Tripterygium Glycosides Combined with Leflunomide for Rheumatoid Arthritis: A Systematic Review and Meta-Analysis
Joint Authors
Peng, Qinghua
Yang, Yi Jing
Deng, Ying
Liao, Lin-Li
Peng, Jun
Qin, Yu-Hui
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-08
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Objective.
To undertake an overview on the overall effects of Tripterygium glycosides (TG) combined with Leflunomide (LEF) for rheumatoid arthritis (RA).
Methods.
We searched electronic databases from database establishment time to December 1, 2019.
The clinical trial data of TG combined with LEF (trial group) and control group in the treatment of RA were collected.
The Cochrane system was used to evaluate the quality of the literature.
RevMan 5.3 software was used to conduct a meta-analysis of the eligible studies.
Results.
A total of 12 randomized controlled trials (RCTs) involving 834 patients with RA were included in this study.
The meta-analysis results showed that morning stiffness (mean difference (MD) = −0.29, 95% confidential interval (CI) (−0.45, −0.12), P=0.0005), tender joint count (MD = −1.51, 95% CI (−2.20, −0.83), P=0.0001), swollen joint count (MD = -1.24, 95% CI (−1.59, −0.88), P=0.0001), erythrocyte sedimentation rate (MD = −7.26, 95% CI (−9.92, −4.61), P=0.0001), C-reactive protein (MD = −4.04, 95% CI (−4.93, −3.14), P=0.0001), and rheumatoid factor (MD = −50.88, 95% CI (−72.30, −29.45), P = 0.0001) in the trial groups were lower than those in the control groups.
The total effective rate in the trial group was better than that in the control group (risk ratio (RR) = 1.20, 95% CI (1.13, 1.28), P=0.00001).
However, there was no significant difference of adverse events (RR = 0.83, 95% CI (0.61, 1.13), P=0.23) while comparing the trial groups with the control groups.
Conclusion.
Our results were found to be superior but limited evidence on the effectiveness of TG combined with LEF in the treatment of RA is available.
American Psychological Association (APA)
Yang, Yi Jing& Deng, Ying& Liao, Lin-Li& Peng, Jun& Peng, Qinghua& Qin, Yu-Hui. 2020. Tripterygium Glycosides Combined with Leflunomide for Rheumatoid Arthritis: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine،Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1154748
Modern Language Association (MLA)
Yang, Yi Jing…[et al.]. Tripterygium Glycosides Combined with Leflunomide for Rheumatoid Arthritis: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine No. 2020 (2020), pp.1-11.
https://search.emarefa.net/detail/BIM-1154748
American Medical Association (AMA)
Yang, Yi Jing& Deng, Ying& Liao, Lin-Li& Peng, Jun& Peng, Qinghua& Qin, Yu-Hui. Tripterygium Glycosides Combined with Leflunomide for Rheumatoid Arthritis: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine. 2020. Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1154748
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1154748