机构:[1]The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, P.R. China广东省中医院[2]Department of Oncology, Clinical and Basic Research Team of TCM Prevention and Treatment of NSCLC, State Key Laboratory of Dampness Syndrome of Chinese Medicine, Guangdong-HongKong-Macau Joint Lab on Chinese Medicine and Immune Disease Research, Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, P.R. China大德路总院肿瘤科广东省中医院[3]Artemisinin Research Center, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, P.R. China
Introduction: In China, Huaier granule (HG) is widely applied to tumor adjuvant therapy. However, systematic reviews (SRs) or meta-analyses (MAs) published continuously failed to reach a consensus, without convincing evidence. An overview should be conducted to summarize the evidence-based progress and try to provide some value references for relative research and clinical practice in the future. Methods: From inception to October 2021, 8 databases in English and Chinese were searched. SRs/MAs meeting the inclusion and exclusion criteria were included. Relevant criteria were used to evaluate SRs/MAs including methodological quality, reporting quality, risk of bias, and evidence quality of effect and safety. Results: The short-term effect, long-term effect, and safety in 6 included SRs/MAs were assessed in this overview according to quantitative synthesis. Results assessed by AMSTAR-2, PRISMA, and ROBIS were generally unsatisfactory with the main problems on registration or protocol, a search of grey literature, a list of excluded studies, bias of each synthetic result, and inadequate report of search strategy and synthesis methods. Additionally, 28 items were assessed as moderate quality while 12 items were low-quality and 6 items were very low-quality in GRADE. Risk of bias was the main downgrading factor. Conclusion: HG may be a promising adjuvant therapy for cancer. However, high-quality SRs/MAs and RCTs should be conducted to provide sufficient evidence so as to draw a definitive conclusion.
基金:
This
study is supported by grants from the Key project of State Key
Laboratory of dampness syndrome of Chinese medicine jointly
built by province and Ministry (SZ2021ZZ38), the Chinese
Medicine Science and Technology Research Project of Guangdong
Provincial Hospital of Chinese Medicine (YN2019MJ09), and the
Science and Technology Planning Project of Guangdong Province
(2017B030314166).
第一作者机构:[1]The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, P.R. China[2]Department of Oncology, Clinical and Basic Research Team of TCM Prevention and Treatment of NSCLC, State Key Laboratory of Dampness Syndrome of Chinese Medicine, Guangdong-HongKong-Macau Joint Lab on Chinese Medicine and Immune Disease Research, Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, P.R. China
通讯作者:
通讯机构:[2]Department of Oncology, Clinical and Basic Research Team of TCM Prevention and Treatment of NSCLC, State Key Laboratory of Dampness Syndrome of Chinese Medicine, Guangdong-HongKong-Macau Joint Lab on Chinese Medicine and Immune Disease Research, Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese Medicine, The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, P.R. China[*1]Department of Oncology, Guangdong Provincial Hospital of Chinese Medicine, No. 111, Dade Road, Guangzhou, Guangdong 510120, P.R. China.[*2]Department of Oncology, Guangdong Provincial Hospital of Chinese Medicine, No. 111, Dade Road, Guangzhou, Guangdong 510120, P.R. China.
推荐引用方式(GB/T 7714):
Chen Jixin,Chen Shuqi,Zhou Yushu,et al.Efficacy and Safety of Huaier Granule as an Adjuvant Therapy for Cancer: An Overview of Systematic Reviews and Meta-Analyses[J].INTEGRATIVE CANCER THERAPIES.2022,21:doi:10.1177/15347354221083910.
APA:
Chen, Jixin,Chen, Shuqi,Zhou, Yushu,Wang, Sumei&Wu, Wanyin.(2022).Efficacy and Safety of Huaier Granule as an Adjuvant Therapy for Cancer: An Overview of Systematic Reviews and Meta-Analyses.INTEGRATIVE CANCER THERAPIES,21,
MLA:
Chen, Jixin,et al."Efficacy and Safety of Huaier Granule as an Adjuvant Therapy for Cancer: An Overview of Systematic Reviews and Meta-Analyses".INTEGRATIVE CANCER THERAPIES 21.(2022)