Evidence map analysis of clinical studies on 42 commonly used oral Chinese patent medicines for the treatment of stable chronic obstructive pulmonary disease

Le résumé fourni par la source

This study rigorously and comprehensively evaluated the clinical evidence of Chinese patent medicines (CPMs) in treating the stable phase of chronic obstructive pulmonary disease (COPD), highlighting problems and solutions. This study aimed to systematically evaluate the clinical evidence of 42 oral CPMs for the treatment of stable COPD using evidence mapping, identifying research trends, methodological quality, and gaps in the current literature. A comprehensive search was conducted across multiple databases, including CNKI, Wanfang, VIP, SinOMed, PubMed, Web of Science, Embase, and Cochrane Library, up to November 1, 2024. A total of 205 studies (203 in Chinese and 2 in English) were included, comprising 181 randomized controlled trials (RCTs), 8 non-randomized controlled trials (non-RCTs), 2 case-control studies, 9 systematic reviews/Meta-analyses, and 5 guidelines/expert consensuses. Data were extracted and analyzed using evidence mapping techniques, focusing on publication trends, Traditional Chinese Medicine (TCM) syndrome types, interventions, outcome indicators, and methodological quality. The analysis revealed that CPMs are extensively applied in the treatment of stable COPD and have demonstrated remarkable therapeutic efficacy. Among them, Bailing Capsules are the most researched, accounting for 26.70% of the published studies.However, clinical indications for many CPMs remain ambiguous, and safety information is often incomplete. Methodological quality of the studies was generally low, with issues such as inadequate randomization, lack of blinding, and incomplete outcome reporting. TCM syndrome differentiation was underutilized, with only 32.46% of studies detailing TCM syndrome classifications. Outcome measures were heterogeneous, with a focus on clinical efficacy and pulmonary function tests, but limited attention to TCM-specific outcomes and long-term follow-up. This evidence mapping highlights the need for improved methodological rigor, standardized outcome measures, and better integration of TCM theory in clinical research. While CPMs show promise in managing stable COPD, future studies should address safety gaps, enhance TCM syndrome differentiation, and conduct economic evaluations to optimize their clinical application. These findings provide a roadmap for researchers, clinicians, and policymakers to advance the role of CPMs in global respiratory medicine. • The first evidence map comprehensively analyzes 42 common Chinese patent medicines on the market for the stable phase of COPD. • Although the quality of the included studies is not high, Chinese patent medicines are more effective than conventional treatments. • The study reveals that there are significant deficiencies in current clinical positioning, safety assessment, methodological rigor, and the integration of traditional Chinese medicine theories, providing feasible ideas for subsequent research. • The methodological quality of existing studies is generally low, with problems such as insufficient randomization, the absence of blinding methods, and incomplete outcome reporting.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.