Exploring the Benefits and Prescribing Informations of Combining East Asian Herbal Medicine with Conventional Medicine in the Treatment of Rheumatoid Arthritis: A Systematic Review and Multifaceted Analysis of 415 Randomized Controlled Trials
Pharmacological Research,
Journal Year:
2025,
Volume and Issue:
unknown, P. 107616 - 107616
Published: Jan. 1, 2025
Notwithstanding
progress
in
conventional
medicine
(CM),
the
management
of
rheumatoid
arthritis
(RA)
continues
to
be
problematic
due
factors
such
as
limited
patient
response
treatment
and
restricted
medication
access.
This
study
aimed
evaluate
extent
which
East
Asian
herbal
with
CM
combination
therapy
(EACM)
provides
additional
benefits
effectiveness
safety.
We
conducted
a
comprehensive
search
across
11
databases
English,
Chinese,
Korean,
Japanese
for
randomized
controlled
trials.
The
review
followed
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
guidelines,
using
American
College
Rheumatology
(ACR)
20/50/70
Response
Criteria
incidence
adverse
events
(AEI)
primary
outcomes.
meta-analysis
was
performed
random-effects
model.
quality
each
assessed
according
RoB
2.
Of
1,036
full-text
articles
screened,
415
were
included
review.
data
from
37,839
participants.
EACM
associated
higher
ACR
responses:
20
(RR:
1.2332;
95%
CI:
1.1852
1.2831,
p
<
0.0001),
50
1.3782;
1.2936
1.4684,
70
1.7084;
1.5555
1.8762,
well
favorable
AEI
(OR:
0.3977;
0.3476
0.4551,
indicating
both
better
efficacy
safety
compared
alone.
These
patterns
consistent
eight
secondary
outcomes
measuring
pain,
inflammation,
disease
activity
RA.
Subgroup
analyses
showed
that
EACM's
effects
independent
control
type.
Through
analysis
polyherbal
prescription
dataset,
we
identified
18
key
herbs
16
significant
rules,
further
supported
by
relevant
preclinical
evidence.
synergistic
combinations
anticipated
most
pharmacologically
influential
contributing
outcomes,
substantiated
analytical
metrics
including
network
topology
intricate
association
pattern
evaluations.
findings
suggest
may
serve
valuable
complementary
strategy
RA
patients
insufficiently
managed
In
particular,
given
index
integrates
multiple
aspects
patients,
results
are
expected
provide
decision
support
who
do
not
respond
therapy,
medical
economic
reasons.
Additionally,
derived
through
multifaceted
analysis,
actively
reflect
clinicians'
implicit
preferences
prescribing
EACMs,
important
hypotheses
research
clinical
application.
However,
qualitative
quantitative
improvements
needed
more
definitive
conclusions.
Further
prescriptions
presented
this
will
direction
future
research.
Language: Английский
Emerging Mechanisms and Biomarkers Associated with T-Cells and B-Cells in Autoimmune Disorders
Clinical Reviews in Allergy & Immunology,
Journal Year:
2025,
Volume and Issue:
68(1)
Published: Feb. 11, 2025
Language: Английский
Theory & practice of Treat-to-Target (T2T) in rheumatoid arthritis
Jing He,
No information about this author
Yifan Wang,
No information about this author
Qinghong Liu
No information about this author
et al.
Best Practice & Research Clinical Rheumatology,
Journal Year:
2024,
Volume and Issue:
unknown, P. 102018 - 102018
Published: Nov. 1, 2024
Language: Английский
Initial survey of UK rheumatologists to inform a national cardio-rheumatology strategy
Amr Mohammed,
No information about this author
Rudresh Shukla,
No information about this author
Simon E. Fisher
No information about this author
et al.
Lara D. Veeken,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 15, 2024
Journal
Article
Accepted
manuscript
Initial
survey
of
UK
rheumatologists
to
inform
a
national
cardio-rheumatology
strategy
Get
access
Amr
Mohammed,
Mohammed
Division
Cardiovascular
Sciences,
Faculty
Biology,
Medicine
&
Health,
University
Manchester,
Search
for
other
works
by
this
author
on:
Oxford
Academic
PubMed
Google
Scholar
Rudresh
Shukla,
Shukla
Centre
Musculoskeletal
Research,
Simon
Fisher,
Fisher
NIHR-BHF
Partnership,
Oxford,
Maya
H
Buch
UKNIHR
Manchester
Biomedical
Research
Centre,
NHS
Foundation
Trust,
Corresponding
and
address:
Professor
Buch,
Dermatological
Sciences/School
Biological
AV
Hill
Building,
Road,
UK,
M13
9PT,
Email:
[email protected]
Telephone:
+44
(0)161
306
0696
Rheumatology,
keae567,
https://doi.org/10.1093/rheumatology/keae567
Published:
16
October
2024
history
Received:
17
July
Revision
received:
30
September
Accepted:
07
Language: Английский