Treatment of primary biliary cirrhosis with ursodeoxycholic acid combined with traditional Chinese medicine: A protocol for systematic review and meta analysis

Medicine (Baltimore). 2020 Nov 13;99(46):e23107. doi: 10.1097/MD.0000000000023107.

Abstract

Objective: Ursodeoxycholic acid is the priority drug of primary biliary cirrhosis (PBC) and is usually combined with traditional Chinese medicine. This study aimed to systematically evaluate the benefits of integrated Chinese and western interventions for PBC.

Methods: Searched the randomized controlled trials in PubMed, Web of Science, CNKI, CBM, Wanfang, VIP databases. The Cochrane risk of bias tool was used for methodological quality assessment and all data analysis was performed using Revman5.3 and Stata14.2 software.

Result: 30 randomized controlled trials involving 10 interventions with a total of 1948 participants were included. Identified the direct and indirect evidence of trials, and used network meta analyses ranked the benefits of different interventions based on pairwise meta analysis. The primary outcom was clinical efficacy rate. Secondary outcome was liver function, including alkaline phosphataseand total bilirubin.

Conclusion: The conclusion of this systematic review provide credible evidence - based for the relative advantages of integrated Chinese and western interventions for PBC.

MeSH terms

  • Cholagogues and Choleretics / pharmacology
  • Combined Modality Therapy / methods
  • Humans
  • Liver Cirrhosis, Biliary / therapy*
  • Medicine, Chinese Traditional / methods*
  • Meta-Analysis as Topic
  • Research Design
  • Systematic Reviews as Topic
  • Treatment Outcome
  • Ursodeoxycholic Acid / pharmacology*

Substances

  • Cholagogues and Choleretics
  • Ursodeoxycholic Acid