Meta AnalysisID 458

围手术期整合癌症护理中使用的天然健康产品:槲寄生提取物、支链氨基酸和益生菌的系统评价与Meta分析方案

CRD42018086168

What is the safety and efficacy evidence for the adjunctive use of select natural health products (NHPs) in cancer patients undergoing surgery?

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Record Fields

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Meta Analysis Id
458
Evidence Id
9016
Core Evidence Id
9016
Source Meta Analysis Id
434
Herb2 Meta Analysis Id
HBMA000434
Crd Id
CRD42018086168
Title
Natural health products used in integrative cancer care during the peri-operative period: protocol for a systematic review and meta-analysis of mistletoe extract, branched-chain amino acids, and probiotics
Review Question
What is the safety and efficacy evidence for the adjunctive use of select natural health products (NHPs) in cancer patients undergoing surgery?
Study Type Included
For Efficacy outcomes- randomized controlled trials (RCTs) only. For Adverse Events- RCTs, nonrandomized and quasi-randomized controlled clinical trials, controlled observational cohort and case-control studies.
Condition Being Studied
Cancer
Participant
We will include all oncology patients undergoing cancer-related surgery.
Animal
Human Disease Modelled
Intervention
The natural health products (NHPs) below will be included, regardless of route of administration, dose, duration, and formulation (i.e., used alone or in combinations): 1. Probiotics (e.g., Lactobacillus acidophilus and other L. species, Bifidobacteria spp., etc.); 2. Branched-chain amino acids (i.e., Leucine, Isoleucine, Valine); 3. Mistletoe (Viscum album) extracts: all types and preparations.
Comparator Control
We will evaluate these interventions compared to placebo, active control, or no adjunctive treatment (i.e., usual care).
Main Outcome
Primary outcomes: Survival/ mortality, treatment response, recurrence/ remission, disease progression/ metastasis, and stable disease. Measures of effect Relative risks
Outcome Measure
Additional Outcome
Secondary outcomes: We will also include adverse events, post-operative infections and length of antibiotic use, bleeding, length of hospitalization, quality of life/ performance status, wound healing, pain, weight/ BMI/ arm & waist circumference, fatigue, and other complications (e.g., ascites, edema, pleural effusion, liver failure, flapping tremors, encephalopathy, prothrombin time, intestinal obstruction, ileus, constipation, diarrhea, nausea and vomiting). Cancer biomarkers (e.g., PSA, CEA, etc.), immune cells and inflammatory markers, and albumin and ammonia levels will also be included. Measures of effect Relative risks and mean differences
Study Method
Intervention, Meta-analysis, Systematic review
Keyword
Amino Acids, Branched-Chain; Biological Products; Humans; Isoleucine; Leucine; Mistletoe; Neoplasms; Probiotics
Contact
Dr. Elise Cogo, ND, MSc, MLIS [email protected]
Organisational Affiliation
Patterson Institute for Integrative Oncology Research, Canadian College of Naturopathic Medicine
Funding Source
Patterson Institute for Integrative Oncology Research, Canadian College of Naturopathic Medicine Grant number(s) <span style=font-size: 14px>State the funder, grant or award number and the date of award</span> No specific funding grant received.
Other Selection Criteria
Final Publication
Cogo E, Elsayed M, Liang V, Cooley K, Guerin C, Psihogios A, Papadogianis P. Are Supplemental Branched-Chain Amino Acids Beneficial During the Oncological Peri-Operative Period: A Systematic Review and Meta-Analysis. Integr Cancer Ther. 2021 Jan-Dec;20:1534735421997551. doi: 10.1177/1534735421997551. Cogo E, Elsayed M, Liang V, Cooley K, Guerin C, Psihogios A, Papadogianis P. Probiotics Evaluation in Oncological Surgery: A Systematic Review of 36 Randomized Controlled Trials Assessing 21 Diverse Formulations. Current Oncology. 2021; 28(6):5192-5214. https://doi.org/10.3390/curroncol28060435 https://journals.sagepub.com/doi/10.1177/1534735421997551
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Canada
Review Stage
Review Completed published
First Submission Date
2018-11-19
Registration Date
2018-12-10
Anticipated Start Date
2018-03-01
Anticipated Completion Date
2021-12-31
Title Cn
围手术期整合癌症护理中使用的天然健康产品:槲寄生提取物、支链氨基酸和益生菌的系统评价与Meta分析方案
Title En
Natural health products used in integrative cancer care during the peri-operative period: protocol for a systematic review and meta-analysis of mistletoe extract, branched-chain amino acids, and probiotics
Bilingual Status
complete