Evidence map›Paper›PMID 35250888›Full record

ArticleFrontiers in endocrinology2022

Comparative Efficacy of Xianling Gubao Capsules in Improving Bone Mineral Density in Postmenopausal Osteoporosis: A Network Meta-Analysis.

Ming-Hui Luo, Jin-Long Zhao, Nan-Jun Xu, Xiao Xiao, Wen-Xuan Feng, Zi-Ping Li, Ling-Feng Zeng

Open access · goldAbstract readNetwork Meta-Analysis
In one paragraph

Article in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 21% 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, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
  6. 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

7 authors at 2 institutions in 1 country.

Ming-Hui LuoThe 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jin-Long ZhaoThe Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Nan-Jun XuThe Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Xiao XiaoThe 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Wen-Xuan FengThe 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zi-Ping LiThe 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Ling-Feng ZengThe 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
First Affiliated Hospital of Guangzhou University of Chinese Medicine · CNGuangzhou University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe clinical efficacy of Xianling Gubao capsule (XLGB) and its combination therapy in the treatment of postmenopausal osteoporosis (PMOP) was systematically evaluated by frequency-based network meta-analysis.

methodsWe searched the China National Knowledge Infrastructure (CNKI), Wanfang, SinoMed, PubMed, Embase and Cochrane Library databases to identify clinical trials of XLGB for the treatment of PMOP from the establishment of each database to November 22, 2021. The quality of the included studies was evaluated by using the risk of bias assessment tool version 2.0 (Rob 2.0) recommended by Cochrane. Stata 14.0 was applied for statistical analysis of the data, and the surface under the cumulative ranking curve (SUCRA) was used to rank the intervention measures of each outcome index.

resultsThis study included 22 clinical trials (including 19 RCTs and 3 non-RCTs) involving 12 drug therapies. According to the results of the network meta-analysis and SUCRA, the best three interventions for improving lumbar bone mineral density (BMD) are XLGB+BP+calcium (83.7%), XLGB+BP (68.5.7%) and XLGB+VD (67.1%). XLGB+calcium was the best combination regimen for improving femoral neck BMD and increasing bone Gla protein (BGP) and alkaline phosphatase (ALP) contents in serum. The SUCRA values of XLGB+calcium for improving the three outcome indicators were 68.0%, 59.5% and 82.1%, respectively.

conclusionsThe results of this network meta-analysis show that combined application of XLGB can effectively improve BMD and serum BGP and ALP compared to calcium alone, VD or BP. In the future, multicenter, large-sample and double-blind clinical RCTs should be carried out to supplement and verify the results of this study.

Indexed as

Bone DensityOsteoporosis, PostmenopausalAlkaline PhosphataseCalciumCapsulesFemaleHumansMulticenter Studies as TopicOsteocalcinRandomized Controlled Trials as TopicAlkaline PhosphataseCalciumCapsulesOsteocalcinefficacynetwork meta-analysispostmenopausal osteoporosistraditional Chinese medicineXianling Gubao capsule

Identifiers

PMID35250888
PMCPMC8895757
OpenAlexW4212816663

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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.