Cochrane · systematic review · CD004448

Phytomedicines (medicines derived from plants) for sickle cell disease

Oniyangi, O, Cohall, DH · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Cystic Fibrosis and Genetic Disorders2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
22
current version
GRADE rated
16
No studies
6
Included studies
NR
No studies 6 · 27.3%Ungraded 0 · 0%Very low 8 · 36.4%Low 8 · 36.4%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Summary of findings ‐ Niprisan® versus placebo for SCD

Population: adults and children with SCD
7 questions
OutcomeEffectEvidenceStatus / GRADE
Frequency, severity or duration of painful crises: frequency of mild, moderate and severe pain episodes
Summary of findings ‐ Niprisan® vs placebo
no estimate extracted70 participantsLow
Downgraded: risk of bias, indirectness
Frequency of severe complications of SCD
Summary of findings ‐ Niprisan® vs placebo
no estimate extracted70 participantsLow
Downgraded: risk of bias, indirectness
Frequency of hospital admissions from severe complications of SCD
Summary of findings ‐ Niprisan® vs placebo
no estimate extracted70 participantsLow
Downgraded: risk of bias, indirectness
Any adverse events including hepatic and renal toxicity
Summary of findings ‐ Niprisan® vs placebo
no estimate extracted80 participantsLow
Downgraded: risk of bias, indirectness
Frequency of blood transfusion
Summary of findings ‐ Niprisan® vs placebo
no estimate extractedNRNo studies
Level of anaemia: change in level of haemoglobin (g/dL)
Summary of findings ‐ Niprisan® vs placebo
no estimate extracted52 participantsLow
Downgraded: risk of bias, indirectness
Quality of life measures: self‐reported health, absence from work or school
Summary of findings ‐ Niprisan® vs placebo
no estimate extracted70 participantsVery low
Downgraded: risk of bias, indirectness

Summary of findings ‐ Ciklavit® versus placebo for SCD

Population: adults and children with SCD
7 questions
OutcomeEffectEvidenceStatus / GRADE
Frequency, severity or duration of painful crises
Summary of findings ‐ Ciklavit® vs placebo
no estimate extracted1 study · 87 participantsLow
Downgraded: risk of bias, indirectness
Frequency of severe complications of SCD
Summary of findings ‐ Ciklavit® vs placebo
no estimate extractedNRNo studies
Frequency of hospital admissions from severe complications of SCD
Summary of findings ‐ Ciklavit® vs placebo
no estimate extractedNRNo studies
Any adverse events including hepatic and renal toxicity
Summary of findings ‐ Ciklavit® vs placebo
no estimate extracted1 study · 87 participantsLow
Downgraded: risk of bias, indirectness
Frequency of blood transfusion
Summary of findings ‐ Ciklavit® vs placebo
no estimate extractedNRNo studies
Level of anaemia: packed cell volume
Summary of findings ‐ Ciklavit® vs placebo
no estimate extracted1 study · 87 participantsLow
Downgraded: risk of bias, indirectness
Quality of life measures
Summary of findings ‐ Ciklavit® vs placebo
no estimate extractedNRNo studies

Summary of findings ‐ Pfaffia paniculata versus placebo for SCD

Population: children with SCD
8 questions
OutcomeEffectEvidenceStatus / GRADE
Frequency, severity or duration of painful crises
Summary of findings ‐ Pfaffia paniculata vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, indirectness
Frequency of severe complications of SCD
Summary of findings ‐ Pfaffia paniculata vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, indirectness
Frequency of hospital admissions from severe complications of SCD
Summary of findings ‐ Pfaffia paniculata vs placebo
no estimate extractedNRNo studies
Any adverse events including hepatic and renal toxicity
Summary of findings ‐ Pfaffia paniculata vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, indirectness
Frequency of blood transfusion
Summary of findings ‐ Pfaffia paniculata vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, indirectness
Level of anaemia: packed cell volume
Summary of findings ‐ Pfaffia paniculata vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, indirectness
Quality of life measures
Summary of findings ‐ Pfaffia paniculata vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, indirectness
Number of sickle cells, peripheral erythroblasts and reticulocytes
Summary of findings ‐ Pfaffia paniculata vs placebo
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, indirectness