Cochrane · systematic review · CD005467

Chinese herbal medicines for treating osteoporosis

Liu, Y, Liu, JP, Xia, Y · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

MusculoskeletalAMSTAR 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
28
current version
GRADE rated
16
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 12 · 42.9%Very low 6 · 21.4%Low 10 · 35.7%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

Chinese herbal medicines versus placebo for osteoporosis

Population: patients with osteoporosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
New fractures (Kanggusong capsule versus placebo)
Chinese herbal medicines vs placebo
RR 0.05 [0, 0.85]1 study · 104 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life
Chinese herbal medicines vs placebo
no estimate extracted0 studies · 0 participantsUngraded
Death
Chinese herbal medicines vs placebo
no estimate extracted0 studies · 0 participantsUngraded
Serious adverse events
Chinese herbal medicines vs placebo
no estimate extracted0 studies · 0 participantsUngraded
BMD of lumbar spine (Kanggusong capsule versus placebo)
Chinese herbal medicines vs placebo
no estimate extracted1 study · 140 participantsLow
Downgraded: risk of bias
BMD of ulna (Bushen Yigu soft extract versus placebo)
Chinese herbal medicines vs placebo
no estimate extracted1 study · 59 participantsLow
Downgraded: risk of bias
BMD of radius (Bushen Yigu soft extract versus placebo)
Chinese herbal medicines vs placebo
no estimate extracted1 study · 59 participantsLow
Downgraded: risk of bias

Chinese herbal medicines versus no intervention for osteoporosis

Population: patients with osteoporosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
New fractures
Chinese herbal medicines vs no intervention
no estimate extracted0 studies · 0 participantsUngraded
Quality of life
Chinese herbal medicines vs no intervention
no estimate extracted0 studies · 0 participantsUngraded
Death
Chinese herbal medicines vs no intervention
no estimate extracted0 studies · 0 participantsUngraded
Serious adverse events
Chinese herbal medicines vs no intervention
no estimate extracted0 studies · 0 participantsUngraded
BMD of lumbar spine (Bushen Shengsui principle versus no intervention)
Chinese herbal medicines vs no intervention
no estimate extracted1 study · 61 participantsLow
Downgraded: risk of bias
BMD of femoral neck (Shigu yin versus no intervention)
Chinese herbal medicines vs no intervention
no estimate extracted1 study · 80 participantsLow
Downgraded: risk of bias
BMD of femoral neck (Shengu capsule versus no intervention)
Chinese herbal medicines vs no intervention
no estimate extracted1 study · 34 participantsLow
Downgraded: risk of bias

Chinese herbal medicines versus western medicine for osteoporosis

Population: patients with osteoporosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
New fractures (Kanggusong granule versus calcium and vitamin D)
Chinese herbal medicines vs western medicine
no estimate extracted1 study · 71 participantsVery low
Downgraded: risk of bias
Quality of life
Chinese herbal medicines vs western medicine
no estimate extracted0 studies · 0 participantsUngraded
Death
Chinese herbal medicines vs western medicine
no estimate extracted0 studies · 0 participantsUngraded
Serious adverse events
Chinese herbal medicines vs western medicine
no estimate extracted0 studies · 0 participantsUngraded
BMD of lumbar spine (Bushenjianpi Zhuangguyin versus Caltrate and calcitonin)
Chinese herbal medicines vs western medicine
no estimate extracted1 study · 100 participantsLow
Downgraded: risk of bias
BMD of lumbar spine (Liuwei Dihuang pills versus calcium and vitamin D)
Chinese herbal medicines vs western medicine
no estimate extracted1 study · 71 participantsLow
Downgraded: risk of bias
BMD of femoral neck (Kanggusong granule versus calcium and vitamin D)
Chinese herbal medicines vs western medicine
no estimate extracted1 study · 71 participantsLow
Downgraded: risk of bias

Chinese herbal medicines plus western medicine versus western medicine for osteoporosis

Population: patients with osteoporosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
New fractures (Yigu capsule plus calcium versus placebo plus calcium)
Chinese herbal medicines plus western medicine vs western medicine
RR 0.06 [0, 1]1 study · 140 participantsVery low
Downgraded: risk of bias
New fractures (Xianlinggubao capsule (low‐dose) plus calcium and vitamin D versus placebo plus calcium and vitamin D)
Chinese herbal medicines plus western medicine vs western medicine
RR 0.33 [0.01, 8.02]1 study · 120 participantsVery low
Downgraded: risk of bias
New fractures (Bushen Zhuanggu granules plus calcium and vitamin D versus placebo granules plus calcium and vitamin D)
Chinese herbal medicines plus western medicine vs western medicine
RR 0.44 [0.13, 1.43]1 study · 155 participantsVery low
Downgraded: risk of bias
New fractures (Kanggusong soup plus calcium and vitamin D versus calcium and vitamin D)
Chinese herbal medicines plus western medicine vs western medicine
RR 0.22 [0.01, 5.34]1 study · 75 participantsVery low
Downgraded: risk of bias
Quality of life (Bushenhuoxue therapy plus calcium carbonate tablets and alfacalcidol versus calcium carbonate tablets and alfacalcidol)
Chinese herbal medicines plus western medicine vs western medicine
no estimate extracted1 study · 80 participantsLow
Downgraded: risk of bias
Death
Chinese herbal medicines plus western medicine vs western medicine
no estimate extracted0 studies · 0 participantsUngraded
Serious adverse events
Chinese herbal medicines plus western medicine vs western medicine
no estimate extracted0 studies · 0 participantsUngraded