Evidence map›Paper›PMID 38178115›Full record

Trial reportBMC complementary medicine and therapies2024

Efficacy of Qingpeng ointment (a Tibetan medicine) for acute gouty arthritis: a multi-center, randomized, double-blind, placebo-controlled trial.

Ya-Xi Shang, Shu-Feng Wei, Ke-Peng Yang, Yuan Liu, Su Wei, Xia Dong, Xin-Chang Wang, Zhi-Min Xie, Ru-Lu Fang, Li-Na Liang and 21 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC complementary medicine and therapies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

31 authors.

Ya-Xi ShangCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, 11 Bei San Huan Dong Lu, Chaoyang District, Beijing, 100029, China.
Shu-Feng WeiFangshan Hospital, Beijing University of Chinese Medicine, Beijing, China.
Ke-Peng YangThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Yuan LiuLiuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, China.
Su WeiLiuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, China.
Xia DongFangshan Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xin-Chang WangThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Zhi-Min XieThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Ru-Lu FangThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Li-Na LiangFangshan Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xiu-Feng LiFangshan Hospital, Beijing University of Chinese Medicine, Beijing, China.
Lei XuFangshan Hospital, Beijing University of Chinese Medicine, Beijing, China.
Mu-Zhi ChenThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Kai-Xian ZhangFangshan Hospital, Beijing University of Chinese Medicine, Beijing, China.
Ji-Yong HuangThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Le WangLiuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, China.
You-Guo YangLiuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, China.
Hong-Li LiaoLiuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, China.
Gui-E XingFangshan Hospital, Beijing University of Chinese Medicine, Beijing, China.
Yu-Ping ZhengLiuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, China.
Xiao-Fen LiLiuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, China.
Jing-Lian LinThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Cheng-Qian ShiThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Yong-Ping ZengLiuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, China.
Li-Dan MoLiuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, China.
Fan SunFangshan Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xiao-Peng LiThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Zhuo ZhangFangshan Hospital, Beijing University of Chinese Medicine, Beijing, China.
Kai ChenThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Zhao-Chun HeThe Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Jian-Ping LiuCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, 11 Bei San Huan Dong Lu, Chaoyang District, Beijing, 100029, China. liujp@bucm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to assess the efficacy and safety of Qingpeng ointment (QPO), a Tibetan medicine for alleviating symptoms in individuals with acute gouty arthritis (AGA).

methodsThis study was a randomized, double-blind, placebo-controlled trial that involved individuals with AGA whose joint pain, as measured on a visual analog scale (VAS) from 0 to 10, was equal to or greater than 3. The participants were randomly assigned to either the QPO or the placebo group and received their respective treatments twice daily for seven consecutive days. In case of intolerable pain, the participants were allowed to use diclofenac sodium sustained-release tablets as a rescue medicine. The primary outcomes measured were joint pain and swelling, while the secondary outcomes included joint mobility, redness, serum uric acid levels, C-reactive protein levels, and the amount of remaining rescue medicine. Any adverse events that occurred during the trial were also recorded.

resultsA total of 203 cases were divided into two groups, with balanced baselines: 102 in the QPO group and 101 in the placebo group. For joint pain, differences between the groups were notable in the VAS scores [1.75 (0, 3.00) versus 2.00 (1.00, 3.50); P = 0.038], changes in VAS [5.00 (3.00, 6.00) versus 4.00 (2.00, 6.00); P = 0.036], and disappearance rate [26.47% compared to 15.84%; P = 0.046] after treatment. Concerning joint swelling, significant between-group differences were observed in the VAS scores [1.00 (0, 2.30) versus 2.00 (0.70, 3.00); P = 0.032] and disappearance rate [33.33% compared to 21.78%; P = 0.046] at treatment completion. The QPO group exhibited a statistically significant mobility improvement compared to the placebo group (P = 0.004). No significant differences were found in other secondary outcomes. Five patients, four from the QPO group and one from the other, encountered mild adverse events, primarily skin irritation. All of these cases were resolved after dosage reduction or discontinuation of the medication.

conclusionsCompared to the placebo, QPO exhibits positive effects on AGA by alleviating pain, reducing swelling, and enhancing joint mobility, without causing significant adverse effects.

trial registrationISRCTN34355813. Registered on 25/01/2021.

Indexed as

Arthritis, GoutyArthralgiaHumansMedicine, Tibetan TraditionalOintmentsPainUric AcidOintmentsUric AcidAcute gouty arthritisIntegrative medicinePainQingpeng ointmentRandomized controlled trialTibetan medicine

Identifiers

PMID38178115
PMCPMC10768221

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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.