Cochrane · systematic review · CD012217

Wendan decoction (Traditional Chinese medicine) for schizophrenia

Deng, H, Xu, J · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

SchizophreniaAMSTAR 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
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 16 · 57.1%Very low 0 · 0%Low 6 · 21.4%Moderate 6 · 21.4%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

WENDAN DECOCTION versus PLACEBO OR NO TREATMENT for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Global state: Clinically important change ‐ no improvement ‐ defined as PANSS < 50% reduction (short term)
WENDAN DECOCTION vs PLACEBO OR NO TREATMENT
RR 0.53 [0.39, 0.73]1 study · 72 participantsLow
Downgraded: risk of bias
Mental state: Clinically important change, as defined by each study (short term)
WENDAN DECOCTION vs PLACEBO OR NO TREATMENT
no estimate extracted0 studies · 0 participantsUngraded
Adverse effects: Clinically important decline, as defined by each study (short term)
WENDAN DECOCTION vs PLACEBO OR NO TREATMENT
no estimate extracted0 studies · 0 participantsUngraded
Adverse effects: Metabolic ‐ weight change (medium term)
WENDAN DECOCTION vs PLACEBO OR NO TREATMENT
no estimate extracted0 studies · 0 participantsUngraded
Quality of life/satisfaction with care: Clinically important change in quality of life/satisfaction, as defined by each study (medium term)
WENDAN DECOCTION vs PLACEBO OR NO TREATMENT
no estimate extracted0 studies · 0 participantsUngraded
Economic outcomes: Costs due to treatment, as defined by each study (long term)
WENDAN DECOCTION vs PLACEBO OR NO TREATMENT
no estimate extracted0 studies · 0 participantsUngraded
Use of Western medicine: Reduced dose of Western medicine (short term)
WENDAN DECOCTION vs PLACEBO OR NO TREATMENT
no estimate extracted0 studies · 0 participantsUngraded

WENDAN DECOCTION versus ANTIPSYCHOTIC DRUG for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Global state: Clinically important change ‐ no improvement ‐ defined as PANSS < 50% reduction (short term)
WENDAN DECOCTION vs ANTIPSYCHOTIC DRUG
RR 1.18 [0.98, 1.43]2 studies · 140 participantsModerate
Downgraded: risk of bias
Mental state: Average total endpoint PANSS score (short term)*
WENDAN DECOCTION vs ANTIPSYCHOTIC DRUG
no estimate extracted2 studies · 140 participantsLow
Downgraded: risk of bias
Adverse effects: Movement disorders ‐ Extra Pyramidal Symptoms (TESS, short term)**
WENDAN DECOCTION vs ANTIPSYCHOTIC DRUG
RR 0.02 [0, 0.15]2 studies · 140 participantsModerate
Downgraded: risk of bias
Adverse effects: Metabolic ‐ weight change (medium term)
WENDAN DECOCTION vs ANTIPSYCHOTIC DRUG
no estimate extracted0 studies · 0 participantsUngraded
Quality of life/satisfaction with care: Clinically important in quality of life/satisfaction, as defined by each study (medium term)
WENDAN DECOCTION vs ANTIPSYCHOTIC DRUG
no estimate extracted0 studies · 0 participantsUngraded
Economic outcomes: Costs due to treatment, as defined by each study (long term)
WENDAN DECOCTION vs ANTIPSYCHOTIC DRUG
no estimate extracted0 studies · 0 participantsUngraded
Use of Western medicine: Reduced dose of Western medicine (short term)
WENDAN DECOCTION vs ANTIPSYCHOTIC DRUG
no estimate extracted0 studies · 0 participantsUngraded

WENDAN DECOCTION PLUS NORMAL DOSE ANTIPSYCHOTIC versus NORMAL DOSE ANTIPSYCHOTIC for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Global state: Clinically important change ‐ no improvement ‐ defined as PANSS < 50% reduction (short term)
WENDAN DECOCTION PLUS NORMAL DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
RR 0.6 [0.5, 0.72]6 studies · 684 participantsModerate
Downgraded: risk of bias
Mental state: Average total endpoint PANSS score (short term)*
WENDAN DECOCTION PLUS NORMAL DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
no estimate extracted5 studies · 580 participantsLow
Downgraded: risk of bias
Adverse effects: Movement disorders ‐ Extra Pyramidal Symptoms (TESS, short term)**
WENDAN DECOCTION PLUS NORMAL DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
RR 0.46 [0.3, 0.7]2 studies · 308 participantsModerate
Downgraded: risk of bias
Adverse effects: Metabolic ‐ weight change (medium term)
WENDAN DECOCTION PLUS NORMAL DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
RR 0.5 [0.2, 1.24]1 study · 108 participantsLow
Downgraded: risk of bias, imprecision
Quality of life/satisfaction with care: Clinically important change in quality of life/satisfaction, as defined by each study (medium term)
WENDAN DECOCTION PLUS NORMAL DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
no estimate extracted0 studies · 0 participantsUngraded
Economic outcomes: costs due to treatment, as defined by each study (long term)
WENDAN DECOCTION PLUS NORMAL DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
no estimate extracted0 studies · 0 participantsUngraded
Use of Western medicine: Reduced dose of Western medicine (short‐term)
WENDAN DECOCTION PLUS NORMAL DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
no estimate extracted1 study · 107 participantsLow
Downgraded: risk of bias, imprecision

WENDAN DECOCTION PLUS LOW DOSE ANTIPSYCHOTIC versus NORMAL DOSE ANTIPSYCHOTIC for schizophrenia

Population: patients with schizophrenia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Global state: Clinically important change ‐ no improvement ‐ defined as PANSS < 50% reduction (short term)
WENDAN DECOCTION PLUS LOW DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
RR 0.69 [0.51, 0.93]7 studies · 522 participantsModerate
Downgraded: risk of bias
Mental state: Average total endpoint PANSS score (short term)*
WENDAN DECOCTION PLUS LOW DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
no estimate extracted4 studies · 250 participantsLow
Downgraded: risk of bias, indirectness
Adverse effects: Movement disorders ‐ Extra Pyramidal Symptoms (TESS, short term)**
WENDAN DECOCTION PLUS LOW DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
RR 0.29 [0.16, 0.51]3 studies · 280 participantsModerate
Downgraded: risk of bias
Adverse effects: Metabolic ‐ weight change (medium term)
WENDAN DECOCTION PLUS LOW DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
no estimate extracted0 studies · 0 participantsUngraded
Quality of life/satisfaction with care: Clinically important change in quality of life/satisfaction, as defined by each study (medium term)
WENDAN DECOCTION PLUS LOW DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
no estimate extracted0 studies · 0 participantsUngraded
Economic outcomes: Costs due to treatment, as defined by each study (long term)
WENDAN DECOCTION PLUS LOW DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
no estimate extracted0 studies · 0 participantsUngraded
Use of Western medicine: Reduced dose of Western medicine (short term)
WENDAN DECOCTION PLUS LOW DOSE ANTIPSYCHOTIC vs NORMAL DOSE ANTIPSYCHOTIC
no estimate extracted0 studies · 0 participantsUngraded