Meta AnalysisID 6287

常用口服中成药治疗骨质疏松的疗效与安全性:网状Meta分析

CRD42020168177

Randomized controlled trial. The subjects of this study are elderly osteoporosis patients, whose gender and race are not limited. The intervention measures were the same in the baseline treatment. The experimental group

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Meta Analysis Id
6287
Evidence Id
14845
Core Evidence Id
14845
Source Meta Analysis Id
6271
Herb2 Meta Analysis Id
HBMA006271
Crd Id
CRD42020168177
Title
A network meta-analysis of the efficacy and safety of commonly used oral traditional Chinese patent medicine in the treatment of osteoporosis
Review Question
Randomized controlled trial. The subjects of this study are elderly osteoporosis patients, whose gender and race are not limited. The intervention measures were the same in the baseline treatment. The experimental group was treated with western medicine in combination with the commonly used oral Chinese patent medicine (such as jintiange capsule, Liuwei Dihuang pill, Gushukang, Qianggu Capsule, Gubao, Xianling Gubao capsule, Guli capsule, gushongbao, Jinwugutong capsule, Qing e pill, Zuogui pill). The control group was treated with western medicine. Outcome indicators: 1. Clinical efficiency; 2. Total BMD score comparison; 3. BMD score comparison of lumbar L2-4 site; 4. BMD score comparison of femoral neck site; 5. Score comparison of symptom improvement before and after treatment; 6. VAS scale comparison; 7. Serum index comparison (including blood calcium, blood phosphorus, alkaline phosphatase/AKP, osteocalcin/BGP and other indicators); 8. Adverse reactions. A variety of commonly used oral Chinese patent medicines have clinical comparability in the adjuvant treatment of osteoporosis, but their actual clinical efficacy is lack of evidence-based basis. Therefore, in this study, the network meta-analysis method is used to summarize the relevant indicators of these commonly used oral Chinese patent medicines and carry out quantitative statistical analysis, and then select the best oral Chinese patent medicine for clinical treatment, in order to provide clinical reference Provide reliable evidence-based medical evidence.
Study Type Included
The type of study was clinical randomized controlled trial (RCT). The subjects of the study were patients who were definitely diagnosed with osteoporosis, and there were no restrictions on the sex and race of these patients. The original literature should have a clear diagnosis standard of Western medicine or traditional Chinese medicine. It should conform to the relevant standards of the diagnosis and treatment guide for primary osteoporosis issued by the osteoporosis and bone mineral Disease Branch of the Chinese Medical Association, or the QCT diagnosis standard for osteoporosis of lumbar spine issued by the American College of Radiology (ACR), or according to the expert consensus on the diagnostic criteria of Chinese osteoporosis prepared by the osteoporosis and bone mineral Disease Branch of Chinese Medical Association and the diagnostic criteria of osteoporosis issued by the World Health Organization (WHO).
Condition Being Studied
Osteoporosis (OP) is a kind of degenerative bone disease, which is characterized by the decrease of bone mass and the degradation of bone microstructure, resulting in the increase of bone fragility and fracture. The main clinical manifestations of the disease are bone pain, hunchback, shortened body length, and the fall fracture problem caused by osteoporosis in severe cases. In addition, the recovery ability of the middle-aged and old people themselves slows down. Therefore, once the fracture occurs, the normal quality of life of the middle-aged and old people will be seriously affected. With the increase of the proportion of the elderly population and the increasing degree of social aging, the incidence and disability rate of the disease has been increasing year by year, which seriously affects the physical and mental health of patients.
Participant
The type of study was clinical randomized controlled trial (RCT). The subjects of the study were patients who were definitely diagnosed with osteoporosis, and there were no restrictions on the sex and race of these patients. The original literature should have a clear diagnosis standard of Western medicine or traditional Chinese medicine. It should conform to the relevant standards of the diagnosis and treatment guide for primary osteoporosis issued by the osteoporosis and bone mineral Disease Branch of the Chinese Medical Association, or the QCT diagnosis standard for osteoporosis of lumbar spine issued by the American College of Radiology (ACR), or according to the expert consensus on the diagnostic criteria of Chinese osteoporosis prepared by the osteoporosis and bone mineral Disease Branch of Chinese Medical Association and the diagnostic criteria of osteoporosis issued by the World Health Organization (WHO).
Animal
Human Disease Modelled
Intervention
The intervention measures were the same in the baseline treatment, the experimental group was treated with the commonly oral traditional Chinese patent medicine (such as jintiange capsule, Liuwei Dihuang pill, Gushukang, Qianggu Capsule, Gubao, Xianling Gubao capsule, Guli capsule, gushongbao, Jinwugutong capsule, Qinge pill, Zuogui pill) combined with western medicine.
Comparator Control
The control group was treated with western medicine. Western medicine was used as the control, and the dosage and method of Western medicine used in the control group were the same as those used in the experimental group.
Main Outcome
Outcome indicators: 1. Clinical efficiency; 2. Total BMD score comparison; 3. BMD score comparison of lumbar L2-4 site; 4. BMD score comparison of femoral neck site; 5. Score comparison of symptom improvement before and after treatment; 6. Vas scale comparison; 7. Serum index comparison (including blood calcium, blood phosphorus, alkaline phosphatase AKP, osteocalcin BGP and other indicators); 8. Adverse reactions. Measures of effect The treatment period is three to twelve months.
Outcome Measure
Additional Outcome
Not applicable. Measures of effect Not applicable.
Study Method
Network meta-analysis, Systematic review
Keyword
Humans
Contact
Ying Yu [email protected]
Organisational Affiliation
Medical college http://www.sdutcm.edu.cn/
Funding Source
1.Mechanism and efficacy evaluation of the first group of excellent scientific research and innovation teams of shandong university of traditional Chinese medicine(220316)2. 2016 key R & D plan of Shandong Province (key key technology and key industry key technology) (2016CYJS08A01-6) 3. 2017-2018 traditional Chinese medicine science and technology development plan project of Shandong Province (No.: 2017-018) 4. 2015-2016 traditional Chinese medicine science and technology development plan project of Shandong Province (No.: 2015-030) 5. 2018 Shandong university scientific research development plan project (J18KB130)
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2020-02-06
Registration Date
2020-04-28
Anticipated Start Date
2019-12-31
Anticipated Completion Date
2020-03-14
Title Cn
常用口服中成药治疗骨质疏松的疗效与安全性:网状Meta分析
Title En
A network meta-analysis of the efficacy and safety of commonly used oral traditional Chinese patent medicine in the treatment of osteoporosis
Bilingual Status
complete