Evidence map›Paper›PMID 39203826›Full record

SynthesisNutrients2024

Efficacy and Safety of Orally Administered East Asian Herbal Medicine Combined with Narrowband Ultraviolet B against Psoriasis: A Bayesian Network Meta-Analysis and Network Analysis.

Hee-Geun Jo, Hyehwa Kim, Eunhye Baek, Jihye Seo, Donghun Lee

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  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

5 authors.

Hee-Geun JoDepartment of Herbal Pharmacology, College of Korean Medicine, Gachon University, 1342 Seongnamdae-ro, Seongnam-si 13120, Republic of Korea.ORCID 0000-0002-1805-4387
Hyehwa KimKC Korean Medicine Hospital 12, Haeol 2-gil, Paju-si 10865, Republic of Korea.ORCID 0000-0001-5276-8474
Eunhye BaekRexSoft Inc., 1 Gwanak-ro, Seoul 08826, Republic of Korea.
Jihye SeoSiho Korean Medicine Clinic, 407, Dongtansillicheon-ro, Hwaseong-si 18484, Republic of Korea.
Donghun LeeDepartment of Herbal Pharmacology, College of Korean Medicine, Gachon University, 1342 Seongnamdae-ro, Seongnam-si 13120, Republic of Korea.ORCID 0000-0003-1075-0713

Funding

Ministry of Education RS-2023-00247663Ministry of Health and Welfare RS-2023-KH139519 (HF23C0116)
6 · The paper itself

Abstract

Psoriasis is a chronic, immune-mediated inflammatory skin disease with many complications and a poor prognosis that imposes a significant burden on individuals and society. Narrowband ultraviolet B (NB-UVB) represents a cost-effective non-drug therapeutic intervention for psoriasis. East Asian herbal medicine (EAHM) is currently being investigated for its potential as a safe and effective psoriasis treatment. Consequently, it has the potential to be employed as a combination therapy with NB-UVB. The objective was to ascertain the efficacy and safety of the EAHM with NB-UVB combination therapy and to identify important drugs for further research. In this study, randomized controlled trials (RCTs) were retrieved from ten databases in Korea, China, and Japan. All statistical analyses were conducted using R software version 4.3.0. The primary outcomes were the Psoriasis Area and Severity Index (PASI) and the incidence rate of adverse events (AEs), while the secondary outcomes were hematologic markers and the Dermatology Life Quality Index (DLQI), which reflect the immune-mediated inflammatory pathology of psoriasis. The analysis of 40 RCTs, including 3521 participants, demonstrated that EAHM with NB-UVB combination therapy exhibited a statistically significant superiority over NB-UVB monotherapy with respect to primary and secondary outcomes. The Bayesian network meta-analysis revealed that Investigator Presciption 3 and Ziyin Liangxue Decoction exhibited a consistent relative advantage with respect to each PASI-based efficacy metric. The network analysis estimated the potential influence ranking for all individual herbs according to PageRank centrality. The findings of this study suggest that EAHMs co-administered with NB-UVB may provide additional efficacy and safety-related benefits for patients with psoriasis. However, the quality of evidence is still low, and further high-quality trials are needed to reach more definitive conclusions.

Indexed as

Medicine, East Asian TraditionalPsoriasisUltraviolet TherapyAdministration, OralAdultBayes TheoremCombined Modality TherapyDrugs, Chinese HerbalFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicTreatment OutcomeDrugs, Chinese HerbalBayesian network meta-analysisEast Asian herbal medicineNB-UVBnetwork analysispsoriasissystematic review

Identifiers

PMID39203826
PMCPMC11357435

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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.