 0000-0003-2921-3053
Jee Young LeeJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea.ORCID 0000-0002-1080-1915
Eun Hye KimKorean Medicine Cancer Center, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.ORCID 0000-0002-5803-1737
Seong Woo YoonKorean Medicine Cancer Center, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.ORCID 0000-0002-8001-1839
Apple (Israel) · ILKyung Hee University Hospital at Gangdong · KR

Funding

NIEHS NIH HHS 27302C0038
6 · The paper itself

Abstract

backgroundNon-small-cell lung cancer (NSCLC) is a major health burden in many countries. This review aimed to evaluate the efficacy of traditional herbal medicine (THM) combined with first-line platinum-based chemotherapy (PBCT) for the treatment of advanced NSCLC.

methodsFrom inception to April 2021, relevant studies were retrieved from 9 electronic databases. Randomized controlled trials (RCTs) comparing survival outcomes of THM + PBCT treatment with PBCT treatment in patients with advanced NSCLC were reviewed. The risk of bias was evaluated using the Cochrane Risk of Bias Tool. Overall survival, 1-year survival, progression-free survival or time to progression, tumor response rate, and adverse effects were analyzed.

resultsSixteen RCTs comprising 1445 patients were included. The meta-analysis indicated that THM + PBCT treatment, compared to PBCT alone, could improve overall survival (median survival ratio = 1.24, 95% confidence intervals [CI] [1.11, 1.39], P < .001), progression-free survival/time to progression (median survival ratio = 1.22, 95% CI [1.09, 1.37], P < .001), and the 1-year survival rate (risk ratio [RR] = 1.56, 95% CI [1.31, 1.86], P < .001). THM + PBCT also led to a higher tumor response rate (RR = 1.39, 95% CI [1.22, 1.59], P < .001) and lower incidence of thrombocytopenia (RR = 0.72, 95% CI [0.56, 0.92], P = .009) and nausea/vomiting (RR = 0.35, 95% CI [0.21, 0.57], P < .001), while there was no significant effect observed on leukopenia (RR = 0.68, 95% CI [0.34, 1.36], P = .27).

conclusionTHM, when used in combination with PBCT, might increase survival and the tumor response rate while decreasing the side effects caused by chemotherapy in patients with advanced NSCLC. However, considering the limited methodological qualities of the included trials, more rigorous RCTs are needed.

Indexed as

Carcinoma, Non-Small-Cell LungDrug TherapyHumansMedicine, TraditionalPlatinumProgression-Free SurvivalSurvival AnalysisPlatinum

Identifiers

PMID34664842
PMCPMC8448030
OpenAlexW3199822175

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.