Meta AnalysisID 6857

草药复方治疗高血压及高血压前期患者疗效与安全性比较的系统评价与网状Meta分析

CRD42023399293

1.What is the efficacy of 20 herbal compounds compare to placebo group for control hypertension in adults without history of hypertension crisis? 2.what is the safety of 20 herbal compounds using to control hypertension

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Meta Analysis Id
6857
Evidence Id
15415
Core Evidence Id
15415
Source Meta Analysis Id
6843
Herb2 Meta Analysis Id
HBMA006843
Crd Id
CRD42023399293
Title
A systematic review and network meta-analysis to compare efficacy and safety of herbal compounds in hypertensive and pre-hypertensive patients
Review Question
1.What is the efficacy of 20 herbal compounds compare to placebo group for control hypertension in adults without history of hypertension crisis? 2.what is the safety of 20 herbal compounds using to control hypertension in adults?
Study Type Included
we will include Randomized Controlled Trials(Related Systematic Reviews and Guidelines will be check for more additional studies)
Condition Being Studied
One of the most important risk factors for coronary heart disease is hypertension (HTN) that can reticently breakdown blood vessels, heart, brain and kidneys. The risk of cardiovascular disease increase as blood pressure rises to 115/75. It is appraised that 3.5 billion people among adult population have non-optimal systolic blood pressure (BP) levels (i.e., >110-115), and 874 million adults have a systolic BP ≥ 140 mmHg. Hence, around 25% of adults have HTN. The prevalence of HTN is increasing globally so that there will be 1.5 billion hypertensive patients in the world by 2025. According to the American heart association, about 16.5% of the global mortality can be credited to hypertension, of which 45% are caused by coronary heart disease. Most of these disorders are not curable and the current therapeutic strategies only aim at disease control. But even a small decrease in the systolic and diastolic blood pressures (e.g., 2–5 mmHg) cause a dramatic reduction in the hypertension complications like stroke and coronary heart disease.Thus, there is a rising trend towards using herbal medicine in health care generally and cardiovascular medicine.
Participant
adult populations (more than 18 y/o) with primary or secondary hypertension (elevated, stage 1 or 2) Patients without current or a history of HTN crisis.
Animal
Human Disease Modelled
Intervention
We are interested in below suggested antihypertensive herbal compounds; Garlic (Allium sativum L.) Celery (Apium graveolens) Grapefruit (Citrus × paradisi) Thyme (Thymus vulgaris) Ginger (Zingiber officinale) Brahmi (Bacopa monnieri) Cardamom (cardamon or cardamum) Chinese cat’s claw (Uncaria rhynchophylla) Cinnamon (Cinnamomumgenus) Ajwain (Trachyspermum ammi) Phyllanthus amarus (P. amarus) Hawthorn (Crataegus pinnatifida) saffron (Crocus sativus) Roselle (Hibiscus sabdariff) Barberry (Berberis vulgaris) Olive leaf extract (Olea europaea) Jujube (Ziziphus jujuba) Caucasian whortleberry (Vaccinium Arctostaphylos) Artichoke (Cynara Scolymus) mistletoe (Viscum Album)
Comparator Control
placebo, No treatment, Routine therapy, Any other control group
Main Outcome
Systolic Blood Pressure (SBP) Diastolic Blood Pressure (DBP) Measures of effect Treatment effects for the continuos outcomes will be estimated using mean difference (MD) with associated 95% CI
Outcome Measure
Additional Outcome
Number of HTN crisis All cause of mortality Incidence of coronary artery disease (CAD) Incidence of cerebral vascular accident (CVA) Measures of effect Treatment effects will be estimated using odds ratio (OR) and corresponding 95% confidence intervals (CI) for dichotomous outcomes
Study Method
Intervention, Network meta-analysis, Systematic review
Keyword
Adult; Humans; Hypertension; Hypertensive Encephalopathy; Network Meta-Analysis
Contact
Parsa Ghaedzade [email protected]
Organisational Affiliation
Hormozgan University Of Medical Sciences-Bandar Abbas-Iran
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Iran
Review Stage
Review Ongoing
First Submission Date
2023-08-08
Registration Date
2023-08-19
Anticipated Start Date
2023-03-10
Anticipated Completion Date
2025-12-31
Title Cn
草药复方治疗高血压及高血压前期患者疗效与安全性比较的系统评价与网状Meta分析
Title En
A systematic review and network meta-analysis to compare efficacy and safety of herbal compounds in hypertensive and pre-hypertensive patients
Bilingual Status
complete