Evidence map›Paper›PMID 41465911›Full record

SynthesisMedicine2025

Efficacy and safety of traditional Chinese medicine injections for older adults with community-acquired pneumonia: An evidence map.

Hao Yang, Jun Wang, Kang Zhang, Kai Xie, Wenshuai Ji, Haifeng Wang

Abstract readSystematic Review
In one paragraph

Synthesis in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hao YangDepartment of Respiratory Medicine, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China.
Jun WangDepartment of Respiratory Medicine, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China.
Kang ZhangDepartment of Respiratory Medicine, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China.
Kai XieDepartment of Respiratory Medicine, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China.
Wenshuai JiDepartment of Respiratory Medicine, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China.
Haifeng WangDepartment of Respiratory Medicine, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China.ORCID 0000-0002-1539-9996

Funding

Research Special Project of the Jointly - built National Center for Inheritance and Innovation of Traditional Chinese Medicine by the Health Commission of Henan Province 2024ZXZX1182the Henan Province University Scientific and Technological Innovation Team Support Project 22IRTSTHN029the National Natural Science Foundation of China 81774222 and 82074411the Special Research Project on Traditional Chinese Medicine Science in Henan Province 2023ZY1005
6 · The paper itself

Abstract

backgroundCommunity-acquired pneumonia (CAP) is a common respiratory condition associated with high morbidity and mortality. Older adults are disproportionately affected, experiencing higher risks and poorer outcomes. The current evidence regarding the efficacy and safety of traditional Chinese medicine injections (TCMIs) for CAP in older adults is limited. This study aims to synthesize high-quality evidence and identify gaps in the existing literature to guide future research.

methodsA systematic search was conducted in eight databases - PubMed, Cochrane Library, EMBASE, Web of Science, CNKI, VIP, Wanfang, and SinoMed - covering records from database inception to December 19, 2024. Randomized controlled trials (RCTs), systematic reviews, and meta-analyses (MAs) assessing the use of TCMIs for older adults with CAP were included. The risk of bias in RCTs was assessed using the Cochrane risk of bias tool. Evidence bubble plots were created to visualize the study characteristics and distribution of evidence.

resultsThe evidence map included 165 RCTs and one MAs, with the earliest publication dating from 2001. All studies were conducted in China, and RCTs accounted for 99% of the included evidence. Tanreqing Injection was the most frequently investigated intervention, with a median treatment duration of 7 to 13 days. The primary outcomes were the clinical effective rate and time to symptom resolution. Both the RCTs and the MAs reported significant benefits of TCMIs for older adults with CAP. However, the overall certainty of the evidence remains low.

conclusionTCMIs show substantial potential for improving clinical efficacy and alleviating symptoms in older adults with CAP. However, existing studies have design and methodological limitations. Future research should focus on improving methodological quality to enhance the robustness of the clinical evidence.

Indexed as

Community-Acquired PneumoniaDrugs, Chinese HerbalMedicine, Chinese TraditionalAgedHumansInjectionsRandomized Controlled Trials as TopicTreatment OutcomeDrugs, Chinese Herbaltanreqingcommunity-acquired pneumoniaevidence mapolder adultsrandomized controlled trialssystematic reviewstraditional Chinese medicine injections

Identifiers

PMID41465911
PMCPMC12746979

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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.