Evidence map›Paper›PMID 41103125›Full record

SynthesisIntegrative cancer therapies

Efficacy of Herbal Medicine Therapy Combined With Palliative Chemotherapy in Unresectable Advanced NSCLC: A Systematic Review and Meta-Analysis.

Keon-Jun Lee, Jong-Ha Kwon, Dong-Hyeon Kim, Mi-Sun Park, Ye-Jin Jin, Ji-Hwan Kim, Hwa-Seung Yoo, So-Jung Park

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Integrative cancer therapies. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Combination Therapy ofIntegrative cancer therapies
    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

8 authors.

Keon-Jun LeeDepartment of Korean Internal Medicine, Korean Medicine Hospital, Pusan National University, Yangsan, Republic of Korea.ORCID 0009-0004-0651-9628
Jong-Ha KwonDepartment of Korean Internal Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea.
Dong-Hyeon KimDepartment of Korean Internal Medicine, Korean Medicine Hospital, Pusan National University, Yangsan, Republic of Korea.ORCID 0000-0002-2144-2284
Mi-Sun ParkDepartment of Korean Internal Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea.
Ye-Jin JinDepartment of Korean Internal Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea.
Ji-Hwan KimDepartment of Korean Internal Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea.
Hwa-Seung YooDepartment of Korean Medicine, Graduate School, Daejeon University, Daejeon, Republic of Korea.
So-Jung ParkDepartment of Korean Internal Medicine, Korean Medicine Hospital, Pusan National University, Yangsan, Republic of Korea.ORCID 0000-0002-8829-1716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer, a leading cause of mortality, is often complicated by severe treatment-related side effects. Traditional herbal medicine (THM), particularly Fuzheng-Based Qi and Yin Therapy (FBQYT), has emerged as a promising adjuvant therapy to mitigate these effects and enhance immune response. This meta-analysis evaluates the efficacy and safety of THM as an adjunct to palliative chemotherapy.

methodsA systematic search was conducted in PubMed, EMBASE, ScienceON, RISS, KMBASE, OASIS, Cochrane Library, KISS, CNKI, and CiNii up to April 2025. Outcomes included tumor response, quality of life (QoL), adverse drug reactions (ADRs), and tumor markers. Eighty randomized controlled trials (RCTs) involving stage III/IV lung cancer patients were analyzed using Review Manager Software 5.4.1.

resultsCombining chemotherapy with THM significantly improved the objective response rate (ORR, RR 1.41) and disease control rate (DCR, RR 1.20). It also enhanced quality of life, increasing Karnofsky Performance Status (KPS) score (MD 8.53) and KPS improvement (RR 1.51), alongside improvements in Quality of Life Questionnaire-Core 30 (QLQ-C30) total score (MD 13.05). Tumor markers and most ADRs were reduced, except for neutropenia, liver injury, and diarrhea (

conclusionIntegrating THM with palliative chemotherapy enhances tumor response, QoL, and survival rates while reducing adverse effects. Further rigorous RCTs are needed to confirm these findings and address methodological limitations. REGISTRATION: PROSPERO CRD 42024523418.

Indexed as

Carcinoma, Non-Small-Cell LungDrugs, Chinese HerbalHerbal MedicineLung NeoplasmsPalliative CareHumansQuality of LifeRandomized Controlled Trials as TopicDrugs, Chinese Herbalchemotherapyclinical evidenceintegrative oncologynon-small cell lung cancertraditional herbal medicine

Identifiers

PMID41103125
PMCPMC12541183

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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.