Evidence map›Paper›PMID 38189088›Full record

SynthesisRenal failure2024

Fermented

Fenglan Pu, Tianli Li, Chen Shen, Yingqiao Wang, Chunmei Tang, Xiaowen Zhang, Lijiao Yan, Qihe Xu, Jianping Liu

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Renal failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Efficacy of traditional Chinese medicineFrontiers in medicine · 2024
    Pooled it
  2. Review
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 at 5 institutions in 2 countries.

Fenglan PuCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0002-6771-6228
Tianli LiNational Integrated Traditional and Western Medicine Center for Cardiovascular Disease, China-Japan Friendship Hospital, Beijing, China.ORCID 0000-0002-4885-1141
Chen ShenCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0002-5439-7133
Yingqiao WangSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0001-7021-669X
Chunmei TangDepartment of Reproductive Medicine, Suzhou Hospital of Traditional Chinese Medicine, Suzhou, China.ORCID 0000-0003-4444-6664
Xiaowen ZhangCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0002-1724-4381
Lijiao YanInstitute of Basic Clinical Medicine of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, China.ORCID 0000-0003-2374-0354
Qihe XuCentre for Integrative Chinese Medicine and Department of Renal Medicine, King's College London, London, UK.ORCID 0000-0002-8015-2674
Jianping LiuCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0002-0320-061X
Beijing University of Chinese Medicine · CNChina-Japan Friendship Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNKing's College London · GBSuzhou Traditional Chinese Medicine Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the efficacy, effectiveness and safety of fermented

methodsRandomized controlled trials were searched from four Chinese and four English electronic databases and three clinical trial registries up to July 2023. Methodological quality was assessed by using the Cochrane risk-of-bias tool 2.0. Risk difference (RD) or risk ratio (RR) and mean difference (MD) were calculated along with the 95% confidence intervals (CIs).

resultsFourteen trials testing three types of FOSM products (Bailing, Zhiling, and Jinshuibao capsules) involving 1271 participants injected contrast agents were included. For the risk of bias, all trials were rated as some concerns. Compared with routine preventive procedure (RPP) (saline hydration and alprostadil), FOSM products plus RPP showed beneficial effects in reducing the incidence of CA-AKI (14.62% and 5.35%, respectively; RD -0.06, 95% CI -0.09 to -0.03). Subgroup analysis showed that Bailing/Jinshuibao plus RPP demonstrated lower incidence of CA-AKI compared to RPP. However, there was no statistically significant difference between Zhiling with RPP and RPP in the incidence of CA-AKI. Additionally, only when FOSM products were taken before injection of the contrast, it was superior to RPP in reducing the incidence of CA-AKI. There was no statistical difference in adverse events between these two groups.

conclusionsLow certainty evidence suggests that preventive oral use of FOSM products as an adjuvant agent was safe and might decrease the incidence of CA-AKI. However, high-quality placebo-controlled trials are needed to confirm its benefit.

Indexed as

Acute Kidney InjuryBiological ProductsCordycepsAdjuvants, PharmaceuticHumansRandomized Controlled Trials as TopicAdjuvants, PharmaceuticBiological ProductsChinese patent medicinecontrast-associated acute kidney injuryOphiocordyceps sinensisrandomized clinical trialssystematic review

Identifiers

PMID38189088
PMCPMC10776043
OpenAlexW4390668570

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.