Evidence map›Paper›PMID 42213401›Full record

SynthesisClinical drug investigation2026

Effectiveness of Micronized Purified Flavonoid Fraction on Quality of Life in Patients with Chronic Venous Disease: A Systematic Review and Meta-analysis.

Fabricio Rodrigues Santiago, Denisa Celovska, Sarah Thomis, Vanessa Blanc-Guillemaud, Marie-Blanche Onselaer, Soumeya Serifou, Hurrem-Pelin Yaltirik, Mamuka Bokuchava

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Clinical drug investigation, 2026. 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

8 authors.

Fabricio Rodrigues SantiagoFederal University of Goiás, Rua 5 n 243 Goiânia, Goiás, CEP-74115060, Brazil. fsan09@ufg.br.ORCID http://orcid.org/0000-0002-3830-8989
Denisa Celovska1st Department of Internal Medicine, Medical Faculty, Comenius University and University Hospital, Bratislava, Slovakia.ORCID http://orcid.org/0000-0002-6653-9397
Sarah ThomisDepartment of Vascular Surgery, Centre for Lymphedema, UZ Leuven-University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-8491-6264
Vanessa Blanc-GuillemaudServier Medical Affairs, Suresnes, France.ORCID http://orcid.org/0000-0003-4471-178X
Marie-Blanche OnselaerSoladis Clinical Studies, Roubaix, France.ORCID http://orcid.org/0000-0002-2894-1369
Soumeya SerifouSoladis, Lyon, France.
Hurrem-Pelin YaltirikServier Medical Affairs, Suresnes, France.
Mamuka BokuchavaN. Bokhua Memorial Cardiovascular Center, Tbilisi State Medical University, Tbilisi, Georgia.ORCID http://orcid.org/0000-0002-6719-1302

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveChronic venous disease (CVD) substantially impacts patients' quality of life (QoL) owing to leg symptoms such as pain, swelling, and discomfort. The aim of this meta-analysis was to evaluate the effects of micronized purified flavonoid fraction (MPFF) treatment on QoL in patients with CVD.

methodsA systematic review conducted in December 2023 identified studies investigating the efficacy of oral MPFF treatment (1000 mg daily for at least 1 month) on QoL in patients with CVD. Eligible prospective studies included randomized controlled trials (RCTs) and non-RCTs (comparative, single-arm, and observational studies). Medline, Embase, and Cochrane databases were searched. Mean changes (MC) from baseline to the last postbaseline value in the global QoL score (0-100) were estimated using single-group random-effects meta-analysis. Secondary outcomes included all dimensions of QoL score (pain, physical, social, and psychological) and CVD symptom scores (using 10-cm visual analog scale [VAS]) and percentage of patients with complete resolution for heaviness and cramps. Risk of bias was assessed using the Cochrane tools.

resultsIn total, 10 of 317 studies were retained for the analysis. These studies conducted worldwide included 5654 patients allocated to MPFF treatment; nearly all (99.6%) were treated for at least 2 months. Mean (standard deviation [SD]) age was 45.6 (6.7) years, with mostly females (81.3%) and overweight (body mass index [BMI] of 25.9 [3.5] kg/m

conclusionsThis meta-analysis showed that MPFF treatment was associated with improvements in QoL globally and across all dimensions for patients with CVD. The findings highlight the importance of a patient-centered approach in managing CVD and provide additional evidence of the clinical benefits of MPFF in enhancing patient-important outcomes. However, the exact magnitude of this clinical impact remains to be confirmed through further investigation. PROTOCOL REGISTRATION: International Prospective Register of Systematic Reviews (PROSPERO), CRD42023476525.

Indexed as

FlavonoidsQuality of LifeVascular DiseasesChronic DiseaseHumansRandomized Controlled Trials as TopicTreatment OutcomeFlavonoids

Identifiers

PMID42213401
PMCPMC13356061

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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.