Summary and evaluation of randomized controlled trial on Chinese patent medicine in treatment of diabetic foot ulcer

This study systematically collected, analyzed, and evaluated randomized controlled trial(RCT) in the treatment of diabetic foot ulcer(DFU). The aim as provide references for future studies and to enhance the application of clinical evidence. The RCT of DFU treated with Chinese Patent Medicine was obtained and analyzed using the AI-Clinical Evidence Database of Chinese Patent Medicine(AICED-CPM). The analysis was supplemented with data from CNKI, Wanfang, VIP, SinoMed, PubMed, EMbase, Cochrane Library, and Web of Science. A total of 275 RCTs meeting the requirements were retrieved, with only 7 of them having a sample size of 200 or more. These trials involved 66 different Chinese patent medicine including 25 oral medications, 24 Chinese herbal injections, and 17 external drugs. Among the 33 different intervention/control designs identified, the most common design was Chinese patent medicine + conventional treatment vs conventional treatment(86 cases, 31.27%). Out of the 275 articles included in the literature, 50 did not provide information on the specific course of treatment(18.18%). A total of 10 counting indicators(with a frequency of 426) and 36 measuring indicators(with a frequency of 962) were utilized. The methodological quality of the RCT for the treatment of DFU with Chinese patent medicine was found to be low, with deficiencies in blind methods, other bias factors, study registration, and sample size estimation. There were noticeable shortcomings in the reporting of allocation hiding and implementation bias(blind method application). More studies should prioritize trial registration, program design, and strict quality control during implementation to provide valuable data for clinical practice and serve as a reference for future investigations.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica - 49(2024), 4 vom: 14. Feb., Seite 1113-1121

Sprache:

Chinesisch

Beteiligte Personen:

Song, Wen-Ting [VerfasserIn]
Zhang, Ya-Zi [VerfasserIn]
Wang, Yue-Tong [VerfasserIn]
Hu, Hai-Yin [VerfasserIn]
Jin, Xin-Yao [VerfasserIn]
Pang, Wen-Tai [VerfasserIn]
Shi, Meng-Long [VerfasserIn]
Ji, Zhao-Chen [VerfasserIn]
Yang, Feng-Wen [VerfasserIn]

Links:

Volltext

Themen:

Chinese patent medicine
Diabetic foot ulcer
Drugs, Chinese Herbal
English Abstract
Evidence-based medicine
Gangrenosis
Journal Article
Nonprescription Drugs
Randomized controlled trial
Traditional Chinese medicine

Anmerkungen:

Date Completed 17.04.2024

Date Revised 17.04.2024

published: Print

Citation Status MEDLINE

doi:

10.19540/j.cnki.cjcmm.20231019.501

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371110386