Effectiveness and safety of traditional Chinese medicines for non-alcoholic fatty liver disease: Protocol for systematic review and meta-analysis

Previous reviews indicate that the effect of Traditional Chinese medicines (TCM) on non-alcoholic fatty liver disease (NAFLD) remains uncertainty. The study results published in the past 8 years may change this situation, but there is no updated systematic review. Therefore, we designed this study t...

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Published inMedicine (Baltimore) Vol. 99; no. 25; p. e20699
Main Authors Qin, Manman, Yuan, Fuqiang, Ren, Jiankun, Chi, Zhenhai
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LanguageEnglish
Published United States Wolters Kluwer Health 19.06.2020
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Abstract Previous reviews indicate that the effect of Traditional Chinese medicines (TCM) on non-alcoholic fatty liver disease (NAFLD) remains uncertainty. The study results published in the past 8 years may change this situation, but there is no updated systematic review. Therefore, we designed this study to systematically evaluate the effectiveness and safety of TCM in the treatment of NAFLD. We will search nine online databases from inception to October 01 2019, and the language will not be restricted on included trials. Randomized controlled trials that included patients with NAFLD receiving TCM therapy versus a control group will be included. Two researcher will perform independently the selection of studies, risk of bias assessment and data extraction. We will use the RevMan V.5.2 software with fixed effects model or random effects model according to the heterogeneity test to conduct the data synthesis. We will present the dichotomous data and the continuous data with risk ratios with 95% CIs and weighted mean differences or standardized mean differences with 95% CIs. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system will be used to evaluate the evidence quality with low risk, unclear risk, and high risk. This study will demonstrate an evidence-based review of TCM for NAFLD. The study will provide clear evidence to assess the effectiveness and side effects of TCM for NAFLD.
AbstractList Previous reviews indicate that the effect of Traditional Chinese medicines (TCM) on non-alcoholic fatty liver disease (NAFLD) remains uncertainty. The study results published in the past 8 years may change this situation, but there is no updated systematic review. Therefore, we designed this study to systematically evaluate the effectiveness and safety of TCM in the treatment of NAFLD. We will search nine online databases from inception to October 01 2019, and the language will not be restricted on included trials. Randomized controlled trials that included patients with NAFLD receiving TCM therapy versus a control group will be included. Two researcher will perform independently the selection of studies, risk of bias assessment and data extraction. We will use the RevMan V.5.2 software with fixed effects model or random effects model according to the heterogeneity test to conduct the data synthesis. We will present the dichotomous data and the continuous data with risk ratios with 95% CIs and weighted mean differences or standardized mean differences with 95% CIs. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system will be used to evaluate the evidence quality with low risk, unclear risk, and high risk. This study will demonstrate an evidence-based review of TCM for NAFLD. The study will provide clear evidence to assess the effectiveness and side effects of TCM for NAFLD.
BACKGROUNDPrevious reviews indicate that the effect of Traditional Chinese medicines (TCM) on non-alcoholic fatty liver disease (NAFLD) remains uncertainty. The study results published in the past 8 years may change this situation, but there is no updated systematic review. Therefore, we designed this study to systematically evaluate the effectiveness and safety of TCM in the treatment of NAFLD.METHODS AND ANALYSISWe will search nine online databases from inception to October 01 2019, and the language will not be restricted on included trials. Randomized controlled trials that included patients with NAFLD receiving TCM therapy versus a control group will be included. Two researcher will perform independently the selection of studies, risk of bias assessment and data extraction. We will use the RevMan V.5.2 software with fixed effects model or random effects model according to the heterogeneity test to conduct the data synthesis. We will present the dichotomous data and the continuous data with risk ratios with 95% CIs and weighted mean differences or standardized mean differences with 95% CIs. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system will be used to evaluate the evidence quality with low risk, unclear risk, and high risk.RESULTSThis study will demonstrate an evidence-based review of TCM for NAFLD.CONCLUSIONThe study will provide clear evidence to assess the effectiveness and side effects of TCM for NAFLD.
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Author Chi, Zhenhai
Qin, Manman
Ren, Jiankun
Yuan, Fuqiang
AuthorAffiliation a Jiangxi University of Traditional Chinese Medicine, Wanli District, Nanchang, Jiangxi
b Henan Vocational College of Nursing, Anyang, Henan
c Department of Acupuncture-Moxibustion, the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi China
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Cites_doi 10.1007/s11033-012-1836-0
10.1038/nrgastro.2013.183
10.1038/nrd.2016.188
10.1186/2046-4053-4-1
10.1016/j.jhep.2017.06.003
10.1038/nrgastro.2013.149
10.1111/liv.13302
10.1053/j.gastro.2015.04.005
10.1016/j.ctcp.2018.10.006
10.1002/hep.22044
10.1136/bmj.d5928
10.1016/j.jclinepi.2010.09.011
10.1016/S0140-6736(14)61933-4
10.1007/s00535-017-1415-1
10.1007/s10620-015-3728-3
10.14218/JCTH.2017.00056
10.1136/bmj.39489.470347.AD
10.1038/nrgastro.2017.109
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References Zhu (R3-20210309) 2015; 60
Seeff (R15-20210309) 2008; 47
Supa (R14-20210309) 2018; 33
Guyatt (R21-20210309) 2011; 64
Younossi (R5-20210309) 2018; 15
Shi (R16-20210309) 2012; 39
Connolly (R10-20210309) 2018; 6
Vilar-Gomez (R12-20210309) 2015; 149
Wree (R1-20210309) 2013
Michelotti (R2-20210309) 2013; 10
Cassidy (R7-20210309) 2016; 15
Moher (R17-20210309) 2015; 4
Higgins (R18-20210309) 2011; 343
Sumida (R11-20210309) 2018; 53
Guillaume (R13-20210309) 2015; 10
NeuschwanderTetri (R8-20210309) 2015; 385
Guyatt (R20-20210309) 2008; 336
Fan (R4-20210309) 2017; 67
Oseini (R6-20210309) 2017; 37
References_xml – volume: 39
  start-page: 9715
  year: 2012
  ident: R16-20210309
  article-title: Traditional Chinese medicines benefit to nonalcoholic fatty liver disease: a systematic review and meta-analysis
  publication-title: Mol Biol Rep
  doi: 10.1007/s11033-012-1836-0
  contributor:
    fullname: Shi
– volume: 10
  start-page: 656
  year: 2013
  ident: R2-20210309
  article-title: NAFLD, NASH and liver cancer
  publication-title: Nat Rev Gastroenterol Hepatol
  doi: 10.1038/nrgastro.2013.183
  contributor:
    fullname: Michelotti
– volume: 15
  start-page: 745
  year: 2016
  ident: R7-20210309
  article-title: Nonalcoholic steatohepatitis (NASH) drugs market
  publication-title: Nat Rev Drug Discov
  doi: 10.1038/nrd.2016.188
  contributor:
    fullname: Cassidy
– volume: 4
  start-page: 1
  year: 2015
  ident: R17-20210309
  article-title: Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement
  publication-title: Syst Rev
  doi: 10.1186/2046-4053-4-1
  contributor:
    fullname: Moher
– volume: 67
  start-page: 862
  year: 2017
  ident: R4-20210309
  article-title: New trends on obesity and NAFLD in Asia
  publication-title: J Hepatol
  doi: 10.1016/j.jhep.2017.06.003
  contributor:
    fullname: Fan
– start-page: 627
  year: 2013
  ident: R1-20210309
  article-title: From NAFLD to NASH to cirrhosis – new insights into disease mechanisms
  publication-title: Nat Rev Gastroenterol HepatolV 10
  doi: 10.1038/nrgastro.2013.149
  contributor:
    fullname: Wree
– volume: 37
  start-page: 97
  year: 2017
  ident: R6-20210309
  article-title: Therapies in non-alcoholic steatohepatitis (NASH)
  publication-title: Liver Int
  doi: 10.1111/liv.13302
  contributor:
    fullname: Oseini
– volume: 149
  start-page: 367e5
  year: 2015
  ident: R12-20210309
  article-title: Weight loss through lifestyle modification significantly reduces features of nonalcoholic, steatohepatitis
  publication-title: Gastroenterology
  doi: 10.1053/j.gastro.2015.04.005
  contributor:
    fullname: Vilar-Gomez
– volume: 33
  start-page: 156
  year: 2018
  ident: R14-20210309
  article-title: Utilization of traditional and complementary medicine in Indonesia: Results of a national survey in 2014-15
  publication-title: Complement Ther Clin Pract
  doi: 10.1016/j.ctcp.2018.10.006
  contributor:
    fullname: Supa
– volume: 47
  start-page: 605
  year: 2008
  ident: R15-20210309
  article-title: Herbal product use by persons enrolled in the hepatitis, c., antiviral long-term treatment against cirrhosis (HALT-C), trial
  publication-title: Hepatology
  doi: 10.1002/hep.22044
  contributor:
    fullname: Seeff
– volume: 10
  start-page: 656
  year: 2015
  ident: R13-20210309
  article-title: Bariatric surgery reduces features of nonalcoholic steatohepatitis in morbidly obese patients
  publication-title: Gastroenterology
  contributor:
    fullname: Guillaume
– volume: 343
  start-page: d5928
  year: 2011
  ident: R18-20210309
  article-title: The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
  publication-title: BMJ
  doi: 10.1136/bmj.d5928
  contributor:
    fullname: Higgins
– volume: 64
  start-page: 380
  year: 2011
  ident: R21-20210309
  article-title: GRADE guidelines: a new series of articles in the journal of clinical epidemiology
  publication-title: J Clin Epidemiol
  doi: 10.1016/j.jclinepi.2010.09.011
  contributor:
    fullname: Guyatt
– volume: 385
  start-page: 956
  year: 2015
  ident: R8-20210309
  article-title: Farnesoid X nuclear receptor ligand obeticholic acid for non-cirrhotic, non-alcoholic steatohepatitis (FLINT): a multicentre, randomised, placebo-controlled trial
  publication-title: Lancet
  doi: 10.1016/S0140-6736(14)61933-4
  contributor:
    fullname: NeuschwanderTetri
– volume: 53
  start-page: 362
  year: 2018
  ident: R11-20210309
  article-title: Current and future pharmacological therapies for NAFLD/NASH
  publication-title: J Gastroenterol
  doi: 10.1007/s00535-017-1415-1
  contributor:
    fullname: Sumida
– volume: 60
  start-page: 3194
  year: 2015
  ident: R3-20210309
  article-title: Prevalence of nonalcoholic fatty liver disease and, economy
  publication-title: Dig Dis Sci
  doi: 10.1007/s10620-015-3728-3
  contributor:
    fullname: Zhu
– volume: 6
  start-page: 264
  year: 2018
  ident: R10-20210309
  article-title: Future pharmacotherapy for non-alcoholic steatohepatitis (NASH): review of phase 2 and 3 trials
  publication-title: J Clin Transl Hepatol
  doi: 10.14218/JCTH.2017.00056
  contributor:
    fullname: Connolly
– volume: 336
  start-page: 924
  year: 2008
  ident: R20-20210309
  article-title: GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
  publication-title: BMJ
  doi: 10.1136/bmj.39489.470347.AD
  contributor:
    fullname: Guyatt
– volume: 15
  start-page: 11
  year: 2018
  ident: R5-20210309
  article-title: Global burden of NAFLD and NASH: trends, predictions, risk factors and prevention
  publication-title: Nat Rev Gastroenterol Hepatol
  doi: 10.1038/nrgastro.2017.109
  contributor:
    fullname: Younossi
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Snippet Previous reviews indicate that the effect of Traditional Chinese medicines (TCM) on non-alcoholic fatty liver disease (NAFLD) remains uncertainty. The study...
BACKGROUNDPrevious reviews indicate that the effect of Traditional Chinese medicines (TCM) on non-alcoholic fatty liver disease (NAFLD) remains uncertainty....
Supplemental Digital Content is available in the text
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SubjectTerms Humans
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Meta-Analysis as Topic
Non-alcoholic Fatty Liver Disease - therapy
Study Protocol Systematic Review
Systematic Reviews as Topic
Title Effectiveness and safety of traditional Chinese medicines for non-alcoholic fatty liver disease: Protocol for systematic review and meta-analysis
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