PMID- 27525026 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160815 LR - 20200930 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2016 DP - 2016 TI - Assessment of the Therapeutic Effect of Total Glucosides of Peony for Juvenile Idiopathic Arthritis: A Systematic Review and Meta-Analysis. PG - 8292486 LID - 10.1155/2016/8292486 [doi] LID - 8292486 AB - Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in children; some clinical trials have reported the effects of total glucosides of peony (TGP) in the treatment of JIA. However, no systematic review has yet been conducted. In this study, we assessed the efficacy and safety in patients with JIA enrolled in randomized controlled trials (RCTs) of TGP. We extracted data for studies searched from 8 electronic databases that were searched and also evaluated the methodological quality of the included studies. We assessed the following outcome measures: overall response rate, pain, tender joint count (TJC), swollen joint count (SJC), duration of morning stiffness (DMS), grip strength (GS), rheumatoid factor (RF), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and adverse effects (AEs) in short term (4-8 weeks), intermediate term (9-26 weeks), and long term (>26 weeks). The final analysis showed that TGP acted as a unique nonbiologic disease-modifying antirheumatic drug (nonbiologic DMARD), and its therapeutic effects were safe and efficacious for the treatment of JIA with few AEs. However, more high-quality RCTs are needed to confirm these therapeutic effects. FAU - Cai, Yongsong AU - Cai Y AD - Department of Orthopaedics, The First Affiliated Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710061, China. FAU - Yuan, Qiling AU - Yuan Q AD - Department of Orthopaedics, The First Affiliated Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710061, China. FAU - Xu, Ke AU - Xu K AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710054, China. FAU - Zhu, Jialin AU - Zhu J AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710054, China. FAU - Li, Yuanbo AU - Li Y AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710054, China. FAU - Wu, Xiaoqing AU - Wu X AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710054, China. FAU - Yang, Le AU - Yang L AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710054, China. FAU - Qiu, Yusheng AU - Qiu Y AUID- ORCID: 0000-0001-5303-4800 AD - Department of Orthopaedics, The First Affiliated Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710061, China. FAU - Xu, Peng AU - Xu P AUID- ORCID: 0000-0003-2487-9163 AD - Department of Joint Surgery, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an 710054, China. LA - eng PT - Journal Article PT - Review DEP - 20160725 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC4976154 EDAT- 2016/08/16 06:00 MHDA- 2016/08/16 06:01 PMCR- 2016/07/25 CRDT- 2016/08/16 06:00 PHST- 2016/01/26 00:00 [received] PHST- 2016/05/29 00:00 [revised] PHST- 2016/05/31 00:00 [accepted] PHST- 2016/08/16 06:00 [entrez] PHST- 2016/08/16 06:00 [pubmed] PHST- 2016/08/16 06:01 [medline] PHST- 2016/07/25 00:00 [pmc-release] AID - 10.1155/2016/8292486 [doi] PST - ppublish SO - Evid Based Complement Alternat Med. 2016;2016:8292486. doi: 10.1155/2016/8292486. Epub 2016 Jul 25.