Evidence map›Paper›PMID 41048931›Full record

SynthesisFrontiers in medicine2025

The efficacy and safety of Epimedium in the treatment of primary osteoporosis: a systematic review and meta-analysis.

Xian-Quan Zhang, Zhen-Hui Hua, Chu-Jia Huang, Hai-Yun Chen, Zong-Ren Hu, Mei-Ren Zhang, Jun Liu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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.

Xian-Quan Zhang *The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zhen-Hui Hua *The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Chu-Jia Huang *The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Hai-Yun ChenThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zong-Ren HuSchool of Traditional Chinese Medicine, Hunan University of Medicine, Huaihua, China.
Mei-Ren ZhangThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jun LiuBone and Joint Research Team of Degeneration and Injury, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Primary Osteoporosis (POP) is a global public health issue, and traditional medications have long-term safety concerns. Epimedium, a kidney-tonifying traditional Chinese medicine (TCM), has the potential to regulate bone metabolism through multiple targets, but clinical evidence is scattered and inconclusive. Objective: This systematic review and meta-analysis aim to evaluate the efficacy and safety of Epimedium and its active components in treating POP. Method: Computer searches were conducted in multiple domestic and international databases, including PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wanfang Database, to collect randomized controlled trials (RCTs) comparing the use of Epimedium as an adjunct or alternative therapy with traditional drug treatments for POP. Literature was screened according to predefined inclusion and exclusion criteria, quality assessments were performed on eligible articles, relevant data were extracted, and statistical analysis was conducted using RevMan 5.4 software. Results: A total of 10 RCTs were included, with a final inclusion of 890 cases, 448 in the experimental group and 442 in the control group. Meta-analysis suggests that the overall efficacy rate of the Epimedium group was significantly higher than that of the control group (OR = 3.80; 95% CI: 2.27,6.37; Conclusion: Epimedium can effectively improve bone density and clinical symptoms in patients with POP, with good safety, making it a potential alternative or adjunctive treatment option, but more high-quality studies are needed to verify long-term efficacy.

Indexed as

bone mineral densityEpimediummeta-analysisplant natural productsprimary osteoporosis

Identifiers

PMID41048931
PMCPMC12491210

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.