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Journal of Chinese Integrative Medicine ›› 2009, Vol. 7 ›› Issue (4): 315-324.doi: 10.3736/jcim20090404

• Systematic Review • Previous Articles     Next Articles

Aidi Injection as an adjunct therapy for non-small cell lung cancer: A systematic review

Wen-hua Ma , Kai-nan Duan, Min Feng, Bin She, Yan Chen, Rui-ming Zhang   

  1. Department of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2008-10-20 Accepted:2009-01-08 Online:2009-04-20 Published:2009-04-15

Objective

To assess methodological quality of clinical studies using Aidi Injection as an adjunct therapy for non-small cell lung cancer (NSCLC) and to evaluate the effects of Aidi Injection.
Methods

PubMed (1980-2008), Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 3, 2008), EMBASE (1984-2008), CancerLit (1996-2003), CBMdisc (1980-2008), CNKI database (1980- 2008), Wanfang database (1980-2008), and Chongqing VIP database (1980-2008) were searched. The authors also hand-searched Chinese periodicals potentially related to the question. All randomized controlled trials comparing Aidi Injection with other treatment methods of NSCLC were included. Two reviewers selected studies, assessed the quality of studies, and extracted the data independently. The included studies were appraised and analyzed by Cochrane Collaboration Review Manager 5.0.
Results

Fourteen randomized controlled trials were included in the meta-analysis, but the quality of reports of the 14 included studies was poor. Aidi Injection combined with cobalt-60 or navelbine and platinol (NP) showed statistically significant differences in improving the response rate as compared with single use of cobalt-60 (P = 0.000 2) or NP (P = 0.04), and the relative risk (RR) and 95% confidence interval (Cl) were 1.93[1.36, 2.72] and 1.18[1.00, 1. 38], respectively. However, Aidi Injection combined with etoposide and platinol (EP), taxinol and platinol (TP) or gamma knife showed no significant differences as compared with single use of EP (P = 0.60),TP (P = 0.16) or gamma knife (P = 0.34),respectively. The RR and 95% Cl of EP, TP and gamma knife were 1. 17[〇. 65, 2. 09], 1. 27[〇. 91, 1. 78] and 1. 08 [0.92, 1. 26] respectively. Six studies indicated that Aidi Injection combined with NP or gamma knife could improve the quality of life. Six studies showed that Aidi Injection combined with NP or TP could improve the bone marrow hematopoietic function. Three studies indicated that Aidi Injection combined with NP could improve the immune function. Three studies showed that the combined therapy could not improve 1-, 2-,and 3-year survival rates.
Conclusion

The results of meta-analysis indicate that treatment of NSCLC patients, but the sample size is publication bias is found. The effects of Aidi Injection controlled trials.

Key words: Aidi Injection, Non-small cell lung cancer, Stematic review, Randomized controlled trials

Figure 1

Risk of bias from the included trials"

Figure 2

Summary of the risk of bias from the included trials"

Figure 3

Meta-analysis of the included trials on effective rate"

Figure 4

Meta-analysis of the included trials on quality of life"

Figure 5

Meta-analysis of the included trials on myelosuppression"

Figure 6

Meta-analysis of the included trials on immune function"

Figure 7

Meta-analysis of the included trials on survival rate"

Figure 8

Funnel plot"

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