Evidence map›Paper›PMID 36233538›Full record

ArticleJournal of clinical medicine2022

Hochuekkito Combined with Pulmonary Rehabilitation in Apathetic Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Pilot Trial.

Hironobu Hamada, Kiyokazu Sekikawa, Ken Okusaki, Takefumi Dodo, Kazuyoshi Kagawa, Tatsuya Sumigawa, Yoshikazu Awaya, Naoki Sakimoto, Sachiko Shioya, Keisuke Hakozaki and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. 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
–field-weighted citation impact, top 79% 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, 0 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

18 authors at 5 institutions in 1 country.

Hironobu HamadaDepartment of Physical Analysis and Therapeutic Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.ORCID 0000-0002-7979-0708
Kiyokazu SekikawaDepartment of Physical Analysis and Therapeutic Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.
Ken OkusakiDepartment of Internal Medicine, Mihara Medical Associations Hospital, Mihara 723-0051, Japan.
Takefumi DodoDepartment of Internal Medicine, Mihara Medical Associations Hospital, Mihara 723-0051, Japan.
Kazuyoshi KagawaDepartment of Respiratory Medicine, Hiroshima City Medical Association-Administered Hiroshima City Aki Hospital, Hiroshima 736-0088, Japan.
Tatsuya SumigawaDepartment of Respiratory Medicine, Hiroshima City Medical Association-Administered Hiroshima City Aki Hospital, Hiroshima 736-0088, Japan.
Yoshikazu AwayaDepartment of Respiratory Medicine, Miyoshi Central Hospital, Miyoshi 728-8502, Japan.
Naoki SakimotoDepartment of Respiratory Medicine, Miyoshi Central Hospital, Miyoshi 728-8502, Japan.
Sachiko ShioyaDepartment of Respiratory Medicine, Innoshima Medical Association Hospital, Onomichi 722-2211, Japan.
Keisuke HakozakiDepartment of Respiratory Medicine, Innoshima Medical Association Hospital, Onomichi 722-2211, Japan.
Toru KadowakiDepartment of Pulmonary Medicine, National Hospital Organization Matsue Medical Center, Matsue 690-8556, Japan.ORCID 0000-0001-6064-4885
Maki KakimotoDepartment of Rehabilitation, National Hospital Organization Matsue Medical Center, Matsue 690-8556, Japan.
Ryoji ItoDepartment of Respiratory Medicine, National Hospital Organization Ehime Medical Center, Toon 791-0281, Japan.
Koji KawamichiDepartment of Rehabilitation, National Hospital Organization Ehime Medical Center, Toon 791-0281, Japan.
Keiichi KondoDepartment of Respiratory Medicine, Tadanoumi Hospital, Takehara 729-2316, Japan.
Haruchi NambaDepartment of Physical Analysis and Therapeutic Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.
Hiroshi IwamotoDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.ORCID 0000-0003-4922-5334
Noboru HattoriDepartment of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.
Hiroshima University · JPEhime Medical Center · JPHiroshima City Asa Citizens Hospital · JPNational Hospital Organization · JPAzumi Hospital · JP

Funding

The Fundamental Budget for Education and Research NoneThe pharmaceutical company Tsumura and Co. None
6 · The paper itself

Abstract

The main treatment goals for chronic obstructive pulmonary disease (COPD) are the reduction of its symptoms and future risks. The addition of the traditional herbal medicine Hochuekkito (TJ-41) treatment to pulmonary rehabilitation (PR) has been reported to improve dyspnea and health-related quality of life (HRQOL) in patients with COPD. However, the reason for this improvement is not sufficiently understood. The purpose of the present study was to investigate whether the addition of TJ-41 treatment to PR improves symptoms of apathy, dyspnea, and HRQOL and increases physical activity among apathetic patients with COPD. Apathetic patients with COPD were randomly assigned to receive low-intensity exercise with (TJ-41 group) or without (control group) TJ-41 treatment for 12 weeks. A total of 29.9% of COPD patients had apathetic symptoms without severe depression. After the 12-week treatment, Apathy Scale, Patient Health Questionnaire-9, visual analog scale for dyspnea, and COPD assessment test energy scores decreased significantly in the TJ-41 group (p < 0.05), but not in the control group. Additionally, the total number of steps taken was significantly higher in the TJ-41 group than in the control group. TJ-41 combined with PR may benefit apathetic patients with COPD with respect to apathy, dyspnea, HRQOL, and physical activity, but larger randomized placebo-controlled trials are required to validate the findings because of the small sample size and lack of placebo controls in this study.

Indexed as

apathychronic obstructive pulmonary diseasedyspneahealth-related quality of lifeHochuekkitophysical activity

Identifiers

PMID36233538
PMCPMC9573001
OpenAlexW4297540796

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.