PMID- 29576791 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2018 DP - 2018 TI - A Systematic Review about the Efficacy and Safety of Tripterygium wilfordii Hook.f. Preparations Used for the Management of Rheumatoid Arthritis. PG - 1567463 LID - 10.1155/2018/1567463 [doi] LID - 1567463 AB - Tripterygium wilfordii Hook.f. (TWHF) is a traditional Chinese herb long used for rheumatoid arthritis (RA) treatment, in modern times, often in the form of various Tripterygium wilfordii Hook.f. preparations (TWPs). This systematic review and meta-analysis focuses on analyzing the clinical efficacy and safety of TWPs in the treatment of RA. Databases were searched to collect the randomized controlled trials (RCTs) on TWPs treating RA published on or before April 10, 2017. Data from 11 studies were included in this meta-analysis. Compared with the control group, TWPs can increase effectiveness, while decreasing erythrocyte sedimentation rate (ESR), rheumatoid factor (RF), C-reactive protein (CRP), and risk of adverse events. TWPs treatment was also more effective than treatment by conventional western medicine (CWM) and Chinese patent medicine or placebo (COP). TWPs significantly decreased the risk of adverse events compared with the CWM group, but not compared with the COP group. Current evidence shows that TWPs are more effective than other western or Chinese medicines we included in this meta-analysis for RA treatment with relatively lower toxicity. FAU - Wang, Jing AU - Wang J AUID- ORCID: 0000-0003-4971-7769 AD - The First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210023, China. FAU - Chen, Na AU - Chen N AD - School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing 210023, China. FAU - Fang, Liang AU - Fang L AD - The First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210023, China. FAU - Feng, Zhe AU - Feng Z AD - The First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210023, China. FAU - Li, Guochun AU - Li G AD - College of Medicine and Life Sciences, Nanjing University of Chinese Medicine, Nanjing 210023, China. FAU - Mucelli, Attilio AU - Mucelli A AUID- ORCID: 0000-0002-9036-2579 AD - Department of Management, School of Economics "Giorgio Fua", Universita Politecnica delle Marche, No. 8, 60121 Ancona, Italy. FAU - Zhang, Xu AU - Zhang X AUID- ORCID: 0000-0002-1959-1758 AD - Jiangsu Collaborative Innovation Center of Traditional Chinese Medicine (TCM) Prevention and Treatment of Tumor, Nanjing University of Chinese Medicine, Nanjing 210023, China. FAU - Zhou, Xueping AU - Zhou X AUID- ORCID: 0000-0001-7807-9968 AD - The First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210023, China. LA - eng PT - Journal Article PT - Review DEP - 20180208 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC5822783 EDAT- 2018/03/27 06:00 MHDA- 2018/03/27 06:01 PMCR- 2018/02/08 CRDT- 2018/03/27 06:00 PHST- 2017/08/30 00:00 [received] PHST- 2017/11/22 00:00 [revised] PHST- 2017/12/19 00:00 [accepted] PHST- 2018/03/27 06:00 [entrez] PHST- 2018/03/27 06:00 [pubmed] PHST- 2018/03/27 06:01 [medline] PHST- 2018/02/08 00:00 [pmc-release] AID - 10.1155/2018/1567463 [doi] PST - epublish SO - Evid Based Complement Alternat Med. 2018 Feb 8;2018:1567463. doi: 10.1155/2018/1567463. eCollection 2018.