Evidence map›Paper›PMID 39479020›Full record

SynthesisFrontiers in oncology2024

Efficacy and safety of Atractylodes macrocephala-containing traditional Chinese medicine combined with neoadjuvant chemotherapy in the treatment of advanced gastric cancer: a systematic evaluation and meta-analysis.

Xiaotao Niu, Haoqing Gu, Jingzhan Li, Jiaqian Zuo, Wenqin Ren, Yujie Huang, Xinyan Shu, Chao Jiang, Peng Shu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 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. Review
  2. Article
  3. Article
  4. 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.

Xiaotao NiuAffiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
Haoqing GuAffiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
Jingzhan LiAffiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
Jiaqian ZuoAffiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
Wenqin RenAffiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
Yujie HuangAffiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
Xinyan ShuAffiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
Chao JiangAffiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
Peng ShuAffiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In China, Atractylodes-containing Chinese medicines are widely used as adjuvant therapy to neoadjuvant chemotherapy (NAC) in individuals diagnosed with advanced gastric cancer (AGC). Nevertheless, the findings concerning its effectiveness are still restricted. The aim from this research was to examine the efficiency and security Atractylodes macrocephala-containing traditional Chinese medicine together with NAC in the management of AGC. Methods: Literature was systematically searched across 8 electronic databases until September 20, 2023. Two researchers conducted a thorough review of the selected studies. The primary outcome measures included the objective response rate (ORR), disease control rate (DCR), quality of life (QOL), adverse drug reactions (ADRs), and levels of peripheral blood lymphocytes. The relevant effect estimates are as follows as risk ratios (RR) or mean differences (MD) with corresponding 95% confidence intervals (CI). Credibility of information was evaluated using the GRADE analyzer. Results: The results showed that solely on the basis of the accessible literature examined in NAC patients, individuals who received the therapeutic regimen containing Atractylodis Macrocephalae Chinese herbal preparations demonstrated a superior overall response rate (Relative Risk: 1.41, 95% confidence interval: 1.27-1.57, P < 0.001); DCR (RR: 1.20, 95% confidence interval: 1.13-1.27, P < 0.001), as compared to QOL (RR: 1.43, 95% confidence interval: 1.30-1.57, P < 0.001, MD: 8.47, 95% confidence interval: 7.16 - 9.77, P < 0.001); the proportions of CD3 Conclusion: The combination of Atractylodes macrocephala-containing herbs with NAC in the treatment of AGC improves efficacy, improves prognosis, and reduces adverse effects. Nevertheless, additional high-quality randomized trials are required. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023461079.

Indexed as

Atractylodes macrocephalameta-analysisneoadjuvant chemotherapyprogressive gastric cancertraditional Chinese medicine

Identifiers

PMID39479020
PMCPMC11521787

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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.