Evidence map›Paper›PMID 38567795›Full record

SynthesisIntegrative cancer therapies

Efficiency of Protective Interventions on Irinotecan-Induced Diarrhea: A Systematic Review and Meta-Analysis.

Yanxi He, Lili Wu, Xiaoyi Qi, Xuan Wang, Bing He, Wei Zhang, Wenjing Zhao, Mingming Deng, Xia Xiong, Yu Wang and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Integrative cancer therapies. 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
0.9field-weighted citation impact, top 27% 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, 4 citations in OpenAlex.

  1. Hangeshashinto for the prevention of oral mucositis in patients receiving chemotherapy: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

11 authors at 4 institutions in 1 country.

Yanxi HeThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
Lili WuZunyi Medical University, Zunyi, China.
Xiaoyi QiThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
Xuan WangThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
Bing HeSouthwest Medical University, Luzhou, China.
Wei ZhangThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
Wenjing ZhaoThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
Mingming DengThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
Xia XiongThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
Yu WangGulin County People's Hospital, Luzhou, China.
Sicheng LiangThe Affiliated Hospital of Southwest Medical University, Luzhou, China.ORCID 0000-0002-1191-1323
Affiliated Hospital of Southwest Medical University · CNSouthwest Medical University · CNJingning County People's Hospital · CNZunyi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIrinotecan is widely used in the treatment of various solid tumors, but the adverse effects from it, especially diarrhea, limit its use. Several clinical trials of prophylactic treatment of irinotecan-induced diarrhea (IID) have been ongoing, and some of the data are controversial. This encouraged us to conduct a meta-analysis of the effects of interventions on preventing IID.

methodThis systematic review was conducted based on the PRISMA statement. We performed literature searches from PubMed, Web of Science, Embase, and Cochrane Library. The number registered in PROSPERO is CRD42022368633. After searching 1034 articles in the database and references, 8 studies were included in this meta-analysis.

resultThe RR of high-grade diarrhea and all-grade diarrhea were 0.31 (

conclusionThis systematic review and meta-analysis suggest that preventive treatments significantly reduced the risk of high-grade and all-grade diarrhea, confirming the efficacy in the incidence and severity of IID, among which traditional herbal medicines (baicalin-containing) provided a protective effect in reducing the severity of IID. However, the traditional herbal medicines studies were of low quality. Combined irinotecan therapy can obtain better preventive effects than monotherapy of IID. These would be helpful for the prevention of IID in clinical practice.

Indexed as

DiarrheaIrinotecanAntineoplastic Agents, PhytogenicDrugs, Chinese HerbalHumansNeoplasmsAntineoplastic Agents, PhytogenicDrugs, Chinese HerbalIrinotecandiarrheairinotecanmeta-analysispreventionsystematic review

Identifiers

PMID38567795
PMCPMC10993684
OpenAlexW4393905946

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.