Evidence map›Paper›PMID 36481925›Full record

SynthesisJournal of cancer research and clinical oncology2023

Systematic analysis of mistletoe prescriptions in clinical studies.

Henrike Staupe, Judith Buentzel, Christian Keinki, Jens Buentzel, Jutta Huebner

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Mistletoe in Cancer Cell Biology: Recent Advances.Current issues in molecular biology · 2025
    Review
  5. Review
  6. Comparison of epoprostenol andHistology and histopathology · 2024
    Article
  7. Review
  8. Review
  9. The Anti-Inflammatory Activity ofPlants (Basel, Switzerland) · 2023
    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

5 authors.

Henrike StaupeKlinik Für Innere Medizin II, Hämatologie Und Onkologie, Universitätsklinikum Jena, Jena, Germany. h.staupe@web.de.
Judith BuentzelKlinik Für Hämatologie Und Medizinische Onkologie, Universitätsmedizin Göttingen, Göttingen, Germany.
Christian KeinkiKlinik Für Innere Medizin II, Hämatologie Und Onkologie, Universitätsklinikum Jena, Jena, Germany.
Jens BuentzelKlinik Für HNO-Erkrankungen, Südharz-Klinikum Nordhausen, Nordhausen, Germany.
Jutta HuebnerKlinik Für Innere Medizin II, Hämatologie Und Onkologie, Universitätsklinikum Jena, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMistletoe treatment is discussed controversial as a complementary treatment for cancer patients. Aim of this systematic analysis is to assess the concept of mistletoe treatment in the clinical studies with respect to indication, type of mistletoe preparation, treatment schedule, aim of treatment, and assessment of treatment results.

methodsIn the period from August to December 2020, the following databases were systematically searched: Medline, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO, CINAHL, and "Science Citation Index Expanded" (Web of Science). We assessed all studies for study types, methods, endpoints and mistletoe preparations including their ways of application, host trees and dosage schedules.

resultsThe search concerning mistletoe therapy revealed 3296 hits. Of these, 102 publications and at total of 19.441 patients were included. We included several study types investigating the application of mistletoe in different groups of participants (cancer patients of any type of cancer were included as well as studies conducted with healthy volunteers and pediatric patients). The most common types of cancer were breast cancer, pancreatic cancer, colorectal cancer and malignant melanoma. Randomized controlled studies, cohort studies and case reports make up most of the included studies. A huge variety was observed concerning type and composition of mistletoe extracts (differing pharmaceutical companies and host trees), ways of applications and dosage schedules. Administration varied e. g. between using mistletoe extract as sole treatment and as concomitant therapy to cancer treatment. As the analysis of all studies shows, there is no relationship between mistletoe preparation used, host tree and dosage, and cancer type.

conclusionsOur research was not able to deviate transparent rules or guidelines with respect to mistletoe treatment in cancer care.

Indexed as

Biological ProductsBreast NeoplasmsMistletoeChildFemaleHumansPhytotherapyPlant ExtractsTreatment OutcomeBiological ProductsPlant ExtractsCancerComplementary and alternative medicine (CAM)Mistletoe

Identifiers

PMID36481925
PMCPMC10356894

What OpenQuestion holds

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LicenceCC BY
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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.