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Effect of Oral Chinese Medicine Combined with Western Medicine on Cancer Pain: A Meta-Analysis

  • Evidence-Based Integrative Medicine
  • Published:
Chinese Journal of Integrative Medicine Aims and scope Submit manuscript

Abstract

Objective

To assess the effect of oral Chinese medicine (OCM) combined with Western medicine (WM) on cancer pain.

Methods

PubMed, Embase, Cochrane Library, Clinical Trials Registry Platform, Chinese National Knowledge Infrastructure (CNKI), Wanfang and VIP databases were searched from their inception to September {dy2019}. Randomized controlled trials (RCTs) treating cancer pain by Chinese medicine (CM) combined with WM were included. The primary outcome were total pain relief rate and the quality of life (QOL), and the other outcomes were the average daily dosage of analgesics, the primary time of pain, the analgesic duration time, and adverse events. The methodological quality of RCTs was assessed in accordance with Cochrane 5.1.0 handbook of systematic reviews of interventions. Evidence level was assessed by the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach.

Results

There were 1,087 patients in the 14 studies, with 544 in the experiment group and 543 in the control group. These studies were all conducted in China, and published between 2006 and {dy2019}. Compared with the WM, OCM combined with WM could significantly relieve the cancer pain [risk ratio (RR)=1.43, 95% confidence interval (CI): 1.32, 1.56), improve QOL (RR=8.57, 95% CI: 4.25, 12.89), decrease the primary time of pain (RR=−0.20, 95% CI: −0.24, −0.16], prolong the analgesic duration time (RR=3.47, 95% CI: 2.09, 4.85), reduce the dosage of analgesics (RR=−19.52, 95% CI: −36.32, −2.72), and reduce side events (RR=0.49, 95% CI: 0.37, 0.65). Evidence levels for total pain relief rate, primary time of pain and side events were low, evidence level for QOL, analgesic duration time and average daily dosage of analgesics were very low.

Conclusions

Compared with the WM, OCM combined with WM could significantly relieve the cancer pain, improve the QOL, decrease the primary time of pain, prolong the analgesic duration time, reduce the dosage of analgesics and side events. The evidence levels were low or very low.

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Authors and Affiliations

  1. Traditional Chinese Medicine Department, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100021, China

    Yao-han Wang, Jin-yuan Chang & Li Feng

  2. China Academy of Chinese Medical Sciences, Beijing, 100700, China

    Yao-han Wang

  3. Depatment of Oncology, Beijing Hospital of Integrated Traditional Chinese and Western Medicine, Beijing, 10039, China

    Yao-han Wang

Authors
  1. Yao-han Wang
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  2. Jin-yuan Chang
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  3. Li Feng
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Corresponding author

Correspondence to Li Feng.

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The authors declared that they have no conflicts of interest to this work.

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Supported by National Natural Science Foundation of China (No. 81873283)

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Wang, Yh., Chang, Jy. & Feng, L. Effect of Oral Chinese Medicine Combined with Western Medicine on Cancer Pain: A Meta-Analysis. Chin. J. Integr. Med. 27, 713–720 (2021). https://doi.org/10.1007/s11655-020-3423-x

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