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Effect of breviscapine injection on clinical parameters in diabetic nephropathy: A meta-analysis of randomized controlled trials

View Article: PubMed Central - PubMed

ABSTRACT

Diabetic nephropathy (DN) is currently a major public health problem worldwide. The objective of the present study was to evaluate the clinical effect of breviscapine injections in patients with DN. A meta-analysis was performed using the following databases to obtain published reports in any language: PubMed/MEDLINE, Embase, China National Knowledge Infrastructure, Chinese Evidence-Based Medicine, Wanfang Digital Periodicals, Chinese Academic Journals Full-text Database, Chinese Biological and Medical Database, China Doctoral and Masters Dissertations Full-text Database and the Chinese Proceedings of Conference Full-text Database. Two assessors independently reviewed each trial. A total of 35 randomized controlled trials, which performed studies on a total of 2,320 patients (1,188 in treatment groups and 1,132 in control groups), were included in the present meta-analysis. Data were analyzed using Stata version 11.0 for Windows. The results from the analysis demonstrated that breviscapine injections have greater therapeutic effects in patients with DN in comparison with the control group, including renal protective effects (reducing urine protein, serum creatinine and blood urea nitrogen) and adjustment for dyslipidemia (affecting levels of cholesterol, triglycerides and high density lipoproteins). These effects indicate that breviscapine injections are beneficial to patients with DN. Further studies are required to determine the mechanisms underlying the therapeutic effects of breviscapine.

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Related in: MedlinePlus

Effect of breviscapine on 24-h urine protein in patients with diabetic nephropathy. ID, identification; SMD, standardized mean difference; CI, confidence interval.
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f1-etm-0-0-3483: Effect of breviscapine on 24-h urine protein in patients with diabetic nephropathy. ID, identification; SMD, standardized mean difference; CI, confidence interval.

Mentions: A total of 25 clinical trials evaluated the 24-h urine protein in patients treated with breviscapine (n=858) and the control group (n=836). Fig. 1 presents a forest plot for the outcome measurements (SMD, −1.42; 95% CI, −1.83 to −1.02). In comparison with the control group, breviscapine significantly reduced 24-h urine protein in patients with DN (P<0.001).


Effect of breviscapine injection on clinical parameters in diabetic nephropathy: A meta-analysis of randomized controlled trials
Effect of breviscapine on 24-h urine protein in patients with diabetic nephropathy. ID, identification; SMD, standardized mean difference; CI, confidence interval.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4998064&req=5

f1-etm-0-0-3483: Effect of breviscapine on 24-h urine protein in patients with diabetic nephropathy. ID, identification; SMD, standardized mean difference; CI, confidence interval.
Mentions: A total of 25 clinical trials evaluated the 24-h urine protein in patients treated with breviscapine (n=858) and the control group (n=836). Fig. 1 presents a forest plot for the outcome measurements (SMD, −1.42; 95% CI, −1.83 to −1.02). In comparison with the control group, breviscapine significantly reduced 24-h urine protein in patients with DN (P<0.001).

View Article: PubMed Central - PubMed

ABSTRACT

Diabetic nephropathy (DN) is currently a major public health problem worldwide. The objective of the present study was to evaluate the clinical effect of breviscapine injections in patients with DN. A meta-analysis was performed using the following databases to obtain published reports in any language: PubMed/MEDLINE, Embase, China National Knowledge Infrastructure, Chinese Evidence-Based Medicine, Wanfang Digital Periodicals, Chinese Academic Journals Full-text Database, Chinese Biological and Medical Database, China Doctoral and Masters Dissertations Full-text Database and the Chinese Proceedings of Conference Full-text Database. Two assessors independently reviewed each trial. A total of 35 randomized controlled trials, which performed studies on a total of 2,320 patients (1,188 in treatment groups and 1,132 in control groups), were included in the present meta-analysis. Data were analyzed using Stata version 11.0 for Windows. The results from the analysis demonstrated that breviscapine injections have greater therapeutic effects in patients with DN in comparison with the control group, including renal protective effects (reducing urine protein, serum creatinine and blood urea nitrogen) and adjustment for dyslipidemia (affecting levels of cholesterol, triglycerides and high density lipoproteins). These effects indicate that breviscapine injections are beneficial to patients with DN. Further studies are required to determine the mechanisms underlying the therapeutic effects of breviscapine.

No MeSH data available.


Related in: MedlinePlus