Clinical Application of Chinese Herbal Injection for Cancer Care: Evidence-Mapping of the Systematic Reviews, Meta-analyses, and Randomized Controlled Trials.
Journal article
Yang, M., Zhu, S-J., Shen, C., Zhai, R., Li, D-D., Fang, M., Xu, J-N., Gan, Y-N., Yang, L., Ren, Z-Y., Zheng, R-X., Robinson, N. and Liu, J-P. (2021). Clinical Application of Chinese Herbal Injection for Cancer Care: Evidence-Mapping of the Systematic Reviews, Meta-analyses, and Randomized Controlled Trials. Frontiers in Pharmacology. 12, p. 666368. https://doi.org/10.3389/fphar.2021.666368
Authors | Yang, M., Zhu, S-J., Shen, C., Zhai, R., Li, D-D., Fang, M., Xu, J-N., Gan, Y-N., Yang, L., Ren, Z-Y., Zheng, R-X., Robinson, N. and Liu, J-P. |
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Abstract | Cancer is a life-threatening disease worldwide and current standard therapy cannot fulfill all clinical needs. Chinese herbal injections have been widely used for cancer in Chinese and Western hospitals in China. This study aimed to apply evidence mapping in order to provide an overview of the clinical application of Chinese herbal injections in cancer care based on randomized controlled trials, systematic reviews, and meta-analyses. Seven databases were systematically searched for eligible randomized controlled trials, systematic reviews, and meta-analyses for ten Chinese herbal injections used in cancer treatment and covered in the Chinese national essential health insurance program. Excel 2016 and RStudio were used to integrate and process the data. In total 366 randomized controlled trials and 48 systematic reviews and meta-analyses were included in the evidence mapping of herbal medicines including; Compound Kushen, Shenqi Fuzheng, Aidi, Kangai, Kanglaite, Xiaoaiping, Cinobufacin, oil emulsion, polysaccharide injection, and polysaccharide for injection. Health insurance restricts the scope of clinical application for these herbal injections. The numbers of studies published increased, especially around 2013-2015. The most studied cancer types were lung cancer (118, 32.2%), colorectal cancer (39, 10.7%), and gastric cancer (39, 10.7%), and the most used injections were Compound Kushen (78, 21.3%), Shenqi Fuzheng (76, 20.8%), and Aidi (63, 17.2%). The most consistently reported benefits were observed for Compound Kushen, Shenqi Fuzheng, Aidi, and Kangai for tumor response, quality of life, myelosuppression, and enhancing immunity. The current evidence mapping provides an overview of the outcomes and effects of Chinese herbal injections used in cancer care, and offers information on their clinical application which warrants further evidence-based research in order to inform clinical and policy decision-making. [Abstract copyright: Copyright © 2021 Yang, Zhu, Shen, Zhai, Li, Fang, Xu, Gan, Yang, Ren, Zheng, Robinson and Liu.] |
Keywords | cancer care; chinese herbal injection; clinical application; evidence mapping; evidence-based decision-making; herbal medicine; randomized controlled trial; systematic review |
Year | 2021 |
Journal | Frontiers in Pharmacology |
Journal citation | 12, p. 666368 |
Publisher | Frontiers Media |
ISSN | 1663-9812 |
Digital Object Identifier (DOI) | https://doi.org/10.3389/fphar.2021.666368 |
https://doi.org/666368 | |
Publication dates | |
Online | 07 May 2021 |
Publication process dates | |
Deposited | 16 Apr 2021 |
Accepted | 08 Apr 2021 |
Publisher's version | License File Access Level Open |
Accepted author manuscript | License File Access Level Controlled |
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https://openresearch.lsbu.ac.uk/item/8w876
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