Evidence mapPaperPMID 39497372Full record

SynthesisPharmaceutical biology2024

Comparative efficacy and safety of Chinese patent medicines as an adjunctive therapy for diabetic peripheral neuropathy: systematic review and network meta-analysis of randomized controlled trials.

Qun Wang, Hui Xie, Zihong Wang, Runyun Huang, Min Xu, Yongjun Li, Lingling Shan, Hongyan Zhang, Xianghong Liu, Hongxing Zhang and 2 more

Abstract readSystematic ReviewComparative StudyNetwork Meta-Analysis
In one paragraph

Synthesis in Pharmaceutical biology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  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

12 authors.

Qun WangCollege of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Hui XieCollege of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Zihong WangCollege of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Runyun HuangDepartment of Pharmacy, Binzhou Youfu Hospital, Binzhou, Shandong, China.
Min XuDepartment of Pharmacy, Jinan Hospital of Chinese Medicine, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Jinan, China.
Yongjun LiDepartment of Pharmacy, Second Affiliated Hospital, Shandong Provincial Hospital of Integrated Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Lingling ShanDepartment of Pharmacy, Second Affiliated Hospital, Shandong Provincial Hospital of Integrated Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Hongyan ZhangDepartment of Pharmacy, Second Affiliated Hospital, Shandong Provincial Hospital of Integrated Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Xianghong LiuDepartment of Pharmacy, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Hongxing ZhangDepartment of Pharmacy, Jinan Hospital of Chinese Medicine, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Jinan, China.
Yunsheng XuDepartment of Endocrinology, Second Affiliated Hospital, Shandong Provincial Hospital of Integrated Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Shiguang SunDepartment of Pharmacy, Second Affiliated Hospital, Shandong Provincial Hospital of Integrated Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextDiabetic peripheral neuropathy (DPN) is the most common complication of diabetes mellitus. Chinese patent medicines (CPMs) are widely used in clinical practice to treat DPN.

objectiveThis study aims to summarize the latest evidence on the harms and benefits of CPMs as adjunctive therapy for DPN. MATERIALS AND

methodsWe conducted searches for randomized controlled trials (RCTs) evaluating CPMs in conjunction with mecobalamin (Mec) or alpha-lipoic acid (αLA) across eight databases up to July 2024. The surface under the cumulative ranking area (SUCRA) was utilized to assess the clinical efficacy rate (CER), the peroneal motor nerve conduction velocity (pMNCV), the peroneal sensory nerve conduction velocity (pSNCV), the median motor nerve conduction velocity (mMNCV), and the median sensory nerve conduction velocity (mSNCV).

resultsThe search yielded 128 eligible studies with 31 CPMs with Mec and 39 eligible studies with 17 CPMs with αLA. SUCRA rankings indicated that, when combined with Mec,

conclusionThis network meta-analysis confirms the efficacy and safety of 37 CPMs combined with Mec or αLA for treating DPN. However, given the potential risk of bias and the very low certainty of the evidence, these recommendations should be adopted with caution.

Indexed as

Diabetic NeuropathiesDrugs, Chinese HerbalRandomized Controlled Trials as TopicDrug Therapy, CombinationHumansMedicine, Chinese TraditionalNeural ConductionNonprescription DrugsThioctic AcidTreatment OutcomeVitamin B 12Drugs, Chinese HerbalmecobalaminNonprescription DrugsThioctic AcidVitamin B 12Chinese medicineChinese patent medicinesclinical efficacy ratediabetic peripheral neuropathynerve conduction velocitynetwork meta-analysissystematic review

Identifiers

PMID39497372
PMCPMC11539401

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.