Evidence map›Paper›PMID 38031783›Full record

SynthesisCombinatorial chemistry & high throughput screening2024

Effectiveness of Chinese Herbal Medicine in Postoperative Fatigue Syndrome Following Total Joint Arthroplasty or Hip Fracture Surgery: Evidence from Randomized Controlled Trials.

Jinlong Zhao, Guanghui Zhou, Zhongsheng Wang, Guihong Liang, Xingde Wei, Bangxin Sha, Weiyi Yang, Jun Liu, Hongyun Chen

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Combinatorial chemistry & high throughput screening, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 1 institution in 1 country.

Jinlong ZhaoThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Guanghui ZhouThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Zhongsheng WangMedical College of Acupuncture-Moxibustion and Rehabilitation of Guangzhou University of Chinese Medicine, Guangzhou, China.
Guihong LiangThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Xingde WeiThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Bangxin ShaThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Weiyi YangThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Jun LiuThe Fifth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Hongyun ChenThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Guangzhou University of Chinese Medicine · CN

Funding

Science and Technology Planning Project of Guangdong Province YN2020MS16,YN2019ML08,YN2022GK05
6 · The paper itself

Abstract

backgroundThere is no high-quality, evidence-based protocol for the treatment of postoperative fatigue syndrome (POFS) after total joint arthroplasty (TJA) or fracture surgery with Chinese herbal medicine (CHM). PURPOSE: The purpose of this study was to explore the efficacy of CHM in the treatment of POFS after TJA or hip fracture surgery (HFS).

methodsWe searched six databases to obtain randomized controlled trials (RCTs) of CHM for the treatment of POFS after TJA or HFS. The retrieval time limit was from the establishment of each database to August, 2022. According to the Cochrane Handbook for Systematic Reviews version 5.1, we used RevMan 5.3 to evaluate the quality of the studies. Stata 14.0 software was used to merge and analyze the data. The weighted mean difference (WMD) was the effect estimate for statistical analysis. We also performed subgroup analyses according to different types of surgeries.

resultsA total of 11 RCTs were included in this study, comprising 430 cases in the CHM group and 432 cases in the control group (CG). The meta-analysis results showed that there was no significant difference in the Brief Profile of Mood States (BPOMS) score (WMD=0.08, 95% confidence interval (CI): -0.29 to 0.45, P=0.688), Christensen Fatigue scale (CHFS) score (WMD = 0.15, 95% CI: -0.09 to 0.39, P=0.214) or Identity-Consequence Fatigue Scale (ICFS) score (WMD=-0.40, 95% CI: -1.84 to 1.05, P=0.589) between the CHM group and the CG on the first postoperative day. The use of CHM significantly reduced the BPOMS score (WMD=-0.85 and WMD=-3.01, respectively), CHFS score (WMD=-1.01 and WMD= -1.45, respectively), and ICFS score (WMD=-3.51 and WMD=-5.26) on postoperative days 3 and 7. Compared with the CG, the CHM group had significantly increased serum transferrin and IgG levels on postoperative days 3 and 7. The subgroup analysis results suggested that the application of CHM in HFS patients improved fatigue symptoms on postoperative days 3 and 7, while the application of CHM to treat POFS in TJA patients had great inconsistency in the evaluation of different indicators.

conclusionThe application of CHM improved the fatigue status of POFS patients after TJA or HFS and increased the levels of transferrin and IgG in serum, which is conducive to promoting the postoperative rehabilitation process of patients. The subgroup analysis results showed that the application of CHM to intervene in POFS in HFS patients had obvious benefits.

Indexed as

Drugs, Chinese HerbalHip FracturesPostoperative ComplicationsArthroplasty, Replacement, HipHumansRandomized Controlled Trials as TopicDrugs, Chinese HerbalChinese herbal medicinehip fracture surgery.postoperative fatigue syndrometotal joint arthroplasty

Identifiers

PMID38031783
PMCPMC11348457
OpenAlexW4389179489

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.