Evidence map›Paper›PMID 37424023›Full record

ArticleChinese medicine2023

Therapeutic effect of Duhuo Jisheng Decoction add-on Tui-na manipulation on osteoarthritis of knee: a randomized controlled trial.

Kin Ho Chan, Jessica Y L Ching, Kam Leung Chan, Hoi Yi Lau, Ka Man Chu, Kenny Chan, Hon Fai Pang, Lok Chi Wong, Chon Pin Chia, Hong Wei Zhang and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Chinese medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04492670 (The Therapeutic Effect of a Combined Therapy of Tui-na and Oral Chinese Medicine on Osteoarthritis of Knee - A Randomized Wait-list Controlled Trial), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 12% 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.

NCT04492670 nacompletednot on this map

The Therapeutic Effect of a Combined Therapy of Tui-na and Oral Chinese Medicine on Osteoarthritis of Knee - A Randomized Wait-list Controlled Trial

TypeinterventionalSponsorChinese University of Hong KongRan2020 to 2021Enrolled70ConditionsKnee OsteoarthritisArmsTui-na, Du-Huo-Ji-Sheng-Tang (DHJST)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

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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 2 institutions in 1 country.

Kin Ho ChanYan Oi Tong-The Chinese University of Hong Kong Chinese Medicine Clinic Cum Training and Research Centre (Tuen Mun District), Hong Kong SAR, China.
Jessica Y L ChingDepartment of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
Kam Leung ChanHong Kong Institute of Integrative Medicine, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
Hoi Yi LauYan Oi Tong-The Chinese University of Hong Kong Chinese Medicine Clinic Cum Training and Research Centre (Tuen Mun District), Hong Kong SAR, China.
Ka Man ChuYan Oi Tong-The Chinese University of Hong Kong Chinese Medicine Clinic Cum Training and Research Centre (Tuen Mun District), Hong Kong SAR, China.
Kenny ChanYan Oi Tong-The University of Hong Kong Chinese Medicine Clinic Cum Training and Research Centre (Islands District), Hong Kong SAR, China.
Hon Fai PangYan Oi Tong-The University of Hong Kong Chinese Medicine Clinic Cum Training and Research Centre (Islands District), Hong Kong SAR, China.
Lok Chi WongYan Oi Tong-The Chinese University of Hong Kong Chinese Medicine Clinic Cum Training and Research Centre (Tuen Mun District), Hong Kong SAR, China.
Chon Pin ChiaHong Kong Institute of Integrative Medicine, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
Hong Wei ZhangHong Kong Institute of Integrative Medicine, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
Tianhe SongHong Kong Institute of Integrative Medicine, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
Sin Bond LeungHong Kong Institute of Integrative Medicine, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
Bacon Fung Leung NgChinese Medicine Department, Hospital Authority, Hong Kong SAR, China.
Zhi-Xiu LinYan Oi Tong-The Chinese University of Hong Kong Chinese Medicine Clinic Cum Training and Research Centre (Tuen Mun District), Hong Kong SAR, China. linzx@cuhk.edu.hk.ORCID http://orcid.org/0000-0003-2840-6179
Chinese University of Hong Kong · HKHospital Authority · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnee osteoarthritis (KOA) is a common degenerative joint condition that causes disability and pain in the elderly population. The prevalence of KOA among persons aged 63 or above is approximately 30%. Previous studies have reported the positive effects of Tui-na treatment and the Chinese herbal formula Du-Huo-Ji-Sheng Decoction (DHJSD) for KOA treatment. The current study aims to evaluate the add-on therapeutic effect of oral administration of DHJSD on KOA in addition to Tui-na.

methodsWe conducted a prospective, randomized, controlled clinical trial. Seventy study subjects with KOA were randomly assigned to the treatment and control groups in a 1:1 ratio. Both two groups received eight sessions of Tui-na manipulation for 4 weeks. The DHJSD was only administered to the study subjects in the treatment group. The primary outcome measure was rated using the WOMAC at the end of treatment (4 weeks). Secondary outcomes were assessed using EQ-5D-5L, a health-related quality of life with 5-level EQ-5D version at end of treatment (week 4) and follow-up (week 8).

resultsNo statistically significant difference was found between two groups on WOMAC scores at the end of treatment. The mean WOMAC Pain subscale score was significantly lower in the treatment group than control group at week 8 follow up (mean difference, MD - 1.8, 95% CI - 3.5 to - 0.02, P = 0.048). The mean WOMAC Stiffness subscale score was significantly lower in the treatment group than in the control group at week 2 (MD 0.74, 95% CI 0.05 to 1.42, P = 0.035) and week 8 follow up (MD 0.95, 95% CI 0.26 to 1.65, P = 0.008). The mean EQ-5D index value was significantly improved in the treatment group than in the control group at week 2 (MD 0.17, 95% CI 0.02 to 0.31, P = 0.022). The analysis of WOMAC scores and EQ-5D-5L in both groups showed statistically significant improvement with time. No significant adverse effect was found during the trial.

conclusionDHJSD may have an add-on effect in addition to Tui-na manipulation relieving pain and improving stiffness as well as quality of life (QOL) in patients with KOA. The combined treatment was generally safe and well tolerated. Trial registration The study was registered at the ClinicalTrials.gov (website: https://clinicaltrials.gov/ct2/show/NCT04492670 , registry number: NCT04492670), registered on 30 July 2020.

Indexed as

Chinese herbal medicineKnee osteoarthritisKnee painRandomized controlled trialTui-na

Identifiers

PMID37424023
PMCPMC10331987
OpenAlexW4383710058

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.