Cochrane · systematic review · CD008642

Chinese herbal medicine for atopic eczema

Gu, S, Yang, AWH, Xue, CCL, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

SkinAMSTAR 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
17
current version
GRADE rated
17
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 17.6%Low 13 · 76.5%Moderate 1 · 5.9%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

CHM compared to placebo

Population: Participants with atopic eczema
5 questions
OutcomeEffectEvidenceStatus / GRADE
Total effectiveness rate (Analysis 1.1) Clinician's rating
CHM vs placebo
RR 2.09 [1.32, 3.32]2 studies · 85 participantsLow
Downgraded: risk of bias, inconsistency
Itching VAS (Analysis 1.2) Participant's rating. Scale from 1 to 10
CHM vs placebo
no estimate extracted2 studies · 94 participantsLow
Downgraded: risk of bias, inconsistency
Overall severity score (Analysis 1.3) Clinician's rating. Scale from 1 to 80
CHM vs placebo
no estimate extracted4 studies · 239 participantsVery low
Downgraded: risk of bias, inconsistency
QoL (Analysis 1.5) Participant's rating. Scale from 0 to 30
CHM vs placebo
no estimate extracted1 study · 85 participantsModerate
Downgraded: risk of bias, inconsistency
Adverse events (Analysis 1.7) Participant's report
CHM vs placebo
RR 0.71 [0.06, 8.67]2 studies · 129 participantsLow
Downgraded: risk of bias, inconsistency

CHM compared to drugs

Population: Participants with atopic eczema
6 questions
OutcomeEffectEvidenceStatus / GRADE
Total effectiveness rate (Analysis 2.1) Clinician's rating
CHM vs drugs
RR 1.43 [1.27, 1.61]21 studies · 1868 participantsVery low
Downgraded: risk of bias, inconsistency
Total effectiveness rate with subgroup analysis ‐ individualised treatment Clinician's rating
CHM vs drugs
RR 1.5 [1.3, 1.74]7 studies · 567 participantsLow
Downgraded: risk of bias, inconsistency
Total effectiveness rate with subgroup analysis ‐ non‐individualised treatment Clinician's rating
CHM vs drugs
RR 1.37 [1.17, 1.6]14 studies · 1301 participantsVery low
Downgraded: risk of bias, inconsistency
Itching VAS (Analysis 2.3) Participant's rating. Scale from 0 to 10
CHM vs drugs
no estimate extracted7 studies · 465 participantsLow
Downgraded: risk of bias, inconsistency
Overall severity score (Analysis 2.4) Clinician's rating. Scale from 0 to 103
CHM vs drugs
no estimate extracted15 studies · 1062 participantsLow
Downgraded: risk of bias, inconsistency
Adverse events (Analysis 2.6) Participant's reports
CHM vs drugs
RR 0.44 [0.32, 0.61]15 studies · 1396 participantsLow
Downgraded: risk of bias, inconsistency

Combination of oral and topical CHM compared to same oral CHM

Population: Participants with atopic eczema
6 questions
OutcomeEffectEvidenceStatus / GRADE
Total effectiveness rate (Analysis 3.1) Clinician's rating
Combination of oral and topical CHM vs same oral CHM
RR 1.13 [0.78, 1.63]1 study · 20 participantsLow
Downgraded: risk of bias
Overall severity score (Analysis 3.5) Clinician's rating. Scale from 0 to 103
Combination of oral and topical CHM vs same oral CHM
no estimate extracted1 study · 20 participantsLow
Downgraded: risk of bias
QoL (Analysis 3.6) Participant's rating. Scale from 0 to 30
Combination of oral and topical CHM vs same oral CHM
no estimate extracted1 study · 20 participantsLow
Downgraded: risk of bias
Adverse events (Analysis 3.7) Participant's report
Combination of oral and topical CHM vs same oral CHM
RR 1 [0.07, 13.87]1 study · 20 participantsLow
Downgraded: risk of bias
Itching VAS (Analysis 3.3) Participant's rating. Scale from 0 to 10
Combination of oral and topical CHM vs same oral CHM
no estimate extracted1 study · 22 participantsLow
Downgraded: risk of bias
Skin lesion score (Analysis 3.4) Clinician's rating. Scale from 0 to 24
Combination of oral and topical CHM vs same oral CHM
no estimate extracted1 study · 22 participantsLow
Downgraded: risk of bias