Cochrane · systematic review · CD010284

Traditional Chinese herbal medicine for vascular dementia

Chan, ESY, Bautista, DT, Zhu, Y, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

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
70
current version
GRADE rated
29
No studies
41
Included studies
NR
No studies 41 · 58.6%Ungraded 0 · 0%Very low 6 · 8.6%Low 13 · 18.6%Moderate 10 · 14.3%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

FuFangDanShen compared to 'no treatment'

Population: people with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE
FuFangDanShen vs 'no treatment'
no estimate extracted2 studies · 95 participantsLow
Cognition‐HDS ‐ not measured
FuFangDanShen vs 'no treatment'
no estimate extractedNRNo studies
Cognition‐ADAS‐Cog
FuFangDanShen vs 'no treatment'
no estimate extracted3 studies · 321 participantsModerate
Global performance (improved) ‐ not measured
FuFangDanShen vs 'no treatment'
no estimate extractedNRNo studies
Adverse events (AEs) (1 or more)
FuFangDanShen vs 'no treatment'
RD 0.023 studies · 322 participantsLow
Downgraded: inconsistency
Activities of Daily Living (ADL)
FuFangDanShen vs 'no treatment'
no estimate extracted2 studies · 95 participantsModerate
Behaviour ‐ not measured
FuFangDanShen vs 'no treatment'
no estimate extractedNRNo studies

FuFangHaiShe compared to 'no treatment'

Population: People with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE
FuFangHaiShe vs 'no treatment'
no estimate extracted2 studies · 110 participantsLow
Downgraded: risk of bias
Cognition‐HDS ‐ not measured
FuFangHaiShe vs 'no treatment'
no estimate extractedNRNo studies
Cognition‐ADAS‐Cog ‐ not measured
FuFangHaiShe vs 'no treatment'
no estimate extractedNRNo studies
Global performance (improved) ‐ not measured
FuFangHaiShe vs 'no treatment'
no estimate extractedNRNo studies
Adverse events (AEs) (1 or more)
FuFangHaiShe vs 'no treatment'
RD 02 studies · 110 participantsLow
Downgraded: risk of bias
Activities of Daily Living (ADL)
FuFangHaiShe vs 'no treatment'
no estimate extracted2 studies · 110 participantsLow
Downgraded: risk of bias
Behaviour ‐ not measured
FuFangHaiShe vs 'no treatment'
no estimate extractedNRNo studies

NaoXinTong compared to 'no treatment'

Population: People with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE
NaoXinTong vs 'no treatment'
no estimate extracted3 studies · 225 participantsLow
Downgraded: risk of bias
Cognition‐HDS ‐ only measured in one study
NaoXinTong vs 'no treatment'
no estimate extractedNRNo studies
Cognition‐ADAS‐Cog ‐ not measured
NaoXinTong vs 'no treatment'
no estimate extractedNRNo studies
Global performance (improved) ‐ only measured in one study
NaoXinTong vs 'no treatment'
no estimate extractedNRNo studies
Adverse events (AEs) (one or more events) ‐ only measured in one study
NaoXinTong vs 'no treatment'
no estimate extractedNRNo studies
Activities of Daily Living (ADL)
NaoXinTong vs 'no treatment'
no estimate extracted2 studies · 166 participantsModerate
Downgraded: risk of bias
Behaviour ‐ not measured
NaoXinTong vs 'no treatment'
no estimate extractedNRNo studies

YinDanXingNaoTong compared to 'no treatment'

Population: People with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE
YinDanXingNaoTong vs 'no treatment'
no estimate extracted2 studies · 139 participantsLow
Cognition‐HDS ‐ only measured in one study
YinDanXingNaoTong vs 'no treatment'
no estimate extractedNRNo studies
Cognition‐ADAS‐Cog ‐ not measured
YinDanXingNaoTong vs 'no treatment'
no estimate extractedNRNo studies
Global performance (improved) ‐ not‐ measured
YinDanXingNaoTong vs 'no treatment'
no estimate extractedNRNo studies
Adverse events (AEs) (1 or more events)
YinDanXingNaoTong vs 'no treatment'
RD 02 studies · 138 participantsLow
Activities of Daily Living (ADL)
YinDanXingNaoTong vs 'no treatment'
no estimate extracted2 studies · 139 participantsModerate
Behaviour ‐ not measured
YinDanXingNaoTong vs 'no treatment'
no estimate extractedNRNo studies

FuFangHaiShe compared to Western medicine

Population: People with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE
FuFangHaiShe vs Western medicine
no estimate extracted2 studies · 143 participantsVery low
Downgraded: risk of bias
Cognition‐HDS ‐ not measured
FuFangHaiShe vs Western medicine
no estimate extractedNRNo studies
Cognition‐ADAS‐Cog ‐ only measured in one study
FuFangHaiShe vs Western medicine
no estimate extractedNRNo studies
Global performance (improved) ‐ not measured
FuFangHaiShe vs Western medicine
no estimate extractedNRNo studies
AE (1 or more events)
FuFangHaiShe vs Western medicine
no estimate extracted2 studies · 143 participantsVery low
Downgraded: risk of bias
Activities of Daily Living (ADL)
FuFangHaiShe vs Western medicine
no estimate extracted2 studies · 143 participantsVery low
Downgraded: risk of bias
Behaviour ‐ not measured
FuFangHaiShe vs Western medicine
no estimate extractedNRNo studies

NaoMaiTai compared to Western medicine

Population: People with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE
NaoMaiTai vs Western medicine
no estimate extracted4 studies · 289 participantsModerate
Downgraded: risk of bias
Cognition‐HDS ‐ only measured in one study
NaoMaiTai vs Western medicine
no estimate extractedNRNo studies
Cognition‐ADAS‐Cog ‐ only measured in one study
NaoMaiTai vs Western medicine
no estimate extractedNRNo studies
Global performance (improved) ‐ not measured
NaoMaiTai vs Western medicine
no estimate extractedNRNo studies
Adverse events (AEs) (1 or more events)
NaoMaiTai vs Western medicine
RD 0.024 studies · 277 participantsVery low
Activities of Daily Living (ADL) ‐ not measured
NaoMaiTai vs Western medicine
no estimate extractedNRNo studies
Behaviour ‐ not measured
NaoMaiTai vs Western medicine
no estimate extractedNRNo studies

NaoXinTong compared to Western medicine

Population: People with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE
NaoXinTong vs Western medicine
no estimate extracted6 studies · 461 participantsModerate
Downgraded: risk of bias
Cognition‐HDS
NaoXinTong vs Western medicine
no estimate extracted3 studies · 258 participantsLow
Downgraded: risk of bias
Cognition‐ADAS‐Cog ‐ not measured
NaoXinTong vs Western medicine
no estimate extractedNRNo studies
Global performance (improved)
NaoXinTong vs Western medicine
RR 1.43 [1.15, 1.78]2 studies · 168 participantsModerate
Adverse events (AEs) (1 or more events)
NaoXinTong vs Western medicine
no estimate extracted7 studies · 515 participantsModerate
Downgraded: risk of bias
Activities of Daily Living (ADL)
NaoXinTong vs Western medicine
no estimate extracted3 studies · 227 participantsModerate
Downgraded: risk of bias
Behaviour ‐ not measured
NaoXinTong vs Western medicine
no estimate extractedNRNo studies

QingKaiLing compared to Western medicine

Population: People with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE ‐ only measured in one study
QingKaiLing vs Western medicine
no estimate extractedNRNo studies
Cognition‐HDS
QingKaiLing vs Western medicine
no estimate extracted2 studies · 150 participantsLow
Downgraded: risk of bias
Cognition‐ADAS‐Cog ‐ not measured
QingKaiLing vs Western medicine
no estimate extractedNRNo studies
Global performance (improved) ‐ not measured
QingKaiLing vs Western medicine
no estimate extractedNRNo studies
Adverse events (AEs) (one or more events) ‐ only measured in one study
QingKaiLing vs Western medicine
no estimate extractedNRNo studies
Activities of Daily Living (ADL) ‐ only measured in one study
QingKaiLing vs Western medicine
no estimate extractedNRNo studies
Behaviour ‐ not measured
QingKaiLing vs Western medicine
no estimate extractedNRNo studies

ShenFuTang compared to Western medicine

Population: People with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE
ShenFuTang vs Western medicine
no estimate extracted4 studies · 323 participantsVery low
Downgraded: risk of bias
Cognition‐HDS ‐ only measured in one study
ShenFuTang vs Western medicine
no estimate extractedNRNo studies
Cognition‐ADAS‐Cog ‐ not measured
ShenFuTang vs Western medicine
no estimate extractedNRNo studies
Global performance (improved) ‐ not measured
ShenFuTang vs Western medicine
no estimate extractedNRNo studies
Adverse events (AEs) (1 or more events)
ShenFuTang vs Western medicine
no estimate extracted2 studies · 166 participantsLow
Downgraded: risk of bias
Activities of Daily Living (ADL)
ShenFuTang vs Western medicine
no estimate extracted2 studies · 189 participantsVery low
Downgraded: risk of bias
Behaviour ‐ not measured
ShenFuTang vs Western medicine
no estimate extractedNRNo studies

TongXingLuo compared to Western medicine

Population: People with vascular dementia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cognition‐MMSE
TongXingLuo vs Western medicine
no estimate extracted2 studies · 180 participantsModerate
Downgraded: risk of bias
Cognition‐HDS ‐ only measured in one study
TongXingLuo vs Western medicine
no estimate extractedNRNo studies
Cognition‐ADAS‐Cog ‐ not measured
TongXingLuo vs Western medicine
no estimate extractedNRNo studies
Global performance (improved)
TongXingLuo vs Western medicine
RR 1.26 [1, 1.6]2 studies · 180 participantsLow
Downgraded: risk of bias
Adverse events (AEs) (1 or more)
TongXingLuo vs Western medicine
no estimate extracted2 studies · 180 participantsLow
Downgraded: risk of bias
Activities of Daily Living (ADL) ‐ only measured in one study
TongXingLuo vs Western medicine
no estimate extractedNRNo studies
Behaviour ‐ only measured in one study
TongXingLuo vs Western medicine
no estimate extractedNRNo studies