Traditional Chinese Medicine Injections in the Treatment of Diabetic Foot: A Systematic Review and Meta-Analysis
Context. The role of traditional Chinese medicine injections (TCMIs) in diabetic foot (DF) has not been well estimated. Objective. To evaluate the clinical effective rate, safety, and the financial cost of TCMIs in treating DF and ulcer wound healing. Methods. We searched PubMed, Embase, CENTRAL, Ch...
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| description | Context. The role of traditional Chinese medicine injections (TCMIs) in diabetic foot (DF) has not been well estimated. Objective. To evaluate the clinical effective rate, safety, and the financial cost of TCMIs in treating DF and ulcer wound healing. Methods. We searched PubMed, Embase, CENTRAL, China National Knowledge Infrastructure (CNKI), VIP database, and Wanfang database from inception to May 2018 to find all randomized control trials (RCTs) related to TCMIs in DF treatment. The search items were “Traditional Chinese Medicine Injection” AND “Diabetic foot or Diabetic foot ulcer” AND “random”. Study Selection and Synthesis. Only RCTs of TCMIs combined conventional therapies versus conventional therapies and that can be quantitatively synthesized were included. Finally, 17 studies and 1294 participants were included after extraction. Two investigators independently extracted and analyzed the data using RevMan5.3 software. Results. The overall clinical effective rate of TCMI groups is higher than that of control groups [RR=1.27, 95CI % (1.20, 1.34), P |
| doi_str_mv | 10.1155/2018/4730896 |
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The role of traditional Chinese medicine injections (TCMIs) in diabetic foot (DF) has not been well estimated. Objective. To evaluate the clinical effective rate, safety, and the financial cost of TCMIs in treating DF and ulcer wound healing. Methods. We searched PubMed, Embase, CENTRAL, China National Knowledge Infrastructure (CNKI), VIP database, and Wanfang database from inception to May 2018 to find all randomized control trials (RCTs) related to TCMIs in DF treatment. The search items were “Traditional Chinese Medicine Injection” AND “Diabetic foot or Diabetic foot ulcer” AND “random”. Study Selection and Synthesis. Only RCTs of TCMIs combined conventional therapies versus conventional therapies and that can be quantitatively synthesized were included. Finally, 17 studies and 1294 participants were included after extraction. Two investigators independently extracted and analyzed the data using RevMan5.3 software. Results. The overall clinical effective rate of TCMI groups is higher than that of control groups [RR=1.27, 95CI % (1.20, 1.34), P<0.00001] based on fixed effect model analysis. Regarding motor nerve conduction velocity of median nerve and peroneal nerve, TCMI group showed a significant improvement (MD=3.84[2.28, 5.41], P<0.00001; MD=2.89[0.63, 5.15], P=0.01). Regarding plasma viscosity TCMI group showed a statistically difference (MD=0.27[0.04, 0.49], P=0.02). In terms of blood viscosity at high shear rate, there was an improvement of TCMI group (MD=0.36[0.05, 0.67], P=0.02). However, sensory nerve conduction velocity of peroneal nerve and median nerve showed a contradiction to motor nerve conduction velocity, respectively (MD=2.59[-1.69, 6.87], p=0.24; MD=2.73[-0.96, 6.43], P=0.15). Conclusion. The data of this study shows that TCMIs can bring benefits to patients with diabetic foot. However, due to low methodological quality of included RCTs, more rigorous designed RCTs with large sample size are recommended to provide more high-quality evidence.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2018/4730896</identifier><identifier>PMID: 30402123</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Amputation ; Analysis ; Bias ; Care and treatment ; Chinese medicine ; Clinical trials ; Data processing ; Diabetes ; Diabetes mellitus ; Diabetic foot ; Evidence-based medicine ; Feet ; Foot diseases ; Healthcare industry software ; Herbal medicine ; Leg ulcers ; Median nerve ; Medicine, Chinese ; Meta-analysis ; Nerve conduction ; Peroneal nerve ; Population ; Review ; Shear rate ; Software ; Systematic review ; Traditional Chinese medicine ; Velocity ; Viscosity ; Wound healing</subject><ispartof>Evidence-based complementary and alternative medicine, 2018-01, Vol.2018 (2018), p.1-12</ispartof><rights>Copyright © 2018 Lizi Tan et al.</rights><rights>COPYRIGHT 2018 John Wiley & Sons, Inc.</rights><rights>Copyright © 2018 Lizi Tan et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2018 Lizi Tan et al. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-447c314c39a757358d65aa2f5ad12798025c22f0a1080c5ed6dce832fd2d15273</citedby><cites>FETCH-LOGICAL-c499t-447c314c39a757358d65aa2f5ad12798025c22f0a1080c5ed6dce832fd2d15273</cites><orcidid>0000-0002-4234-2151 ; 0000-0003-4063-3729 ; 0000-0003-4043-1967</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196784/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196784/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30402123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Akindele, Abidemi J.</contributor><contributor>Abidemi J Akindele</contributor><creatorcontrib>Wang, Hui</creatorcontrib><creatorcontrib>Zhang, Junhua</creatorcontrib><creatorcontrib>Liu, Chunxiang</creatorcontrib><creatorcontrib>Shi, Qingyang</creatorcontrib><creatorcontrib>Tan, Lizi</creatorcontrib><creatorcontrib>Zhai, Jingbo</creatorcontrib><title>Traditional Chinese Medicine Injections in the Treatment of Diabetic Foot: A Systematic Review and Meta-Analysis</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>Context. The role of traditional Chinese medicine injections (TCMIs) in diabetic foot (DF) has not been well estimated. Objective. To evaluate the clinical effective rate, safety, and the financial cost of TCMIs in treating DF and ulcer wound healing. Methods. We searched PubMed, Embase, CENTRAL, China National Knowledge Infrastructure (CNKI), VIP database, and Wanfang database from inception to May 2018 to find all randomized control trials (RCTs) related to TCMIs in DF treatment. The search items were “Traditional Chinese Medicine Injection” AND “Diabetic foot or Diabetic foot ulcer” AND “random”. Study Selection and Synthesis. Only RCTs of TCMIs combined conventional therapies versus conventional therapies and that can be quantitatively synthesized were included. Finally, 17 studies and 1294 participants were included after extraction. Two investigators independently extracted and analyzed the data using RevMan5.3 software. Results. The overall clinical effective rate of TCMI groups is higher than that of control groups [RR=1.27, 95CI % (1.20, 1.34), P<0.00001] based on fixed effect model analysis. Regarding motor nerve conduction velocity of median nerve and peroneal nerve, TCMI group showed a significant improvement (MD=3.84[2.28, 5.41], P<0.00001; MD=2.89[0.63, 5.15], P=0.01). Regarding plasma viscosity TCMI group showed a statistically difference (MD=0.27[0.04, 0.49], P=0.02). In terms of blood viscosity at high shear rate, there was an improvement of TCMI group (MD=0.36[0.05, 0.67], P=0.02). However, sensory nerve conduction velocity of peroneal nerve and median nerve showed a contradiction to motor nerve conduction velocity, respectively (MD=2.59[-1.69, 6.87], p=0.24; MD=2.73[-0.96, 6.43], P=0.15). Conclusion. The data of this study shows that TCMIs can bring benefits to patients with diabetic foot. However, due to low methodological quality of included RCTs, more rigorous designed RCTs with large sample size are recommended to provide more high-quality evidence.</description><subject>Amputation</subject><subject>Analysis</subject><subject>Bias</subject><subject>Care and treatment</subject><subject>Chinese medicine</subject><subject>Clinical trials</subject><subject>Data processing</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetic foot</subject><subject>Evidence-based medicine</subject><subject>Feet</subject><subject>Foot diseases</subject><subject>Healthcare industry software</subject><subject>Herbal medicine</subject><subject>Leg ulcers</subject><subject>Median nerve</subject><subject>Medicine, Chinese</subject><subject>Meta-analysis</subject><subject>Nerve conduction</subject><subject>Peroneal nerve</subject><subject>Population</subject><subject>Review</subject><subject>Shear rate</subject><subject>Software</subject><subject>Systematic review</subject><subject>Traditional Chinese medicine</subject><subject>Velocity</subject><subject>Viscosity</subject><subject>Wound 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Chinese Medicine Injections in the Treatment of Diabetic Foot: A Systematic Review and Meta-Analysis</title><author>Wang, Hui ; Zhang, Junhua ; Liu, Chunxiang ; Shi, Qingyang ; Tan, Lizi ; Zhai, Jingbo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-447c314c39a757358d65aa2f5ad12798025c22f0a1080c5ed6dce832fd2d15273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Amputation</topic><topic>Analysis</topic><topic>Bias</topic><topic>Care and treatment</topic><topic>Chinese medicine</topic><topic>Clinical trials</topic><topic>Data processing</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetic foot</topic><topic>Evidence-based medicine</topic><topic>Feet</topic><topic>Foot diseases</topic><topic>Healthcare industry software</topic><topic>Herbal medicine</topic><topic>Leg ulcers</topic><topic>Median nerve</topic><topic>Medicine, Chinese</topic><topic>Meta-analysis</topic><topic>Nerve conduction</topic><topic>Peroneal nerve</topic><topic>Population</topic><topic>Review</topic><topic>Shear rate</topic><topic>Software</topic><topic>Systematic review</topic><topic>Traditional Chinese medicine</topic><topic>Velocity</topic><topic>Viscosity</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Hui</creatorcontrib><creatorcontrib>Zhang, Junhua</creatorcontrib><creatorcontrib>Liu, Chunxiang</creatorcontrib><creatorcontrib>Shi, Qingyang</creatorcontrib><creatorcontrib>Tan, Lizi</creatorcontrib><creatorcontrib>Zhai, Jingbo</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription 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medicine</jtitle><addtitle>Evid Based Complement Alternat Med</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>2018</volume><issue>2018</issue><spage>1</spage><epage>12</epage><pages>1-12</pages><issn>1741-427X</issn><eissn>1741-4288</eissn><abstract>Context. The role of traditional Chinese medicine injections (TCMIs) in diabetic foot (DF) has not been well estimated. Objective. To evaluate the clinical effective rate, safety, and the financial cost of TCMIs in treating DF and ulcer wound healing. Methods. We searched PubMed, Embase, CENTRAL, China National Knowledge Infrastructure (CNKI), VIP database, and Wanfang database from inception to May 2018 to find all randomized control trials (RCTs) related to TCMIs in DF treatment. The search items were “Traditional Chinese Medicine Injection” AND “Diabetic foot or Diabetic foot ulcer” AND “random”. Study Selection and Synthesis. Only RCTs of TCMIs combined conventional therapies versus conventional therapies and that can be quantitatively synthesized were included. Finally, 17 studies and 1294 participants were included after extraction. Two investigators independently extracted and analyzed the data using RevMan5.3 software. Results. The overall clinical effective rate of TCMI groups is higher than that of control groups [RR=1.27, 95CI % (1.20, 1.34), P<0.00001] based on fixed effect model analysis. Regarding motor nerve conduction velocity of median nerve and peroneal nerve, TCMI group showed a significant improvement (MD=3.84[2.28, 5.41], P<0.00001; MD=2.89[0.63, 5.15], P=0.01). Regarding plasma viscosity TCMI group showed a statistically difference (MD=0.27[0.04, 0.49], P=0.02). In terms of blood viscosity at high shear rate, there was an improvement of TCMI group (MD=0.36[0.05, 0.67], P=0.02). However, sensory nerve conduction velocity of peroneal nerve and median nerve showed a contradiction to motor nerve conduction velocity, respectively (MD=2.59[-1.69, 6.87], p=0.24; MD=2.73[-0.96, 6.43], P=0.15). Conclusion. The data of this study shows that TCMIs can bring benefits to patients with diabetic foot. However, due to low methodological quality of included RCTs, more rigorous designed RCTs with large sample size are recommended to provide more high-quality evidence.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>30402123</pmid><doi>10.1155/2018/4730896</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-4234-2151</orcidid><orcidid>https://orcid.org/0000-0003-4063-3729</orcidid><orcidid>https://orcid.org/0000-0003-4043-1967</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Amputation Analysis Bias Care and treatment Chinese medicine Clinical trials Data processing Diabetes Diabetes mellitus Diabetic foot Evidence-based medicine Feet Foot diseases Healthcare industry software Herbal medicine Leg ulcers Median nerve Medicine, Chinese Meta-analysis Nerve conduction Peroneal nerve Population Review Shear rate Software Systematic review Traditional Chinese medicine Velocity Viscosity Wound healing |
| title | Traditional Chinese Medicine Injections in the Treatment of Diabetic Foot: A Systematic Review and Meta-Analysis |
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