Evidence map›Paper›PMID 35127733›Full record

ArticleFrontiers in medicine2021

Oral Chinese Herbal Medicine on Immune Responses During Coronavirus Disease 2019: A Systematic Review and Meta-Analysis.

Shihua Shi, Fei Wang, Huan Yao, Shuo Kou, Weihao Li, Bonan Chen, Yongcan Wu, Xiaomin Wang, Caixia Pei, Demei Huang and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 5% of its field
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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Article
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  8. Review
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  10. The effect of PhytopajAvicenna journal of phytomedicine
    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

14 authors at 4 institutions in 1 country.

Shihua ShiDepartment of Geriatric, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Fei WangDepartment of Geriatric, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Huan YaoDepartment of Rheumatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Shuo KouSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou, China.
Weihao LiDivision of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Bonan ChenDepartment of Anatomical and Cellular Pathology, State Key Laboratory of Translational Oncology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Yongcan WuDepartment of Geriatric, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Xiaomin WangDepartment of Geriatric, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Caixia PeiDepartment of Geriatric, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Demei HuangDepartment of Geriatric, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yilan WangDepartment of Geriatric, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Pan ZhangAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yacong HeDepartment of Geriatric, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Zhenxing WangDepartment of Geriatric, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Chengdu University of Traditional Chinese Medicine · CNChinese University of Hong Kong · CNSichuan University · CNZhejiang Chinese Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCellular immune responses including lymphocyte functions and immune effector cells are critical for the control of coronavirus infection. Chinese herbal medicine (CHM) potentially has a therapeutic effect for treatment of coronavirus disease 2019 (COVID-19). Nevertheless, there are limited clinical practice suggestions on immunogenicity of the CHM against SARS-CoV-2. To assess the effect of oral CHM on immunogenicity and whether oral CHM improves the clinical parameters through the immunity profile during COVID-19, we performed the present study.

methodsFor this systematic review and meta-analysis, 11 databases were searched for relevant studies assessing oral CHM for COVID-19 on November 20, 2020 (updated March 9, 2021). Primary outcomes mainly included immunity profiles. Secondary outcomes included all-cause mortality; the remission time of fever, cough, chest tightness, and fatigue. The random effect was used to estimate the heterogeneity of the studies. Summary relative risks, weight mean difference and standardized mean difference were measured with 95% confidence intervals. Modified Jadad scale and Newcastle-Ottawa Scale were used to assess the risk of bias of randomized controlled trials (RCTs) and observational studies, respectively. The certainty of evidence was evaluated using the GRADE approach.

resultsWe analyzed findings from 3,145 patients in 30 eligible studies. Compared with routine treatment, oral CHM, as an adjuvant medicine, improved lymphocyte counts, CD4

conclusionCHM may be recommended as an adjuvant immunotherapy for disease modification and symptom relief in COVID-19 treatment. However, large RCTs objectively assessing the efficacy of CHM on immune responses in COVID-19 are needed to confirm our findings.

Indexed as

CD4—CD8 ratioChinese traditional”coronavirus disease 2019lymphocytes“medicinemeta-analysismortality

Identifiers

PMID35127733
PMCPMC8814103
OpenAlexW4205904607

What Socratic holds

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LicenceCC BY
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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 Socratic graph.