Meta AnalysisID 565

基于川芎的中药疗法治疗紫杉烷类药物引起的外周神经毒性:一项系统评价与Meta分析

CRD42020193978

In view of the lack of systematic assessment on Rhizoma Chuanxiong based-Chinese medicine therapy for TIPN, this study was to evaluate the effectiveness and safety of this therapy on the prevention and treatment of TIPN

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Record Fields

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Meta Analysis Id
565
Evidence Id
9123
Core Evidence Id
9123
Source Meta Analysis Id
544
Herb2 Meta Analysis Id
HBMA000544
Crd Id
CRD42020193978
Title
Rhizoma Chuanxiong based-Chinese Medicine Therapy for Taxanes-Induced Peripheral Neurotoxicity:A Systemic Review and Meta-Analysis
Review Question
In view of the lack of systematic assessment on Rhizoma Chuanxiong based-Chinese medicine therapy for TIPN, this study was to evaluate the effectiveness and safety of this therapy on the prevention and treatment of TIPN through systematic reviews and meta-analysis on the current available studies.
Study Type Included
Type of study was randomized controlled trial (RCT). English and Chinese were applied as language restriction.
Condition Being Studied
Taxanes-derived agents such as paclitaxel and docetaxel are chemotherapy drugs widely applied in many types of cancers such as non-small cell lung cancer, metastatic breast cancer and ovarian cancer, and usually used as the first-line treatment. However, Peripheral neurotoxicity is the dose-limiting adverse effect of taxanes, limits its clinical administration, often manifested as painful neuropathy, compromise the quality of the survivorship, and it is sometimes irreversible.The incidence of taxanes-induced peripheral neurotoxicity (TIPN) is high, ranging from 57%–83% overall and with severity in 2%–33% of patients treated with paclitaxel , 11%–64% overall and with severity 3%–14% of patients treated with docetaxel. Moreover, published neuropathy incidence and severity also seem greater when patient-reported outcome measures are considered in TIPN assessment.
Participant
patients will receive or have received taxanes containing chemotherapy regimens; age, race, nationality, and sex were not limited.
Animal
Human Disease Modelled
Intervention
The treatment groups received oral or external Chinese herbal medicine treatment which contains Rhizoma Chuanxiong.
Comparator Control
The controlled groups received conventional treatment or observation.
Main Outcome
(1) effective rate of TIPN;(2) the incidence of TIPN; Measures of effect The total improvement of TIPN and the incidence of TIPN were measured and presented with relative risk (risk ratio, RR) and 95% corresponding confidential intervals (CI).
Outcome Measure
Additional Outcome
(3) motor nerve conduction velocity (MNCV);(4) sensory nerve conduction velocity (SNCV). Measures of effect MNCV and SNCV were presented as mean difference (MD), with 95% CI.
Study Method
Meta-analysis, Systematic review
Keyword
Humans
Contact
Lingling Sun [email protected]
Organisational Affiliation
The First Affiliated Hospital of Guangzhou University of Chinese Medicine
Funding Source
National Natural Science Foundation of China
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2020-06-24
Registration Date
2020-07-25
Anticipated Start Date
2020-05-01
Anticipated Completion Date
2020-09-30
Title Cn
基于川芎的中药疗法治疗紫杉烷类药物引起的外周神经毒性:一项系统评价与Meta分析
Title En
Rhizoma Chuanxiong based-Chinese Medicine Therapy for Taxanes-Induced Peripheral Neurotoxicity:A Systemic Review and Meta-Analysis
Bilingual Status
complete