Comparative efficacy of Chinese herbal injections for treating severe pneumonia: A protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials.

<h4>Background</h4>Severe pneumonia (SP) has a high mortality and is responsible for significant healthcare cost. Chinese herbal injections (CHIs) have been widely used in China as a novel and promising treatment option for SP. Therefore, this study will assess and rank the effectiveness...

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Main Authors: Lu Xiao, Liqing Niu, Xuemin Zhang, Xuezheng Liu, Xinqiao Liu, Chongxiang Sun, Xiaokun Yang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0262776&type=printable
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author Lu Xiao
Liqing Niu
Xuemin Zhang
Xuezheng Liu
Xinqiao Liu
Chongxiang Sun
Xiaokun Yang
author_facet Lu Xiao
Liqing Niu
Xuemin Zhang
Xuezheng Liu
Xinqiao Liu
Chongxiang Sun
Xiaokun Yang
author_sort Lu Xiao
collection DOAJ
description <h4>Background</h4>Severe pneumonia (SP) has a high mortality and is responsible for significant healthcare cost. Chinese herbal injections (CHIs) have been widely used in China as a novel and promising treatment option for SP. Therefore, this study will assess and rank the effectiveness of CHIs to provide more sights for the selection of SP treatment.<h4>Method</h4>Seven databases will be searched, including PubMed, the Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang Database, and the Chinese Scientific Journal Database (VIP) from their inception up to October, 2021. The literatures screening, data extraction and the quality assessment of included studies will be conducted independently by two reviewers. Then Bayesian network meta-analysis (NMA) will be performed by WinBUGS 14.0 and STATA 14.0 software. Surface under the cumulative ranking curve (SUCRA) probability values will be applied to rank the examined treatments. The risk of bias of each included study will be evaluated using the Revised Cochrane risk-of-bias tool for randomized trials (ROB 2). Publication bias will be reflected by a funnel plot.<h4>Results</h4>The results of this NMA will be disseminated through a peer-reviewed journal publication.<h4>Conclusion</h4>Our study findings maybe reveal which CHI or CHIs will be better in the treatment of SP and provide more therapy strategies for clinical practitioners and patients.<h4>Prospero registration number</h4>CRD42021244587.<h4>Strengths and limitations of this study</h4>Bayesian network meta-analysis (NMA) can integrate direct evidence with indirect evidence of severe pneumonia treated by Chinese herbal injections to generate a clinically useful ranking of these regimens. This NMA will address Chinese herbal injections for SP and its findings may help to provide more sights for selection of SP treatment. Evidence drawn from an NMA is limited and should be interpreted with caution. We only included studies in Chinese and English languages, which may increase the publication bias.
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spelling doaj-art-fd81daaa80674a46bedff2c050076f292025-08-20T03:24:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01175e026277610.1371/journal.pone.0262776Comparative efficacy of Chinese herbal injections for treating severe pneumonia: A protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials.Lu XiaoLiqing NiuXuemin ZhangXuezheng LiuXinqiao LiuChongxiang SunXiaokun Yang<h4>Background</h4>Severe pneumonia (SP) has a high mortality and is responsible for significant healthcare cost. Chinese herbal injections (CHIs) have been widely used in China as a novel and promising treatment option for SP. Therefore, this study will assess and rank the effectiveness of CHIs to provide more sights for the selection of SP treatment.<h4>Method</h4>Seven databases will be searched, including PubMed, the Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang Database, and the Chinese Scientific Journal Database (VIP) from their inception up to October, 2021. The literatures screening, data extraction and the quality assessment of included studies will be conducted independently by two reviewers. Then Bayesian network meta-analysis (NMA) will be performed by WinBUGS 14.0 and STATA 14.0 software. Surface under the cumulative ranking curve (SUCRA) probability values will be applied to rank the examined treatments. The risk of bias of each included study will be evaluated using the Revised Cochrane risk-of-bias tool for randomized trials (ROB 2). Publication bias will be reflected by a funnel plot.<h4>Results</h4>The results of this NMA will be disseminated through a peer-reviewed journal publication.<h4>Conclusion</h4>Our study findings maybe reveal which CHI or CHIs will be better in the treatment of SP and provide more therapy strategies for clinical practitioners and patients.<h4>Prospero registration number</h4>CRD42021244587.<h4>Strengths and limitations of this study</h4>Bayesian network meta-analysis (NMA) can integrate direct evidence with indirect evidence of severe pneumonia treated by Chinese herbal injections to generate a clinically useful ranking of these regimens. This NMA will address Chinese herbal injections for SP and its findings may help to provide more sights for selection of SP treatment. Evidence drawn from an NMA is limited and should be interpreted with caution. We only included studies in Chinese and English languages, which may increase the publication bias.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0262776&type=printable
spellingShingle Lu Xiao
Liqing Niu
Xuemin Zhang
Xuezheng Liu
Xinqiao Liu
Chongxiang Sun
Xiaokun Yang
Comparative efficacy of Chinese herbal injections for treating severe pneumonia: A protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials.
PLoS ONE
title Comparative efficacy of Chinese herbal injections for treating severe pneumonia: A protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials.
title_full Comparative efficacy of Chinese herbal injections for treating severe pneumonia: A protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials.
title_fullStr Comparative efficacy of Chinese herbal injections for treating severe pneumonia: A protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials.
title_full_unstemmed Comparative efficacy of Chinese herbal injections for treating severe pneumonia: A protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials.
title_short Comparative efficacy of Chinese herbal injections for treating severe pneumonia: A protocol for systematic review and Bayesian network meta-analysis of randomized controlled trials.
title_sort comparative efficacy of chinese herbal injections for treating severe pneumonia a protocol for systematic review and bayesian network meta analysis of randomized controlled trials
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0262776&type=printable
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