Evidence map›Paper›PMID 39273763›Full record

ReviewHealthcare (Basel, Switzerland)2024

The Effectiveness and Safety of Wu Tou Decoction on Rheumatoid Arthritis-A Systematic Review and Meta-Analysis.

Jeong-Hyun Moon, Gyoungeun Park, Chan-Young Kwon, Joo-Hee Kim, Eun-Jung Kim, Byung-Kwan Seo, Seung-Deok Lee, Seung-Ug Hong, Won-Suk Sung

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Jeong-Hyun MoonCollege of Korean Medicine, Dongguk University Graduate School, Seoul 04620, Republic of Korea.ORCID 0000-0002-0281-9162
Gyoungeun ParkCollege of Korean Medicine, Dongguk University Graduate School, Seoul 04620, Republic of Korea.ORCID 0009-0004-0622-1485
Chan-Young KwonDepartment of Oriental Neuropsychiatry, College of Korean Medicine, Dongeui University, Busan 47340, Republic of Korea.ORCID 0000-0003-0068-9904
Joo-Hee KimDepartment of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Sangji University, Wonju-si 26339, Republic of Korea.ORCID 0000-0003-1435-5649
Eun-Jung KimDepartment of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital, Seongnam-si 13601, Republic of Korea.ORCID 0000-0002-4547-9305
Byung-Kwan SeoDepartment of Acupuncture and Moxibustion Medicine, Kyung Hee University College of Korean Medicine, Kyung Hee University Hospital at Gangdong, Seoul 02447, Republic of Korea.ORCID 0000-0002-3356-2355
Seung-Deok LeeDepartment of Acupuncture & Moxibustion, Dongguk University Ilsan Oriental Hospital, Goyang-si 10326, Republic of Korea.ORCID 0000-0003-3348-9626
Seung-Ug HongDepartment of Ophthalmology, Otolaryngology and Dermatology, Dongguk University Ilsan Oriental Hospital, Goyang-si 10326, Republic of Korea.ORCID 0000-0002-6228-3312
Won-Suk SungDepartment of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital, Seongnam-si 13601, Republic of Korea.ORCID 0000-0003-0585-9693

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is an autoimmune disease primarily affecting the joints and requires various treatments, including medication, injection, and physiotherapy. Wu tou decoction (WTD) is a traditional Chinese medicine prescribed for RA, with several articles documenting its effectiveness in RA treatment. This systematic review and meta-analysis aimed to evaluate the efficacy and safety of WTD for RA. We searched for randomized controlled trials (RCTs) comparing WTD with conventional treatments (including medication, injection, and physiotherapy) from its inception to May 2024. Primary outcomes were disease activity scores, including effective rate, tender joint count, and morning stiffness. Secondary outcomes comprised blood test results (erythrocyte sedimentation rate, C-reactive protein, and rheumatoid factor) and adverse events. Nineteen RCTs involving 1794 patients were included. Statistically, WTD demonstrated better improvement than conventional treatments (18 medications and 1 injection) across the effective rate, joint scale, and blood tests, regardless of the treatment type (monotherapy or combination therapy). Adverse events were reported in 11 studies, with no statistical differences observed between them. The numerical results showed that WTD may offer potential benefits for managing RA. However, the significant discrepancy between clinical practice and the low quality of the RCTs remains a limitation. Therefore, further well-designed studies with larger patient cohorts are needed to draw definitive conclusions.

Indexed as

conventional treatmentmeta-analysisrheumatoid arthritissystematic reviewWu tou decoction

Identifiers

PMID39273763
PMCPMC11395211

What OpenQuestion holds

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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.