Evidence map›Paper›PMID 35811240›Full record

ReviewJournal of integrative medicine2022

Traditional Chinese medicine treatment for COVID-19: An overview of systematic reviews and meta-analyses.

Han-Ting Wu, Cong-Hua Ji, Rong-Chen Dai, Pei-Jie Hei, Juan Liang, Xia-Qiu Wu, Qiu-Shuang Li, Jun-Chao Yang, Wei Mao, Qing Guo

Abstract readReview
In one paragraph

Review in Journal of integrative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 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. Efficacy of Kan JangPharmaceuticals (Basel, Switzerland) · 2023
    Article
  9. Article
  10. 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

10 authors.

Han-Ting WuSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China.
Cong-Hua JiSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China; The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang Province, China. Electronic address: jchi2005@126.com.
Rong-Chen DaiSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China.
Pei-Jie HeiSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China.
Juan LiangSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China.
Xia-Qiu WuSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China.
Qiu-Shuang LiThe First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang Province, China.
Jun-Chao YangThe First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang Province, China.
Wei MaoThe First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang Province, China.
Qing GuoSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) is a rapidly spreading disease that has caused an extensive burden to the world. Consequently, a large number of clinical trials have examined the efficacy of traditional Chinese medicine (TCM) for treating and preventing COVID-19, with coinciding proliferation of reviews summarizing these studies.

objectiveThis study aimed to evaluate the methodological quality and evidence quality of systematic reviews and meta-analyses on the efficacy of TCM. SEARCH STRATEGY: Seven electronic databases, including PubMed, Cochrane Library, Web of Science, China National Knowledge Infrastructure, Chongqing VIP, Wanfang Data and SinoMed, were searched for systematic reviews and meta-analyses in October 2021. Search terms such as "Chinese medicine," "Lianhua Qingwen" and "COVID-19" were used. INCLUSION CRITERIA: Systematic reviews and meta-analyses of randomized controlled trials that evaluated the efficacy of TCM treatment of COVID-19 were included. DATA EXTRACTION AND ANALYSIS: A Measurement Tool to Assess Systematic Reviews Version 2.0 (AMSTAR 2) was used to evaluate the methodological quality. The quality of evidence was graded using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Data extraction and analysis were performed by two reviewers independently.

resultsThere were 17 meta-analyses included in our overview. The intervention group was defined as TCM combined with Western medicine, while the control group was Western medicine alone. The methodological quality of all the included studies was moderate to poor. A total of 89 outcome indicators were evaluated, of which, 8 were rated as moderate quality, 39 as low quality, and 41 as very low quality. Only one outcome measure was graded as being of high quality. The moderate quality of evidence indicated that, for the treatment of COVID-19, the clinical efficacy of TCM in combination with Western medicine was better, in terms of lung recovery, rate of conversion to severe/critical cases, symptom scores, duration of symptoms, mortality, and length of hospital stay.

conclusionEvidence from the included studies shows that, compared with conventional Western medical therapy alone, the addition of TCM to COVID-19 treatment may improve clinical outcomes. Overall, the quality of evidence of TCM for COVID-19 was moderate to poor. Meta-analyses of the use of TCM in the treatment of COVID-19 can be used for clinical decision making by accounting for the experiences of clinical experts, medical policies, and other factors.

Indexed as

COVID-19 Drug TreatmentDrugs, Chinese HerbalHumansMedicine, Chinese TraditionalMeta-Analysis as TopicSystematic Reviews as TopicTreatment OutcomeDrugs, Chinese HerbalChinese traditionalCOVID-19Integrative medicineMedicineMeta-analysisSystematic review

Identifiers

PMID35811240
PMCPMC9225921

What Socratic holds

Textmetadata
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 Socratic graph.