Meta AnalysisID 6066

中医药治疗多囊卵巢综合征女性不孕的网状Meta分析

CRD42022375101

This network meta-analysis was developed to compare the efficacy of co-treatment with twelve classical prescriptions and Chinese patent medicines against western medicine monotherapy in the treatment of PCOS.

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Record Fields

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Meta Analysis Id
6066
Evidence Id
14624
Core Evidence Id
14624
Source Meta Analysis Id
6049
Herb2 Meta Analysis Id
HBMA006049
Crd Id
CRD42022375101
Title
A network meta-analysis of Traditional Chinese Medicine in the treatment of infertility in women with polycystic ovary syndrome
Review Question
This network meta-analysis was developed to compare the efficacy of co-treatment with twelve classical prescriptions and Chinese patent medicines against western medicine monotherapy in the treatment of PCOS.
Study Type Included
Randomized clinical trials will be include dirrespective of blinding, publication status or language.
Condition Being Studied
Polycystic ovary syndrome (PCOS) is an endocrine disease that affects gynecological health, clinical manifestations include obesity, infrequent menstruation, anovulation, hirsutism, acne, infertility and other symptoms.Treatment of infertility in women with PCOS remains a big challenge for clinicians.Studies have shown that traditional Chinese medicine has a significant effect on the treatment of polycystic ovary syndrome infertility, but the types of drugs are complex, and there is a lack of comparison between the effects of different drugs.Our research facilitates better clinical guidance.
Participant
We used the following inclusion criteria: 1)Participants: patients with ovulatory disorders (e.g., ovulatory infertility and polycystic ovary syndrome) requiring fertility treatment 2) Intervention: any kind of Chinese patent medicine or classical prescriptions combined with western medicine 3) Comparison: western medicine alone 4) Outcomes: change in ovulation rate, pregnancy rate, and endometrial thickness after the treatment 5) Study design: randomized clinical trial (RCT) 6) Language: English or Chinese studies We excluded studies based on the following criteria: 1) studies not including the required outcomes 2) repeated publications 3) self-control studies and non-RCTs 4) preclinical studies, systematic reviews, case reports, and meta-analyses 5) protocols, unpublished studies, or duplicate studies 6) studies based on a research design with obvious defects or suspected fraud
Animal
Human Disease Modelled
Intervention
Chinese patent medicine and classical prescriptions are the main interventions.In the included studies, the experimental groups received a combination therapy, which included TCM and western medicine; the control groups were given western medicine alone.
Comparator Control
e.g., the experimental groups received a combination therapy, which included Ding Kun Dan and letrozole, the control groups were given letrozole alone.
Main Outcome
Treatment outcome indicators included: cycle ovulation rate, pregnancy rate, and endometrial thickness after the treatment. Measures of effect The ovulation and pregnancy rates are dichotomous variables,and the odds ratio (OR) was used to indicate the size of the effect.The endometrial thickness on the day of follicular maturity is a continuous variable, and the mean difference (MD) was used to indicate the quantity of the effect, and the 95% confidence interval (95% CI) of the OR and the MD were calculated.
Outcome Measure
Additional Outcome
Luteinizing hormone (LH) to follicle-stimulating hormone (FSH) ratio, body mass index (BMI), total effective rate of symptom treatment, LH level, FSH level and safety evaluation. Measures of effect Heterogeneity was quantitatively determined using I², with I²< 50% and p > 0.1 indicating no statistical heterogeneity. A fixed-effect model was used for meta-analysis. If statistical heterogeneity was found between the studies, subgroup and other methods were used to find the source of the heterogeneity, and if it could not be found, the random-effect model was used for meta-analysis.
Study Method
Network meta-analysis, Systematic review
Keyword
China; Female; Humans; Infertility; Medicine, Chinese Traditional; Network Meta-Analysis; Nonprescription Drugs; Polycystic Ovary Syndrome; Prescriptions
Contact
Li kun Liu [email protected]
Organisational Affiliation
The Second Clinical Medical College, Beijing University of Chinese Medicine
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Chinese patent medicine; Classical Prescriptions; ovulation disorder; polycystic ovary syndrome; meta-analysis
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2022-11-11
Registration Date
2022-11-22
Anticipated Start Date
2022-10-15
Anticipated Completion Date
2022-12-31
Title Cn
中医药治疗多囊卵巢综合征女性不孕的网状Meta分析
Title En
A network meta-analysis of Traditional Chinese Medicine in the treatment of infertility in women with polycystic ovary syndrome
Bilingual Status
complete