Cochrane · systematic review · CD009023

Chinese herbal medicine for menopausal symptoms

Zhu, X, Liew, Y, Liu, ZL · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Gynaecology and FertilityAMSTAR 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
12
current version
GRADE rated
11
No studies
1
Included studies
NR
No studies 1 · 8.3%Ungraded 0 · 0%Very low 5 · 41.7%Low 4 · 33.3%Moderate 2 · 16.7%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 medicine (CHM) compared with placebo for menopausal symptoms

Population: women with menopausal symptoms
9 questions
OutcomeEffectEvidenceStatus / GRADE
Vasomotor SymptomsFrequency of hot flushes measured in a diary (daily)
Chinese herbal medicine (CHM) vs placebo
no estimate extracted2 studies · 199 participantsModerate
Downgraded: imprecision
Vasomotor SymptomsSeverity of hot flushes measured in a diary (daily)
Chinese herbal medicine (CHM) vs placebo
no estimate extracted1 study · 108 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Vasomotor SymptomsOverall scores of hot flushes in a diary (daily)
Chinese herbal medicine (CHM) vs placebo
no estimate extracted3 studies · 263 participantsLow
Downgraded: imprecision
Vasomotor SymptomsOverall scores of hot flushes in a diary (monthly)
Chinese herbal medicine (CHM) vs placebo
no estimate extracted1 study · 84 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Vasomotor SymptomsOverall night sweats in a diary (daily)
Chinese herbal medicine (CHM) vs placebo
no estimate extracted1 study · 64 participantsLow
Downgraded: imprecision
Vasomotor SymptomsOverall scores of night sweats in a diary (monthly)
Chinese herbal medicine (CHM) vs placebo
no estimate extracted1 study · 84 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Vasomotor Symptomsmeasured by the Kupperman Index (KI, monthly)
Chinese herbal medicine (CHM) vs placebo
no estimate extracted1 study · 69 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Vasomotor Symptomsmeasured by Menopause Specific Quality of Life Questionnaire (MENQOL, monthly)
Chinese herbal medicine (CHM) vs placebo
no estimate extracted3 studies · 256 participantsLow
Downgraded: imprecision
Adverse Effects
Chinese herbal medicine (CHM) vs placebo
RR 1.51 [0.69, 3.33]7 studies · 705 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

CHM compared with HT for menopausal symptoms

Population: Women with menopausal symptoms
3 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomesa
CHM vs HT
no estimate extractedNRNo studies
Vasomotor Symptoms measured by Menopause Specific Quality of Life Questionnaire (MENQOL, monthly)
CHM vs HT
no estimate extracted2 studies · 127 participantsVery low
Downgraded: risk of bias, imprecision
Adverse Effects
CHM vs HT
RR 0.96 [0.66, 1.39]6 studies · 864 participantsVery low
Downgraded: risk of bias, imprecision