Evidence map›Paper›PMID 40046738›Full record

SynthesisFrontiers in pharmacology2025

Add-on effects of total glucosides of paeony on conventional therapies for psoriasis: a systematic review and meta-analysis of randomized controlled trials.

Ziqing Li, Jie Lu, Kewen Guan, Haiwen Liang, Chuanjian Lu, Jingjie Yu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Ziqing LiThe Second Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Jie LuThe Second Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Kewen GuanThe Second Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Haiwen LiangThe Second Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Chuanjian LuThe Second Clinical School of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Jingjie YuGuangdong Provincial Hospital of Chinese Medicine and Guangdong Provincial Academy of Chinese Medical Sciences, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psoriasis is an inflammatory and recurrent dermatological disease that is associated with multiple comorbidities. Conventional psoriasis therapies such as acitretin capsule and narrow-band ultraviolet B radiation (NB-UVB) are prone to decreased efficacy and adverse events in long-term application. Total glucosides of paeony (TGP), a plant extract from Radix Paeoniae Alba, are commonly used in conjunction with conventional therapies for psoriasis. This study aims to elucidate the add-on effect of TGP on conventional therapies in the treatment of psoriasis. Methods: Seven databases were searched from their inception to March 2024. Randomized controlled trials (RCTs) using TGP in conjunction with conventional therapies for psoriasis were included. The Risk of Bias 2.0 (RoB 2.0) tool was used to assess bias risk, and data analysis was conducted using RevMan V.5.4. Evaluation outcomes mainly involved a 60% or greater reduction of Psoriasis Area and Severity Index score (PASI 60) and a 50% or greater reduction of Psoriasis Area and Severity Index score (PASI 50). Results: This meta-analysis ultimately included 36 RCTs with 3,140 participants. The findings indicated that TGP combined with conventional therapies were superior to conventional therapies used alone on PASI 60 (RR = 1.32, 95% CI: 1.25 to 1.39, Conclusion: This meta-analysis demonstrated the preliminary clinical evidence supporting the addition of TGP to conventional therapies in treating psoriasis. Owing to the limited methodological quality of the included studies, well-designed RCTs are required to further illustrate the add-on effect of TGP on conventional therapies for psoriasis. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=439904, identifier CRD42023439904.

Indexed as

conventional therapieseffectmeta-analysispsoriasistotal glucosides of paeony

Identifiers

PMID40046738
PMCPMC11880009

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.