Yinchenhao decoction for chronic hepatitis B: Protocol for a systematic review and meta-analysis
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1School of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan.
Insights
This systematic review evaluates Yinchenhao decoction (YCHD) for chronic hepatitis B (CHB). It synthesizes evidence on YCHD
Area of Science:
- Hepatology and Gastroenterology
- Integrative and Complementary Medicine
- Pharmacological Sciences
Background:
- Chronic hepatitis B (CHB) poses a significant global health risk, leading to cirrhosis and hepatocellular carcinoma (HCC).
- Yinchenhao decoction (YCHD), a traditional Chinese medicine, is recognized for treating jaundice.
- The clinical efficacy of YCHD for CHB is promising, but its safety profile requires thorough investigation.
Purpose of the Study:
- To systematically review and assess the clinical efficacy and safety of Yinchenhao decoction (YCHD) in treating patients with chronic hepatitis B (CHB).
- To consolidate existing evidence regarding YCHD's impact on key virological and biochemical markers in CHB patients.
Main Methods:
- A comprehensive literature search was conducted across major Chinese and English electronic databases up to January 2019.
- Included studies focused on YCHD therapy for CHB, with primary outcomes being HBV-DNA levels, HBeAg status, and ALT levels.
- Data synthesis for meta-analysis will be performed using RevMan V.5.3 software where appropriate.
Main Results:
- The review will compile evidence on YCHD's effects on HBV-DNA, HBeAg, and ALT levels in CHB patients.
- It will also evaluate TCM syndrome criteria, quality of life changes, and reported adverse events associated with YCHD treatment.
- A high-quality composite of evidence will be presented to inform clinical practice.
Conclusions:
- This systematic review aims to provide robust evidence regarding the clinical effectiveness of YCHD for treating chronic hepatitis B.
- The findings will help clarify the role of YCHD in CHB management and inform future research on its safety and efficacy.
Background:
Chronic hepatitis B (CHB) is a very critical threat to public health worldwide, and is the primary cause of chronic hepatitis, cirrhosis, and hepatocellular carcinoma (HCC). Yinchenhao decoction (YCHD) is a classic prescription of traditional Chinese medicine for the treatment of jaundice. Despite the satisfactory clinical efficacy of YCHD in the treatment of CHB, the safety of YCHD is still uncertain. Therefore, we will provide a systematic review of YCHD in CHB treatments.
Methods:
The purpose of this review is to retrieve relevant literature on YCHD therapy for CHB in the electrical databases, including 4 Chinese databases (e.g., Wanfang database, Chinese National Knowledge Infrastructure (CNKI), Chinese Biomedical database (CBM), Chinese Science and Technology Periodical database (VIP)) and 3 English databases (e.g., PubMed, Cochrane Library, and EMBASE). The literatures involved are from the establishment of the databases to January 2019. The primary outcomes are HBV-DNA, HBeAg, and ALT. We will calculate the data synthesis for meta-analysis using RevMan V.5.3 software if the results are suitable.
Results:
This study will offer a high-quality composite of existing evidence for YCHD in CHB treatment according to HBV-DNA quantitative detection, HBeAg qualitative detection, ALT levels, TCM syndrome evaluation criteria, status changes in quality of life assessment participants, and adverse events.
Conclusion:
This systematic review will provide evidence to assess the clinical efficacy of YCHD in the treatment of patients with CHB.
Prospero Registration Number:
PROSPERO CRD42019119720.
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