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Meta-Analysis of Oxaliplatin-Based Chemotherapy Combined With Traditional Medicines for Colorectal Cancer: Contributions of Specific Plants to Tumor Response

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机构: [1]The China-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT University, Melbourne, Australia [2]Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Academy of Chinese Medical Sciences, and The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China
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关键词: colorectal cancer oxaliplatin traditional medicine tumor response meta-analysis synergistic action

摘要:
This meta-analysis evaluates the clinical evidence for the addition of traditional medicines (TMs) to oxaliplatin-based regimens for colorectal cancer (CRC) in terms of tumor response rate (TRR). Eight electronic databases were searched for randomized controlled trials of oxaliplatin-based chemotherapy combined with TMs compared to the same oxaliplatin-based regimen. Data on TRR from 42 randomized controlled trials were analyzed using Review Manager 5.1. Studies were conducted in China or Japan. Publication bias was not evident. The meta-analyses suggest that the combination of the TMs with oxaliplatin-based regimens increased TRR in the palliative treatment of CRC (risk ratio [RR] 1.31 [1.20-1.42], I-2 = 0%). Benefits were evident for both injection products (RR 1.36 [1.18-1.57], I-2 = 0%) and orally administered TMs (RR 1.27 [1.15-1.41], I-2 = 0%). Further sensitivity analysis of specific plant-based TMs found that Paeonia, Curcuma, and Sophora produced consistently higher contributions to the RR results. Compounds in each of these TMs have shown growth-inhibitory effects in CRC cell-line studies. Specific combinations of TMs appeared to produce higher contributions to TRR than the TMs individually. Notable among these was the combination of Hedyotis, Astragalus, and Scutellaria.

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出版当年[2015]版:
大类 | 3 区 医学
小类 | 2 区 全科医学与补充医学 4 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 全科医学与补充医学 4 区 肿瘤学
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出版当年[2014]版:
Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Q3 ONCOLOGY
最新[2023]版:
Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [1]The China-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT University, Melbourne, Australia
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通讯机构: [1]The China-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT University, Melbourne, Australia [*1]School of Health Sciences, College of Science, Engineering and Health, RMIT University, PO Box 71, Bundoora, Victoria 3083, Australia.
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