PMID- 24527043 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140303 LR - 20211021 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2014 DP - 2014 TI - Effectiveness, medication patterns, and adverse events of traditional chinese herbal patches for osteoarthritis: a systematic review. PG - 343176 LID - 10.1155/2014/343176 [doi] LID - 343176 AB - Objective. The aim of this study is to systematically evaluate the evidence whether traditional Chinese herbal patches (TCHPs) for osteoarthritis (OA) are effective and safe and analyze their medication patterns. Methods. A systematic literature search was performed using all the possible Medical Subject Headings (MeSH) and keywords from January 1979 to July 2013. Both randomized controlled trials (RCTs) and observational studies were included. Estimated effects were analyzed using mean difference (MD) or relative risk (RR) with 95% confidence intervals (CI) and meta-analysis. Results. 86 kinds of TCHPs were identified. RCTs and controlled clinical trials (CCTs) which were mostly of low quality favored TCHPs for local pain and dysfunction relief. TCHPs, compared with diclofenac ointment, had significant effects on global effectiveness rate (RR = 0.50; 95% CI (0.29, 0.87)). Components of formulae were mainly based on the compounds "Xiao Huo Luo Dan" (Minor collateral-freeing pill) and "Du Huo Ji Sheng Tang" (Angelicae Pubescentis and Loranthi decoction). Ten kinds of adverse events (AEs), mainly consisting of itching and/or local skin rashes, were identified after 3-4 weeks of follow-up. Conclusions. TCHPs have certain evidence in improving global effectiveness rate for OA; however, more rigorous studies are warranted to support their use. FAU - Wang, Xuezong AU - Wang X AD - Shi's Center of Orthopedics and Traumatology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, 528 Zhangheng Road, Pudong New Area, Shanghai 201203, China. FAU - Wei, Songpu AU - Wei S AUID- ORCID: 0000-0002-2182-221X AD - Institute of Traumatology & Orthopedics, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Liu, Ting AU - Liu T AD - Shi's Center of Orthopedics and Traumatology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, 528 Zhangheng Road, Pudong New Area, Shanghai 201203, China. FAU - Pang, Jian AU - Pang J AUID- ORCID: 0000-0003-0167-8553 AD - Institute of Traumatology & Orthopedics, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Gao, Ningyang AU - Gao N AD - Shi's Center of Orthopedics and Traumatology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, 528 Zhangheng Road, Pudong New Area, Shanghai 201203, China. FAU - Ding, Daofang AU - Ding D AD - Institute of Traumatology & Orthopedics, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Duan, Tieli AU - Duan T AD - Institute of Traumatology & Orthopedics, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Cao, Yuelong AU - Cao Y AD - Shi's Center of Orthopedics and Traumatology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, 528 Zhangheng Road, Pudong New Area, Shanghai 201203, China ; Institute of Traumatology & Orthopedics, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Zheng, Yuxin AU - Zheng Y AD - Shi's Center of Orthopedics and Traumatology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, 528 Zhangheng Road, Pudong New Area, Shanghai 201203, China. FAU - Zhan, Hongsheng AU - Zhan H AUID- ORCID: 0000-0002-7444-7185 AD - Shi's Center of Orthopedics and Traumatology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, 528 Zhangheng Road, Pudong New Area, Shanghai 201203, China. LA - eng PT - Journal Article DEP - 20140114 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC3914464 EDAT- 2014/02/15 06:00 MHDA- 2014/02/15 06:01 PMCR- 2014/01/14 CRDT- 2014/02/15 06:00 PHST- 2013/06/05 00:00 [received] PHST- 2013/08/17 00:00 [revised] PHST- 2013/08/18 00:00 [accepted] PHST- 2014/02/15 06:00 [entrez] PHST- 2014/02/15 06:00 [pubmed] PHST- 2014/02/15 06:01 [medline] PHST- 2014/01/14 00:00 [pmc-release] AID - 10.1155/2014/343176 [doi] PST - ppublish SO - Evid Based Complement Alternat Med. 2014;2014:343176. doi: 10.1155/2014/343176. Epub 2014 Jan 14.