Evidence map›Paper›PMID 39251465›Full record

Trial reportChinese journal of integrative medicine2024

Efficacy of Wuda Granule on Recovery of Gastrointestinal Function after Laparoscopic Bowel Resection: A Randomized Double-Blind Controlled Trial.

Hai-Ping Zeng, Li-Xing Cao, De-Chang Diao, Ze-Huai Wen, Wen-Wei Ouyang, Ai-Hua Ou, Jin Wan, Zhi-Jun Peng, Wei Wang, Zhi-Qiang Chen

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Chinese journal of integrative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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

10 authors.

Hai-Ping ZengDepartment of Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, China.
Li-Xing CaoCenter of Traditional Chinese Medicine Applications Perioperative, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, China.
De-Chang DiaoDepartment of Colorectal Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, China.
Ze-Huai WenKey Unit of Methodology in Clinical Research, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, China.
Wen-Wei OuyangKey Unit of Methodology in Clinical Research, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, China.
Ai-Hua OuDepartment of Big Data Research of Traditional Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, China.
Jin WanGastrointestinal Cancer Center, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, China.
Zhi-Jun PengThe Second School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Wei WangDepartment of Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, China.
Zhi-Qiang ChenCenter of Traditional Chinese Medicine Applications Perioperative, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510120, China. profchen7233@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of Wuda Granule (WDG) on recovery of gastrointestinal function after laparoscopic bowel resection in the setting of enhanced recovery after surgery (ERAS)-based perioperative care.

methodsA total of 108 patients aged 18 years or older undergoing laparoscopic bowel resection with a surgical duration of 2 to 4.5 h were randomly assigned (1:1) to receive either WDG or placebo (10 g/bag) twice a day from postoperative days 1-3, combining with ERAS-based perioperative care. The primary outcome was time to first defecation. Secondary outcomes were time to first flatus, time to first tolerance of liquid or semi-liquid food, gastrointestinal-related symptoms and length of stay. Subgroup analysis of the primary outcome according to sex, age, tumor site, surgical time, histories of underlying disease or history of abdominal surgery was undertaken. Adverse events were observed and recorded.

resultsA total of 107 patients [53 in the WDG group and 54 in the placebo group; 61.7 ± 12.1 years; 50 males (46.7%)] were included in the intention-to-treat analysis. The patients in the WDG group had a significantly shorter time to first defecation and flatus [between-group difference -11.01 h (95% CI -20.75 to -1.28 h), P=0.012 for defecation; -5.41 h (-11.10 to 0.27 h), P=0.040 for flatus] than the placebo group. Moreover, the extent of improvement in postoperative gastrointestinal-related symptoms in the WDG group was significantly better than that in the placebo group (P<0.05). Subgroup analyses revealed that the benefits of WDG were significantly superior in patients who were male, or under 60 years old, or surgical time less than 3 h, or having no history of basic disease or no history of abdominal surgery. There were no serious adverse events.

conclusionThe addition of WDG to an ERAS postoperative care may be a viable strategy to enhance gastrointestinal function recovery after laparoscopic bowel resection surgery. (Registry No. ChiCTR2100046242).

Indexed as

Drugs, Chinese HerbalLaparoscopyRecovery of FunctionAgedDefecationDouble-Blind MethodFemaleGastrointestinal TractHumansIntestinesMaleMiddle AgedTreatment OutcomeDrugs, Chinese HerbalChinese medicineenhanced recovery after surgerygastrointestinal functionlaparoscopic bowel resectionpostoperative ileusrandomized double-blind controlled trialWuda Granule

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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.