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Comparison 1 nausea and vomiting, Outcome 1 rate of nausea and vomiting.
Figuras y tablas -
Analysis 1.1

Comparison 1 nausea and vomiting, Outcome 1 rate of nausea and vomiting.

Comparison 2 leucopenia, Outcome 1 proportion of patients with WBC <3.0 x 10^9 per L.
Figuras y tablas -
Analysis 2.1

Comparison 2 leucopenia, Outcome 1 proportion of patients with WBC <3.0 x 10^9 per L.

Comparison 3 lymphocyte subsets, Outcome 1 percentage CD3‐positive cells.
Figuras y tablas -
Analysis 3.1

Comparison 3 lymphocyte subsets, Outcome 1 percentage CD3‐positive cells.

Comparison 3 lymphocyte subsets, Outcome 2 percentage CD4‐positive cells.
Figuras y tablas -
Analysis 3.2

Comparison 3 lymphocyte subsets, Outcome 2 percentage CD4‐positive cells.

Comparison 3 lymphocyte subsets, Outcome 3 percentage CD8‐positive cells.
Figuras y tablas -
Analysis 3.3

Comparison 3 lymphocyte subsets, Outcome 3 percentage CD8‐positive cells.

Table 1. The effects of Chinese medical herbs on the adverse effects of chemotherapy

Studies

CD3+ (%)

CD4+ (%)

CD8+ (%)

WBC

Side effects

NK cell (%)

IgG (g/L)

IgA (g/L)

IgM (g/L)

Xiao 1998

Number of patients with WBC less than 3.0 x 10^9 per L:

TCM + chemo group: 7/50 (14%)

chemo alone group: 14/25 (56%)

Rate difference 42% (95% c.i. 20 to 60%)

TCM + chemo group: reduced appetite 9/50 (18%), nausea with vomiting 11/50 (22%), hair loss 8/50 (16%).

chemo alone group: reduced appetite 13/25 (52%), nausea with vomiting 14/25 (56%), hair loss 15/25 (60%)

Rate differences:
Reduced appetite 34% (95% c.i. 12% to 54%)
Nausea and Vomiting 34% (95% c.i. 11% to 54%)
Hair Loss 44% (95% c.i. 21% to 62%)

He 1995

Huangqi compounds decoction group: 4400/ml (95% c.i. 4144 to 4655)

Shenbaibao group: 4100/ml (95% c.i. 3841 to 4358)

Berbamine Hydrochloride group: 3590/ml (95% c.i. 3320 to 3859)

Guo 1999

Huangqi compounds decoction + chemo group: 49.3 (95% c.i. 48.4 to 50.2)

Chemo alone group: 42.9 (95% c.i. 41.9 to 43.9).

Difference (decoction +chemo vs. chemo alone) 6.4% (95% c.i.: 5.1% to 7.7%)

Huangqi compounds decoction + chemo group: 44.6 (95% c.i. 43.6 to 45.6)

Chemo alone group: 38.8 (95% c.i. 38.1 to 39.5)

Difference (decoction +chemo vs. chemo alone) 5.8 (95% c.i. 4.6 to 7.0)

Huangqi compounds decoction + chemo group: 26.9 (95% c.i. 25.4 to 28.4)

Chemo alone group: 24.6 (95% c.i. 23.7 to 25.5)

Difference (decoction+chemo vs. chemo alone) 2.3 (0.5 to 4.1)

Number of patients with WBC less than 3.0 x 10^9 per L:

Huangqi compounds decoction + chemo group: 7/38 (18%)

Chemo alone group 15/31 (48%)

Rate difference: 30% (95% c.i. 7% to 49%)

Huangqi compounds decoction + chemo group: nausea 16/38 (42%), vomiting10/38 (26%), fatigue 14/38 (37%)

Chemo alone group: nausea 25/31 (81%), vomiting 18/31 (58%), fatigue 21/31 (68%)

Rate differences:
Nausea 39% (95% c.i. 16% to 56%)
Vomiting 32% (95% c.i. 8% to 51%)
Fatigue 31% (95% c.i. 7% to 50%)

Huangqi compounds decoction + chemo group: 6.32 (95% c.i. 5.1 to 7.5)

Chemo alone group: 4.32 (95% c.i. 2.6 to 6.0)

Difference 2.0 (95% c.i. 0 to 4.0)

Huangqi compounds decoction + chemo group: 0.67 (95 % c.i. 0 to 1.4)

Chemo alone group: 0.51 (95% c.i. 0 to 2.6)

Huangqi compounds decoction + chemo group: 0.71 (95% c.i. 0 to 1.5)

Chemo alone group: 0.38 (95% c.i. 0 to 1.4)

Li 2000

Huangqi compounds decoction alone group: 63.3 (95% c.i. 59.5 to 67.1);
Huangqi plus chemotherapy group: 59.4 (95% c.i. 55.3 to 63.5); Chemotherapy alone group: 57.2 (95% c.i. 51.8 to 62.6);
Difference (chemo+decoction vs, chemo alone) 2.2% (95%c.i. ‐4.2% to +8.6%)

Huangqi compounds decoction alone group: 39.3 (95% c.i. 35.7 to 42.9);
Huangqi plus chemotherapy group: 38.8 (95% c.i. 34.2 to 43.4);
Chemotherapy alone group: 37.8 (95% c.i. 34.0 to 41.6); Difference (decoction+chemo vs. chemo alone) 1.0 (95% c.i. ‐4.7 to +6.7)

Huangqi compounds decoction alone goup: 32.2 (95% c.i. 28.8 to 35.6);
Huangqi plus chemotherapy group: 33.4 (95% ci.i 28.4 to 38.4);
Chemotherapy alone group: 30.5 (95% c.i.26.6 to 34.4); Difference (decoction+chemo vs. chemo alone) 2.9 (95% c.i. ‐3.1 to +8.9)

Huangqi compounds decoction alone group: 36.4 (95% c.i. 33.6 to 39.2)

Huangqi plus chemotherapy group: 35.5 (95% c.i. 32.6 to 38.4)

Chemotherapy alone group: 34.7 (95% c.i. 31.8 to 37.6)

Huangqi compounds decoction alone group: 18.11 (95% c.i. 14.5 to 21.7)

Huangqi plus chemotherapy group: 17.35 (95% c.i. 14.5 to 20.2)

Chemotherapy group: 15.74 (95% c.i. 14.3 to 17.2)

Huangqi compounds decoction alone group: 2.35 (95% c.i. 2.1 to 2.6)

Huangqi plus chemotherapy group: 2.59 (95% c.i. 1.9 to 3.3)

Chemotherapy group: 2.08 (95% c.i. 1.7 to 2.5)

Huangqi compounds decoction alone group: 1.70 (95% c.i. 1.3 to 2.1)

Huangqi plus chemotherapy group: 1.65 (95% c.i. 1.3 to 2.0)

Chemotherapy group: 1.55 (95% c.i. 1.2 to 1.9)

Figuras y tablas -
Table 1. The effects of Chinese medical herbs on the adverse effects of chemotherapy
Comparison 1. nausea and vomiting

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 rate of nausea and vomiting Show forest plot

2

144

Risk Difference (M‐H, Random, 95% CI)

‐0.33 [‐0.49, ‐0.17]

Figuras y tablas -
Comparison 1. nausea and vomiting
Comparison 2. leucopenia

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 proportion of patients with WBC <3.0 x 10^9 per L Show forest plot

2

144

Risk Difference (M‐H, Random, 95% CI)

‐0.36 [‐0.51, ‐0.21]

Figuras y tablas -
Comparison 2. leucopenia
Comparison 3. lymphocyte subsets

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 percentage CD3‐positive cells Show forest plot

2

101

Mean Difference (IV, Random, 95% CI)

4.37 [0.26, 8.48]

2 percentage CD4‐positive cells Show forest plot

2

101

Mean Difference (IV, Random, 95% CI)

3.45 [‐1.25, 8.15]

3 percentage CD8‐positive cells Show forest plot

2

101

Mean Difference (IV, Random, 95% CI)

2.35 [0.71, 3.99]

Figuras y tablas -
Comparison 3. lymphocyte subsets