Evidence map›Paper›PMID 37808348›Full record

ReviewAcupuncture and herbal medicine2022

Chinese herbal medicine and COVID-19: quality evaluation of clinical guidelines and expert consensus and analysis of key recommendations.

Qingyong Zheng, Ya Gao, Lu Xiong, Hengyi Huang, Junfen Li, Guoyuan OuYang, Wulayin Saimire, Jingjing Yang, Yu Zhang, Xiaopeng Wang and 1 more

Abstract readReview
In one paragraph

Review in Acupuncture and herbal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

11 authors.

Qingyong ZhengSchool of Public Health, Lanzhou University, Lanzhou, China.
Ya GaoDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Lu XiongSchool of Public Health, Lanzhou University, Lanzhou, China.
Hengyi HuangSchool of Nursing, Evidence-based Nursing Center, Lanzhou University, Lanzhou, China.
Junfen LiThe First Clinical School of Medicine, Lanzhou University, Lanzhou, China.
Guoyuan OuYangSchool of Nursing, Evidence-based Nursing Center, Lanzhou University, Lanzhou, China.
Wulayin SaimireThe Second Clinical Medical College of Lanzhou University, Lanzhou, China.
Jingjing YangThe Second Clinical Medical College of Lanzhou University, Lanzhou, China.
Yu ZhangThe Second Clinical Medical College of Lanzhou University, Lanzhou, China.
Xiaopeng WangSchool of Public Health, Lanzhou University, Lanzhou, China.
Xiaofeng LuoSchool of Public Health, Lanzhou University, Lanzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To systematically review the clinical practice guidelines (CPGs) for the treatment of patients with coronavirus disease 2019 (COVID-19) using Chinese herbal medicine (CHM), assess the methodological quality as well as clinical credibility and implementability of specific recommendations, and summarize key recommendations. Methods: As of April 2022, we conducted a comprehensive search on major electronic databases, guideline websites, academic society websites, and government websites to assess the methodological quality and clinical applicability of the included CPGs using the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool and Evaluation-Recommendations EXcellence (AGREE-REX) instructions, respectively. Results: The search yielded 61 CPGs, which were mostly published in 2020; moreover, 98.4% of the CPGs were published in China. Only five CPGs achieved a high-quality AGREE II rating; further, six CPGs could be directly recommended, with most of the CPGs still showing much room for improvement. CPGs had a low overall score in the AGREE-REX evaluation, with the domains of clinical applicability, values and preferences, and implementability being standardized in 21.80% ± 12.56%, 16.00% ± 11.81%, and 31.33% ± 14.55% of the CPGs, respectively. Five high-quality CPGs mentioned 56 Chinese herbal formulas. Half of the recommendations had moderate or strong evidence level in the GRADE evaluation. The most frequently recommended herbal medicines were Lianhua Qingwen granule/capsule and Jinhua Qinggan granule; however, the strength of recommendation for each prescription varied across CPGs and populations. Conclusions: The overall quality of current CPGs for COVID-19 for CHM still needs to be improved; moreover, the strength of the evidence remains to be standardized across CPGs. Graphical abstract: http://links.lww.com/AHM/A34.

Indexed as

AGREE IIAGREE-REXChinese herbal formulationsCOVID-19GuidelineQuality evaluation

Identifiers

PMID37808348
PMCPMC9746251

What OpenQuestion holds

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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.