PMID- 37587984 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230818 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 14 DP - 2023 TI - Efficacy and safety of Danggui Niantong Decoction in patients with gout: a systematic review and meta-analysis. PG - 1168863 LID - 10.3389/fphar.2023.1168863 [doi] LID - 1168863 AB - Background: This study aims to evaluate the efficacy and safety of Danggui Niantong Decoction (DGNT) systematically on gout treating. Methods: This study was registered in PROSPERO, and the registration number was CRD42021271607. By the end of December, 2022, literature research was conducted among eight electronic databases. Main results of this study were blood uric acid (BUA) and Creactive protein (CRP). Secondary outcomes were erythrocyte sedimentation rate (ESR), serum creatinine (Scr), urinary protein quantified at 24 h (Upro), and interleukin-8 (IL-8). Study screening, data collection, as well as quality assessment were performed by two reviewers independently, and analysis was completed using Stata (SE15.0) and Review Manager (5.4). Results: A total number of 13 studies were included in our meta-analysis (n = 1,094 participants). Results showed DGNT combined with conventional western medicine (CWM) was more effective than WM alone in BUA (weighted mean differences (WMD) = -3.49, 95% confidence interval (CI) [-50.36, -32.59], p = 0.000), CRP (WMD = -41.48, 95% CI [-4.32, -2.66], p = 0.017), ESR (WMD = -6.23, 95% CI [-9.28, -3.17], p = 0.019), Scr (WMD = -18.64, 95% CI [-23.09, -14.19], p = 0.001), Upro (WMD = -0.72, 95% CI [-0.91, -0.53], p = 0.000), and IL-8 (WMD = -4.77, 95% CI [-11.48, 1.94], p = 0.000). None of the adverse effects noted were severe, and no life-threatening event was reported. Conclusion: This study shows that DGNT combined with CWM seems to have an effective clinical therapeutic potential. In addition, it also provides a scientific basis for better clinical application of DGNT in the future. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021271607; Identifier: PROSPERO, CRD42021271607. CI - Copyright (c) 2023 Peng, Tian, Jin, Wang, Xie, Zheng, Liu, Cao, Zhang and Zhang. FAU - Peng, Sihan AU - Peng S AD - TCM Regulating Metabolic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China. FAU - Tian, Jing AU - Tian J AD - Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China. FAU - Jin, Luchang AU - Jin L AD - Huaxi Securities Co., Ltd., Chengdu, Sichuan, China. FAU - Wang, Hongyan AU - Wang H AD - Sichuan Nursing Vocational College, Chengdu, Sichuan, China. FAU - Xie, Chunguang AU - Xie C AD - TCM Regulating Metabolic Diseases Key Laboratory of Sichuan Province, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China. FAU - Zheng, Jie AU - Zheng J AD - College of Basic Medical Sciences, Air Force Medical University, Xian, Shaanxi, China. FAU - Liu, Linfeng AU - Liu L AD - Sichuan Nursing Vocational College, Chengdu, Sichuan, China. FAU - Cao, Jun AU - Cao J AD - Sichuan Nursing Vocational College, Chengdu, Sichuan, China. FAU - Zhang, Wen AU - Zhang W AD - Sichuan Nursing Vocational College, Chengdu, Sichuan, China. FAU - Zhang, Xiangeng AU - Zhang X AD - Sichuan Nursing Vocational College, Chengdu, Sichuan, China. LA - eng PT - Systematic Review DEP - 20230726 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC10426740 OTO - NOTNLM OT - Danggui Niantong Decoction OT - efficacy OT - gout OT - meta-analysis OT - safety OT - systematic review COIS- LJ was employed by the Company Huaxi Securities Co., Ltd. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/08/17 06:43 MHDA- 2023/08/17 06:44 PMCR- 2023/07/26 CRDT- 2023/08/17 03:57 PHST- 2023/02/18 00:00 [received] PHST- 2023/07/11 00:00 [accepted] PHST- 2023/08/17 06:44 [medline] PHST- 2023/08/17 06:43 [pubmed] PHST- 2023/08/17 03:57 [entrez] PHST- 2023/07/26 00:00 [pmc-release] AID - 1168863 [pii] AID - 10.3389/fphar.2023.1168863 [doi] PST - epublish SO - Front Pharmacol. 2023 Jul 26;14:1168863. doi: 10.3389/fphar.2023.1168863. eCollection 2023.