Evidence map›Paper›PMID 41566457›Full record

SynthesisBMC cancer2026

Immune effect of Traditional Chinese Medicine combined with transcatheter arterial chemoembolization in treatment of liver cancer: a meta-analysis.

Xiaolin Liu, Zongyao Wang, Xiang Lv, Jian Wang, Xiangxue Pan, Shun Sheng, Kehui Zhang, Shasha Zhao, Liubing Lin

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Xiaolin LiuShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, No. 274 Zhijiang Middle Road, Jing'an, Shanghai, 200071, China.
Zongyao WangSartorius Stedim (Shanghai) Trading Co., Ltd, No.388 Shengrong Road, Pudong, Shanghai, 201210, China.
Xiang LvShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, No. 274 Zhijiang Middle Road, Jing'an, Shanghai, 200071, China.
Jian WangShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, No. 274 Zhijiang Middle Road, Jing'an, Shanghai, 200071, China.
Xiangxue PanShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, No. 274 Zhijiang Middle Road, Jing'an, Shanghai, 200071, China.
Shun ShengShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, No. 274 Zhijiang Middle Road, Jing'an, Shanghai, 200071, China.
Kehui ZhangShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, No. 274 Zhijiang Middle Road, Jing'an, Shanghai, 200071, China.
Shasha Zhao *Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, No. 274 Zhijiang Middle Road, Jing'an, Shanghai, 200071, China. zss12017142@163.com.
Liubing Lin *Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, No. 274 Zhijiang Middle Road, Jing'an, Shanghai, 200071, China. lin79334460@163.com.

Funding

National Natural Science Foundation of China 82304932Research project of Shanghai Municipal Health Commission 202340139Shanghai Famous Veteran Traditional Chinese Medicine Experts' Academic Experience Research Studio Construction Project SHGZS-202223Traditional Chinese Medicine Research Project of Shanghai Municipal Health Commission 2022QN051Training Program for High-caliber Talents of Clinical Research at Affiliated Hospitals of SHUTCM TCM[2022]14
6 · The paper itself

Abstract

backgroundIncreasing studies have examined the combination of traditional Chinese medicine (TCM) with Transcatheter arterial chemoembolization (TACE) in treating liver cancer. However, these results were inconsistent in immune function. Therefore, our study aimed to conduct a meta-analysis to evaluate the immune function of TCM combined with TACE in liver cancer patients.

methodsSeven electronic databases were retrieved from January 1, 2014, to January 6, 2025. The Cochrane Risk of Bias 2.0 tool was used to assess the quality of all the included articles. The primary outcomes were immune-related indicators, which were measured by standard mean difference (SMD) and 95% CI. A random-effects model was used due to the inconsistent units of measurement. Subgroup analysis and sensitivity analysis were used to explore the sources of heterogeneity. Publication bias was systematically assessed using funnel plots and Egger's test. Meta-analysis was performed using the Stata 17.0.

resultsSixty studies involving 5371 participants were included in this meta-analysis. Our findings indicated that the TCM + TACE group significantly improved immunity compared to the TACE group, including the proportion of CD3

conclusionsTCM combined with TACE for liver cancer can improve immune function. Additionally, the combination treatment can reduce the VEGF levels associated with inhibiting angiogenesis. Therefore, combining TCM with TACE offers advantages over TACE in treating liver cancer. The protocol has been registered with the International Prospective Register of Systematic Reviews (PROSPERO) ( https://www.crd.york.ac.uk/ ), registration number CRD420251011821.

Indexed as

Chemoembolization, TherapeuticDrugs, Chinese HerbalLiver NeoplasmsMedicine, Chinese TraditionalCombined Modality TherapyHumansTreatment OutcomeDrugs, Chinese HerbalImmune effectLiver neoplasmsMeta-analysisTraditional chinese medicineTranscatheter arterial chemoembolization

Identifiers

PMID41566457
PMCPMC12914991

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.