Liuwei Dihuang Pills (六味地黄丸) enhance the effect of Western medicine in treating type 2 diabetes: A meta-analysis of randomized controlled trials
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Liuwei Dihuang Pills (六味地黄丸) enhance the effect of Western medicine in treating type 2 diabetes: A meta-analysis of randomized controlled trials
Liuwei Dihuang Pills (六味地黄丸) enhance the effect of Western medicine in treating type 2 diabetes: A meta-analysis of randomized controlled trials
中国结合医学杂志(英文版)2013年19卷第10期 页码:783-791
Affiliations:
1. Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University Health Science Center,Beijing,China
2. Chinese Pharmaceutical Association,Beijing,China
3. Peking University First Hospital,Beijing,China
4. Center for Healthcare Management Systems, East Carolina University,Greenville,USA
Author bio:
Funds:
Supported by the National Key Technology Research and Development Program of the People’s Republic of China (No. 2009BAI76B030900)
Pu, R., Geng, Xn., Yu, F. et al. Liuwei Dihuang Pills (六味地黄丸) enhance the effect of Western medicine in treating type 2 diabetes: A meta-analysis of randomized controlled trials., Chin. J. Integr. Med. 19, 783–791 (2013). https://doi.org/10.1007/s11655-013-1591-7
Run Pu, Xiang-nan Geng, Fei Yu, et al. Liuwei Dihuang Pills (六味地黄丸) enhance the effect of Western medicine in treating type 2 diabetes: A meta-analysis of randomized controlled trials[J]. Chinese Journal of Integrative Medicine, 2013,19(10):783-791.
Pu, R., Geng, Xn., Yu, F. et al. Liuwei Dihuang Pills (六味地黄丸) enhance the effect of Western medicine in treating type 2 diabetes: A meta-analysis of randomized controlled trials., Chin. J. Integr. Med. 19, 783–791 (2013). https://doi.org/10.1007/s11655-013-1591-7DOI:
Run Pu, Xiang-nan Geng, Fei Yu, et al. Liuwei Dihuang Pills (六味地黄丸) enhance the effect of Western medicine in treating type 2 diabetes: A meta-analysis of randomized controlled trials[J]. Chinese Journal of Integrative Medicine, 2013,19(10):783-791. DOI: 10.1007/s11655-013-1591-7.
Liuwei Dihuang Pills (六味地黄丸) enhance the effect of Western medicine in treating type 2 diabetes: A meta-analysis of randomized controlled trials
摘要
To perform meta-analyses evaluating the efficacy of adding Liuwei Dihuang Pills (六味地黄丸
LDP) to Western medicine in improving treatment outcomes for type 2 diabetes. Medline
PubMed
Cochrane Library
and Chinese databases
including the Chinese National Knowledge Infrastructure were searched to identify eligible studies; i.e.
if the study involved a randomized clinical trial in which the experimental group combined LDP with Western drugs and the control group used the corresponding Western drugs alone to treat type 2 diabetes. Outcomes were measured in terms of fasting blood glucose (FBG)
postprandial blood glucose (2hPG) and HbA1c level. Efficacy was also measured by using control and response rates. The combined odds ratio (OR)
mean difference (MD)
and 95% confidence intervals (95% CI) were calculated. Studies included in the analysis were less adequate than expected in terms of methodological quality. A total of 1
609 patients from 18 studies were included. We found that adding LDP can lower patients’ FBG (MD=0.54 mmol/L
95% CI [0.15
0.93]
P=0.007)
2hPG (MD=1.05 mmol/L
95% CI [0.29
1.81]
P<0.01) and HbA1c (MD=0.23
95% CI [0.02
0.45]
P=0.008). There were also improvements in treatment response rates (OR=3.41
95% CI [2.38
4.90]
P<0.01) and control rates (OR=2.47
95% CI [1.91
3.20]
P<0.01). Adding LDP to Western medicine might improve treatment outcomes of diabetes
including FBG
2hPG
response rates and control rates.
Abstract
To perform meta-analyses evaluating the efficacy of adding Liuwei Dihuang Pills (六味地黄丸
LDP) to Western medicine in improving treatment outcomes for type 2 diabetes. Medline
PubMed
Cochrane Library
and Chinese databases
including the Chinese National Knowledge Infrastructure were searched to identify eligible studies; i.e.
if the study involved a randomized clinical trial in which the experimental group combined LDP with Western drugs and the control group used the corresponding Western drugs alone to treat type 2 diabetes. Outcomes were measured in terms of fasting blood glucose (FBG)
postprandial blood glucose (2hPG) and HbA1c level. Efficacy was also measured by using control and response rates. The combined odds ratio (OR)
mean difference (MD)
and 95% confidence intervals (95% CI) were calculated. Studies included in the analysis were less adequate than expected in terms of methodological quality. A total of 1
609 patients from 18 studies were included. We found that adding LDP can lower patients’ FBG (MD=0.54 mmol/L
95% CI [0.15
0.93]
P=0.007)
2hPG (MD=1.05 mmol/L
95% CI [0.29
1.81]
P<0.01) and HbA1c (MD=0.23
95% CI [0.02
0.45]
P=0.008). There were also improvements in treatment response rates (OR=3.41
95% CI [2.38
4.90]
P<0.01) and control rates (OR=2.47
95% CI [1.91
3.20]
P<0.01). Adding LDP to Western medicine might improve treatment outcomes of diabetes
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