Evidence map›Paper›PMID 39911985›Full record

ReviewIntegrative medicine research2025

Effectiveness and safety of combined treatment with herbal medicines and palliative chemotherapy for advanced gastric cancer: A systematic review, and meta-analysis.

Dong-Hyeon Kim, Soo-Dam Kim, Hyeong-Joon Jun, Eun-Bin Kwag, Sang-Won Shin, Hwa-Seung Yoo, So-Jung Park

Abstract readReview
In one paragraph

Review in Integrative medicine research, 2025. 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. Review
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

7 authors.

Dong-Hyeon KimDepartment of Korean Internal Medicine, Korean Medicine Hospital, Pusan National University, Yangsan, Republic of Korea.
Soo-Dam KimKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Hyeong-Joon JunKM Data Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Eun-Bin KwagDepartment of Korean Medicine, Graduate School, Daejeon University, Daejeon, Republic of Korea.
Sang-Won ShinDepartment of Humanities & Social Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea.
Hwa-Seung YooEast West Cancer Center, Seoul Korean Medicine Hospital, Daejeon University, Seoul, Republic of Korea.
So-Jung ParkDepartment of Korean Internal Medicine, Korean Medicine Hospital, Pusan National University, Yangsan, Republic of Korea.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background: Advanced gastric cancer (AGC) is a leading cause of cancer-related deaths worldwide, with its treatment complicated by challenges such as high recurrence rates, severe side effects, and limited effectiveness of current therapies. Herbal medicine (HM) has emerged as an adjunct to palliative chemotherapy (PC), potentially improving tumor response and reducing side effects. This study conducted a meta-analysis to evaluate the effectiveness and safety of HM in palliative therapy for inoperable stage Ⅲ and Ⅳ AGC patients. Methods: Databases were searched until August 2023, encompassing 10 electronic databases, including PubMed, Embase, Cochrane Library, CNKI, and ScienceON. The inclusion criteria focused on randomized controlled trials (RCTs) combining herbal medicine with palliative therapy for patients with AGC. Primary outcomes assessed were tumor response rates, overall survival, adverse drug reactions (ADRs), and patients' quality of life (QoL). Results: In our analysis of 101 RCTs comparing PC alone to PC combined with HM, the meta-analysis demonstrated statistically significant improvements in overall response rate (ORR), disease control rate (DCR), survival rates, as well as a reduction in adverse drug reactions (ADRs) and an enhancement in quality of life (QoL) for patients receiving HM in combination with PC ( Conclusion: The combination of HM with PC significantly enhances tumor response and survival rates while reducing overall adverse drug reactions (ADRs) and improving quality of life (QoL) in patients with stage Ⅲ and Ⅳ AGC. HMs not only improve the efficacy of PC but also help alleviate side effects, including myelosuppression, digestive symptoms, nausea, vomiting, diarrhea, liver and renal injuries, and neurotoxicity.Protocol registration: PROSPERO, CRD 42022354133.

Indexed as

Advanced gastric cancerHerbal medicineMeta-analysisPalliative chemotherapy

Identifiers

PMID39911985
PMCPMC11795544

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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.