MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'NeLM - Complementary Medicine' source. Wed, 08 Feb 2012 10:18:36 +0100 http://www.medworm.com/index.php?rid=5552237&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAyurvedic-treatments-for-diabetes-mellitus%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Patients with diabetes frequently use complimentary and alternative medications including Ayurvedic medications and hence it is important to determine their efficacy and safety.   Objectives To assess the effects of Ayurvedic treatments for diabetes mellitus.   Search methods We searched The Cochrane Library (issue 10, 2011), MEDLINE (until 31 August 2011), EMBASE (until 31 August 2011), AMED (until 14 October 2011), the database of randomised trials from South Asia (until 14 October 2011), the database of the grey literature (OpenSigle, until 14 October 2011) and databases of ongoing trials (until 14 October 2011). In addition we performed hand searches of several journals and refere... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5552237 Wed, 28 Dec 2011 05:00:00 +0100 5552237 http://www.medworm.com/index.php?rid=5552236&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FCoenzyme-Q10-for-Parkinsons-disease%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background A number of preclinical studies in both in vitro and in vivo models of Parkinson's disease have demonstrated that coenzyme Q10 can protect the nigrostriatal dopaminergic system. Some clinical trials have looked at the neuroprotective effects of coenzyme Q10 in patients with early and midstage Parkinson's disease.     Objectives To assess the evidence from randomized controlled trials on the efficacy and safety of treatment with coenzyme Q10 compared to placebo in patients with early and midstage Parkinson's disease.     Search methods We searched the Cochrane Movment Disorders Group Trials Register, CENTRAL (The Cochrane Library 2009, Issue 4), MEDLINE (January 1966 to... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5552236 Wed, 28 Dec 2011 05:00:00 +0100 5552236 http://www.medworm.com/index.php?rid=5552235&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FProbiotics-for-maintenance-of-remission-in-ulcerative-colitis%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Ulcerative colitis is a chronic relapsing disease characterised by diffuse mucosal inflammation limited to the colon. Current maintenance treatments have multiple adverse events and an effective treatment with minimal adverse events is desired. Several studies have demonstrated the importance of intestinal flora in the pathogenesis of ulcerative colitis. It has been suggested that modifying the bacterial flora with probiotics may attenuate the inflammatory process and prevent relapses in ulcerative colitis.     Objectives The primary objectives were to determine the efficacy and safety of probiotics for the maintenance of remission in ulcerative colitis.     Search metho... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5552235 Wed, 28 Dec 2011 05:00:00 +0100 5552235 http://www.medworm.com/index.php?rid=5552234&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FRituximab-for-relapsing-remitting-multiple-sclerosis%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background More than 80% of individuals with multiple sclerosis (MS) experience a relapsing-remitting disease course. Approximately ten years after disease onset, an estimated 50% of individuals with relapsing-remitting MS (RR-MS) convert to secondary progressive MS. Quality of life is considerably impaired in early RR-MS. The increased costs are associated with relapse occurrence and increasing disease severity. Pharmaceutical interventions aimed at delaying the progression of disease may help to reduce the economic burden of MS. It has been showed that B lymphocytes involve in the pathophysiology of MS and rituximab lyses B cells via complement and antibody-dependent cellular cytotoxicity. Current clinical trials are... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5552234 Wed, 28 Dec 2011 05:00:00 +0100 5552234 http://www.medworm.com/index.php?rid=5421976&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FCreatine-and-creatine-analogues-in-hypertension-and-cardiovascular-disease%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background   The creatine kinase system, the central regulatory system of cellular energy metabolism, provides ATP in situ at ATP-ases involved in ion transport and muscle contraction. Furthermore, the enzyme system provides relative protection from tissue ischaemia and acidosis. The system could therefore be a target for pharmacologic intervention.   Objectives   To systematically evaluate evidence regarding the effectiveness of interventions directly targeting the creatine kinase system as compared to placebo control in adult patients with essential hypertension or cardiovascular disease.   Search strategy Electronic databases searched: Medline (1950 - Feb 2011), Embase (up to ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5421976 Fri, 18 Nov 2011 05:00:00 +0100 5421976 http://www.medworm.com/index.php?rid=5421975&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FLycopene-for-the-prevention-of-prostate-cancer%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Prostate cancer is a common cause of death in developed countries, yet the benefits of screening for prostate cancer still remain controversial. A prostate-specific antigen (PSA) test result greater than 4 ng/mL (nanograms/millilitre) has commonly been used as the cut-off level for seeking further tests to diagnose the presence (or absence) of prostate cancer. An increase in PSA levels may not necessarily be associated with an increased risk of prostate cancer, as PSA levels may also be increased in men with benign prostatic hyperplasia and prostatitis. Despite the uncertainty of the net benefit of early detection and treatment, safe and effective methods to prevent prostate cancer are of value. Consumers, ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5421975 Fri, 18 Nov 2011 05:00:00 +0100 5421975 http://www.medworm.com/index.php?rid=5421974&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FProbiotics-for-patients-with-hepatic-encephalopathy%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background   Hepatic encephalopathy is a disorder of brain function as a result of liver failure and/or portosystemic shunt. Both hepatic encephalopathy (clinically overt) and minimal hepatic encephalopathy (not clinically overt) significantly impair patient's quality of life and daily functioning and represent a significant burden on health care resources. Probiotics are live microorganisms, which when administered in adequate amounts may confer a health benefit on the host.   Objectives To quantify the beneficial and harmful effects of any probiotic in any dosage, compared with placebo or no intervention, or with any other treatment for patients with any grade of acute or chronic hepatic encephalopath... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5421974 Fri, 18 Nov 2011 05:00:00 +0100 5421974 http://www.medworm.com/index.php?rid=5260622&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-for-pain-in-endometriosis%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Endometriosis is a prevalent gynaecological condition, significantly affecting women's lives. Clinical presentations may vary from absence of symptoms to complaints of chronic pelvic pain, most notably dysmenorrhoea. The management of pain in endometriosis is currently inadequate. Acupuncture has been studied in gynaecological disorders but its effectiveness for pain in endometriosis is uncertain.   Objectives To determine the effectiveness and safety of acupuncture for pain in endometriosis.   Search strategy We searched the Cochrane Menstrual Disorders and Subfertility Group (MSDG) Specialised Register of controlled trials, Cochrane Central Register of Controlled Trials (CENTRAL) (The Coc... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5260622 Sun, 25 Sep 2011 04:00:00 +0100 5260622 http://www.medworm.com/index.php?rid=5260621&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-for-slowing-the-progression-of-myopia-in-children-and-adolescents%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Myopia (near-sightedness or short-sightedness) is one of the three commonly detected refractive (focusing) errors. Acupuncture is the stimulation of acupuncture points by various methods including needle insertion and acupressure. It is often used by traditional Chinese medicine practitioners to treat myopia in children.   Objectives To assess the effectiveness and safety of acupuncture in slowing the progression of myopia in children and adolescents.   Search strategy We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (The Cochrane Library 2011, Issue 7), MEDLINE (January 1950 to July 2011), EMBASE (January 1980 to July 2011), the Allied and Complementa... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5260621 Sun, 25 Sep 2011 04:00:00 +0100 5260621 http://www.medworm.com/index.php?rid=5260620&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2F-Probiotics-for-preventing-acute-upper-respiratory-tract-infections%2F Source: Cochrane Area: Evidence > Complementary Medicine Background Probiotics may improve a person's health by regulating their immune function. Some studies show that probiotic strains can prevent respiratory infections. However, no evidence of the benefits of probiotics for acute upper respiratory tract infections (URTIs) and related potential adverse effects has been published.   Objectives To assess the effectiveness and safety of probiotics for preventing acute URTIs.   Search strategy We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2011, Issue 2), which includes the Cochrane Acute Respiratory Infections Group's Specialised Register, MEDLINE (Ovid) (1950 to May week 1, 2011), EMBASE (1974 to May 2011), Web of Sci... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5260620 Sun, 25 Sep 2011 04:00:00 +0100 5260620 http://www.medworm.com/index.php?rid=5260619&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FLong-term-effects-of-weight-reducing-diets-in-hypertensive-patients%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background All major guidelines for antihypertensive therapy recommend weight loss. Thus dietary interventions that aim to reduce body weight might be a useful intervention to reduce blood pressure and adverse cardiovascular events associated with hypertension.   Objectives Primary objectives To assess the long-term effects of weight-reducing diets in hypertensive patients on -   all cause mortality -   cardiovascular morbidity -   adverse events (including total serious adverse events, withdrawal due to adverse events and total non-serious adverse events)   Secondary objectives To assess the long-term effects of weight-reducing diets in hypertensive patients on -&... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5260619 Sun, 25 Sep 2011 04:00:00 +0100 5260619 http://www.medworm.com/index.php?rid=5175800&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-for-polycystic-ovarian-syndrome%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Polycystic ovarian syndrome (PCOS) is characterised by the clinical signs of oligo-amenorrhoea (infrequent or very light menstruation), infertility (failure to conceive), and hirsutism (excessive hair growth). Whilst Aleem 1987 revealed the presence of beta-endorphin in the follicular fluid of both normal and polycystic ovaries, Petraglia 1987 demonstrated that the beta-endorphin levels in ovarian follicular fluid of otherwise healthy women who were undergoing ovulation were much higher than the levels measured in plasma. Given that acupuncture has an impact on beta-endorphin production, which may affect gonadotropin-releasing hormone (GnRH) secretion, it is postulated that acupuncture may have a role in ovula... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5175800 Mon, 29 Aug 2011 23:00:00 +0100 5175800 http://www.medworm.com/index.php?rid=5079413&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-or-acupressure-for-pain-management-in-labour%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined evidence supporting the use of acupuncture and acupressure for pain management in labour.   Objectives To examine the effects of acupuncture and acupressure for pain management in labour.   Search strategy We searched the Cochrane Pregnancy and Childbirth Group's Trials Register and The Cochrane Complementary Medicine Field's Trials Register (October 2010), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2010, Issue 4), MEDLINE (1966 to October 2010), and CINAHL (1... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5079413 Wed, 27 Jul 2011 23:00:00 +0100 5079413 http://www.medworm.com/index.php?rid=5079412&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAromatherapy-for-pain-management-in-labour-%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of aromatherapy for pain management in labour.   Objectives To examine the effects of aromatherapy for pain management in labour on maternal and perinatal morbidity.   Search strategy We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 October 2010), The Cochrane Complementary Medicine Field's Trials Register (October 2010), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2010, Issue... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5079412 Wed, 27 Jul 2011 23:00:00 +0100 5079412 http://www.medworm.com/index.php?rid=5079411&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-herbal-medicines-for-hypercholesterolemia%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Hypercholesterolemia is an important key contributory factor for ischemic heart disease and is associated with age, high blood pressure, a family history of hypercholesterolemia, and diabetes. Chinese herbal medicines have been used for a long time as lipid-lowering agents.   Objectives To assess the effects of Chinese herbal medicines on hypercholesterolemia.   Search strategy We searched the following databases: The Cochrane Library (issue 8, 2010), MEDLINE (until July 2010), EMBASE (until July 2010 ), Chinese BioMedical Database (until July 2010), Traditional Chinese Medical Literature Analysis and Retrieval System (until July 2010), China National Knowledge Infrastructure (until Ju... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5079411 Wed, 27 Jul 2011 23:00:00 +0100 5079411 http://www.medworm.com/index.php?rid=5020663&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-herbal-medicine-for-diabetic-peripheral-neuropathy%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Chinese herbal medicine is frequently used for treating diabetic peripheral neuropathy in China. Many controlled trials have been undertaken to investigate its efficacy.   Objectives To assess the beneficial effects and harms of Chinese herbal medicine for people with diabetic peripheral neuropathy.   Search strategy We searched the Cochrane Neuromuscular Disease Group Specialized Register (15 June 2010), the Cochrane Central Register of Controlled Trials (CENTRAL) (Issue 2, 2010 in The Cochrane Library), MEDLINE (January 1966 to June 2010), EMBASE (January 1980 to June 2010), AMED (January 1985 to June 2010), Chinese Biomedical Database (CBM) (1979 to June 2010), Chinese National Knowledge Inf... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=5020663 Sun, 10 Jul 2011 23:00:00 +0100 5020663 http://www.medworm.com/index.php?rid=4782507&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FPhyllanthus-species-for-chronic-hepatitis-B-virus-infection%2F Source: Cochrane Database of Systematic Reviews Area: Evidence > Complementary Medicine Background Phyllanthus species for patients with chronic hepatitis B virus (HBV) infection have been assessed in clinical trials, but no consensus regarding their usefulness exists.   Objectives To evaluate the benefits and harms of phyllanthus species for patients with chronic HBV infection.   Search strategy Searches were performed in The Cochrane Hepato-Biliary Gorup Controlled Trials Register, The Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library, MEDLINE, EMBASE, Science Citation Index Expanded, and the Chinese Biomedical CD Database, China Network Knowledge Information, Chinese Science Journal Database, TCM Online, and Wanfang Database. Co... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4782507 Wed, 04 May 2011 23:00:00 +0100 4782507 http://www.medworm.com/index.php?rid=4654369&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-for-cancer-pain-in-adults%2F Source: Cochrane Database of Systematic Reviews Area: Evidence > Complementary Medicine Background Forty percent of individuals with early or intermediate stage cancer and 90% with advanced cancer have moderate to severe pain and up to 70% of patients with cancer pain do not receive adequate pain relief. It has been claimed that acupuncture has a role in management of cancer pain and guidelines exist for treatment of cancer pain with acupuncture.     Objectives To evaluate efficacy of acupuncture for relief of cancer-related pain in adults.   Search strategy CENTRAL, MEDLINE, EMBASE, PsycINFO, AMED, and SPORTDiscus were searched up to November 2010 including non-English language papers.   Selection criteria Randomised controlled trials (RCTs) evalua... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4654369 Tue, 29 Mar 2011 23:00:00 +0100 4654369 http://www.medworm.com/index.php?rid=4654368&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-for-primary-dysmenorrhoea%2F Source: Cochrane Database of Systematic Reviews Area: Evidence > Complementary Medicine Background This review examined the currently available evidence supporting the use of acupuncture to treat primary dysmenorrhoea.   Objectives To determine the efficacy and safety of acupuncture in the treatment of primary dysmenorrhoea when compared with a placebo, no treatment, or conventional medical treatment (for example oral contraceptives and non-steroidal anti-inflammatory medication (NSAIDs)).   Search strategy The following databases were searched (from inception until March 2010): the Cochrane Menstrual Disorders and Subfertillity Group Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library), PubMed, CINAHL, PsycINFO, Chinese Biomed... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4654368 Tue, 29 Mar 2011 23:00:00 +0100 4654368 http://www.medworm.com/index.php?rid=4654367&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FThymic-peptides-for-treatment-of-cancer-patients%2F Source: Cochrane Database of Systematic Reviews Area: Evidence > Complementary Medicine Background Purified thymus extracts (pTE) and synthetic thymic peptides (sTP) are thought to enhance the immune system of cancer patients in order to fight the growth of tumour cells and to resist infections due to immunosuppression induced by the disease and antineoplastic therapy.   Objectives To evaluate the effectiveness of pTE and sTP for the management of cancer.   Search strategy We searched CENTRAL (The Cochrane Library 2010, Issue 3), MEDLINE, EMBASE, AMED, BIOETHICSLINE, BIOSIS, CATLINE, CISCOM, HEALTHSTAR, HTA, SOMED and LILACS (to February 2010).   Selection criteria Randomised trials of pTE or sTP in addition to chemotherapy or radiotherapy, or both, compared to ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4654367 Tue, 29 Mar 2011 23:00:00 +0100 4654367 http://www.medworm.com/index.php?rid=4495993&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FTai-chi-for-osteoarthritis-a-systematic-review%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: Overall findings suggested that tai chi may be effective for controlling pain associated with knee osteoarthritis, but there was no convincing evidence for pain reduction or improvement of physical function. The authors' cautious conclusion appears reasonable, but it should be noted that it was based on trials with small sample sizes, some of which were of low-quality. CRD Commentary: Inclusion criteria were clearly defined for intervention, participants and study design. Several relevant sources were searched without language restriction. Efforts were made to minimise publication bias. Methods were used to minimise reviewer errors and bias in the assessment of validity and extraction of data, but it was not clear whethe... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4495993 Fri, 18 Feb 2011 00:00:00 +0100 4495993 http://www.medworm.com/index.php?rid=4484156&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FA-systematic-review-of-the-effectiveness-of-Chinese-herbal-medication-in-symptom-management-and-improvement-of-quality-of-life-in-adult-cancer-patients%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review aimed to identify and evaluate evidence on the clinical effects of Chinese herbs in cancer, focusing on symptom management, quality of life and survival. The authors' assertion that the evidence reviewed was too methodologically weak to draw any firm conclusions appears to be reliable. CRD Commentary: This review was based on a question that was clearly but broadly defined in terms of the participants, interventions, outcomes and study designs of interest. A range of sources were searched without language restrictions in order to identify all the relevant evidence, although the authors did not state why no attempt was made to identify studies published before 1990. Efforts were made to minimise errors and bias... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4484156 Wed, 16 Feb 2011 00:00:00 +0100 4484156 http://www.medworm.com/index.php?rid=4429703&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FIs-acupuncture-beneficial-in-depression-a-meta-analysis-of-8-randomized-controlled-trials%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: The authors concluded that low-quality studies showed acupuncture could reduce the severity of depression, but that further research was required. This was overall a well-conducted review. Evidence appeared to support the authors' conclusions, but the significant heterogeneity found for all analyses should be borne in mind when assessing their reliability. CRD Commentary: The review question was clearly stated and inclusion criteria were appropriately defined. Several relevant sources were searched and attempts were made to minimise publication and language biases. Methods were used to minimise reviewer errors and bias in the selection of studies and data extraction, but it was unclear whether similar steps were taken in ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4429703 Thu, 03 Feb 2011 00:00:00 +0100 4429703 http://www.medworm.com/index.php?rid=4356420&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FHerbal-medicines-for-the-treatment-of-allergic-rhinitis-a-systematic-review%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This systematic review of herbal medicines found that there was encouraging evidence to support Petasites hybridus (butterbur) for treating allergic rhinitis, but independent research was needed to confirm these findings. The systematic review was performed using appropriate methods, but a lack of detail about study quality and results made it difficult to verify the reliability of the conclusions. CRD Commentary: This review reported clear inclusion and exclusion criteria, although it did not pre-specify eligible outcomes or appear to report any outcomes reported by the original studies. The search was thorough, had no language restrictions and included attempts to locate unpublished material (although the authors commen... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4356420 Mon, 17 Jan 2011 00:00:00 +0100 4356420 http://www.medworm.com/index.php?rid=4356419&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-for-rheumatoid-arthritis-a-systematic-review%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: The authors concluded that, compared with sham acupuncture or conventional drugs, acupuncture was not associated with a significant reduction in pain for patients with rheumatoid arthritis. The authors' conclusions reflected the evidence presented. However, a degree of caution might be required in interpreting these conclusions, given the small size and limited quality of the included trials. CRD Commentary: This review's inclusion criteria were clear. Several relevant databases were searched. Efforts were made to find published and unpublished studies without language restriction, minimising the potential for both publication and language biases. Steps were taken to minimise bias by having more than one reviewer undertak... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4356419 Mon, 17 Jan 2011 00:00:00 +0100 4356419 http://www.medworm.com/index.php?rid=4319283&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FGinseng-for-cognition%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Ginseng is a herbal medicine in widespread use throughout the world. Its effect on the brain and nervous system has been investigated. It has been suggested, on the basis of both laboratory and clinical studies, that it may have beneficial effects on cognitive performance.   Objectives To evaluate the efficacy and adverse effects of ginseng given to improve cognitive performance in healthy participants, participants with cognitive impairment or dementia. To highlight the quality and quantity of research evidence available.   Search strategy The Specialized Register of the Cochrane Dementia and Cognitive Improvement Group (CDCIG), The Cochrane Library, MEDLINE, EMBASE, PsycINFO, CINAHL, ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4319283 Fri, 07 Jan 2011 00:00:00 +0100 4319283 http://www.medworm.com/index.php?rid=4319282&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAntioxidant-micronutrients-for-lung-disease-in-cystic-fibrosis%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Airway infection leads to progressive damage of the lungs in cystic fibrosis (CF), partly due to oxidative stress. Supplementation of antioxidant micronutrients (vitamin E, vitamin C, ß-carotene and selenium) may help maintain an oxidant-antioxidant balance. Current literature suggests a relationship between oxidative status and lung function.   Objectives To synthesize existing knowledge of the effect of vitamin C, vitamin E, ß-carotene and selenium in CF lung disease.   Search strategy The Cochrane CF and Genetic Disorders Group CF Trials Register, PubMed, CINAHL and AMED were searched using detailed search strategies. We contacted authors of included studies and checked reference lis... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4319282 Fri, 07 Jan 2011 00:00:00 +0100 4319282 http://www.medworm.com/index.php?rid=4310365&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FProbiotics-for-treating-persistent-diarrhoea-in-children%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Persistent diarrhoea (diarrhoea lasting more than 14 days) accounts for one third of all diarrhoea related deaths in developing countries in some studies. Probiotics may help treatment.   Objectives To evaluate probiotics for treating persistent diarrhoea in children.   Search strategy In August 2010, we searched the Cochrane Infectious Diseases Group Specialized Register, CENTRAL, MEDLINE, EMBASE, and LILACS. We also contacted authors of included trials and organizations working in the field, and checked reference lists.   Selection criteria Randomized controlled trials comparing a specified probiotic agent with placebo or no probiotic in children with persistent diarrhoea. &n... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4310365 Wed, 05 Jan 2011 00:00:00 +0100 4310365 http://www.medworm.com/index.php?rid=4267454&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FTraditional-Chinese-Medicine-herbs-for-stopping-bleeding-from-haemorrhoids%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Haemorrhoids is a common perianal disease, which often causes haematochezia. Besides a surgical operation or minimally invasive treatment, a variety of traditional Chinese medicinal herbs (TCMHs) have been used to treat bleeding haemorrhoids.   Objectives To assess the effectiveness of traditional Chinese medicinal herbs for stopping bleeding from haemorrhoids and the adverse effects caused by these herbs.   Search strategy We searched the Cochrane Colorectal Cancer Group Trials Register, Cochrane Central Register of Contolled Trials (CENTRAL) (The Cochrane Library), MEDLINE, EMBASE, CMCD (Chinese Medicine Conference Disc) and CBMD (Chinese Bio-Medicine Disc).   Selection criter... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4267454 Thu, 16 Dec 2010 00:00:00 +0100 4267454 http://www.medworm.com/index.php?rid=4144869&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FHomeopathy-for-childhood-and-adolescence-ailments-systematic-review-of-randomized-clinical-trials%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: The review found no convincing evidence for the effectiveness of any therapeutic or preventive homeopathic treatment for the treatment of childhood and adolescent ailments. The authors' cautious conclusions were appropriate given the evidence presented and are likely to be reliable. CRD Commentary: Inclusion criteria were defined in terms of study design and participants and broadly defined in terms of outcomes and intervention. Several relevant sources were searched and attempts were made to minimise publication and language biases. Two reviewers independently selected studies, assessed validity and extracted data, thus reducing the potential for reviewer bias and errors. Validity was assessed using an established checkl... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4144869 Tue, 09 Nov 2010 00:00:00 +0100 4144869 http://www.medworm.com/index.php?rid=4062239&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-treatment-in-gastrointestinal-diseases-a-systematic-review%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review evaluated the effectiveness of acupuncture in gastrointestinal diseases and concluded that improved quality of life in irritable bowel syndrome may be explained by unspecific effects of acupuncture. Similar effects in inflammatory bowel disease may be found in clinical scores. Given methodological limitations of the review and the relatively small amount of poor-quality evidence, the conclusions appear overly optimistic. CRD Commentary: The review question was defined in terms of the interventions, participants and broad study designs of interest. The search for relevant papers covered only a single database and follow-up of references and appeared to be restricted to published studies written in English, Germ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4062239 Tue, 12 Oct 2010 23:00:00 +0100 4062239 http://www.medworm.com/index.php?rid=4056885&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-herbal-medicine-for-dysfunctional-uterine-bleeding-a-meta-analysis%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review concluded that, due to the poor methodology of the included trials and the lack of placebo-controlled studies, it was not possible to determine the efficacy of Chinese herbal medicines for the treatment of dysfunctional uterine bleeding. Despite a number of concerns about the review methods, the authors' cautious conclusions appropriately reflect the limitations of the evidence. CRD Commentary: This review assesses a clearly defined review question. A number of data sources were searched, but given the topic area and the limited searches for unpublished data, there may be a risk of publication bias. An assessment of publication bias was planned, but not carried out due to the small number of included trials. S... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4056885 Mon, 11 Oct 2010 23:00:00 +0100 4056885 http://www.medworm.com/index.php?rid=4037578&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-herbal-medicine-for-subfertile-women-with-polycystic-ovarian-syndrome%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Polycystic ovarian syndrome (PCOS) is one of the most common reproductive endocrinology abnormalities, affecting 5% to 10% of women of reproductive age. Western medicines, such as oral contraceptives and insulin sensitizers, have been widely used to improve the symptoms and signs for PCOS. Recently, many studies have been published considering Chinese herbal medicine (CHM) as an alternative treatment for women with PCOS.   Objectives To evaluate the efficacy and safety of Chinese medicinal herbs for subfertile women with PCOS.   Search strategy We searched the following databases (from inception to March 2010): Menstrual Disorders and Subfertility Group Specialised Register (MDSG), Cochr... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4037578 Tue, 05 Oct 2010 23:00:00 +0100 4037578 http://www.medworm.com/index.php?rid=4019289&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-for-chemotherapy-induced-leukopenia-exploratory-meta-analysis-of-randomized-controlled-trials%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review reported that acupuncture was associated with an increase in leukocytes in patients with chemotherapy-induced leukopenia. However, the authors concluded that, due to the poor quality of the trials and the likelihood of publication bias, the results should be treated as a hypothesis-generating exercise only. Despite weaknesses in the review process, the authors' cautious conclusions appear appropriate. CRD Commentary: The inclusion criteria were clear in terms of intervention, participants, outcomes and study design. Several relevant sources were searched, with some attempts made to minimise language bias. No attempts were made to reduce publication bias but authors stated that formal assessment of publication ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4019289 Thu, 30 Sep 2010 23:00:00 +0100 4019289 http://www.medworm.com/index.php?rid=4019288&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FBlack-cohosh-Cimicifuga-racemosa-L-Nutt-safety-and-efficacy-for-cancer-patients%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review assessed the safety and effectiveness of black cohosh in patients with cancer and concluded that its effectiveness was uncertain in menopausal women with breast cancer, but that it appeared to be safe. Despite possibly omitting relevant data, the authors' cautious conclusions are likely to be reliable. CRD Commentary: The review addressed a clear question and was supported by appropriate inclusion criteria. Attempts to identify relevant studies were undertaken by searching electronic databases and checking references, although it appeared that no attempts were made to identify unpublished studies and this, coupled with the restriction of using only studies published in English, meant that relevant studies may ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=4019288 Thu, 30 Sep 2010 23:00:00 +0100 4019288 http://www.medworm.com/index.php?rid=3791883&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FMagnets-applied-to-acupuncture-points-as-therapy-a-literature-review%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: The review concluded that further investigation of acu-magnet therapy was warranted, particularly for the management of diabetes and insomnia, however, the quality of the trials prevented treatment recommendations. Despite limitations in the review, the authors cautious conclusions are likely to be reliable. CRD Commentary: The review question was supported by clear if broad inclusion criteria. Several databases were searched. The search was restricted by language (English and Chinese) and the authors did not systematically attempt to locate unpublished papers, thus increasing the likelihood of language and publication biases. Risk of publication bias was acknowledged by the authors. Although six reviewers performed the d... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3791883 Mon, 26 Jul 2010 23:00:00 +0100 3791883 http://www.medworm.com/index.php?rid=3751603&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FCreatine-for-amyotrophic-lateral-sclerosismotor-neuron-disease%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract   Background Creatine, a naturally-occurring nitrogenous organic acid involved in adenosine triphosphate (ATP) production, has been shown to increase survival in mouse models of amyotrophic lateral sclerosis (ALS). Results from human trials, however, have been mixed. Given conflicting results regarding creatine's efficacy, we conducted a systematic review.   Objectives To systematically examine creatine's efficacy in prolonging ALS survival and in slowing ALS disease progression.   Search strategy We searched the Cochrane Neuromuscular Disease Group Trials Specialized Register, the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library issue 4, 2009), MEDLI... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3751603 Tue, 13 Jul 2010 23:00:00 +0100 3751603 http://www.medworm.com/index.php?rid=3681063&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FHerbal-medicines-for-the-treatment-of-COPD-a-systematic-review%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review found no conclusive evidence of the effectiveness of herbal medicines for the treatment of chronic obstructive pulmonary disease. The evidence from studies was scarce and often methodologically weak. The authors' cautious conclusions correctly reflect the poor quality trials and paucity of data on this topic. CRD Commentary: Inclusion criteria were clearly defined for study design, interventions, outcomes and participants. Several relevant sources were searched with no language restrictions. Some attempts were made to minimise the potential for publication bias. Two reviewers independently selected trials, assessed validity and extracted data, thus reducing the potential for reviewer bias and errors. Validity... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3681063 Sun, 20 Jun 2010 23:00:00 +0100 3681063 http://www.medworm.com/index.php?rid=3570827&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FTraditional-Chinese-herbal-products-for-stable-angina%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract:   Background Stable angina pectoris is a common condition, worldwide. Traditional Chinese herbal products (TCHP) are developed for treating stable angina pectoris in China.   Objectives To assess the effectiveness and safety of TCHP in patients with stable angina.   Search strategy We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 4, 2006), MEDLINE (1995 to June 2008), EMBASE (1995 to June 2008), the Chinese Biomedical Database (CBM) (1995 to June 2008), Chinese Science and Technique Journals Database (VIP) (1994 to June 2008) and Chinese National Knowledge Infrastructure (CNKI) (1995 to June 2008). We handsearched the relevant Chinese jo... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3570827 Sun, 16 May 2010 23:00:00 +0100 3570827 http://www.medworm.com/index.php?rid=3543907&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FQigong-for-hypertension-a-systematic-review-of-randomized-clinical-trials%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This well-conducted review concluded that there was some evidence to suggest that qigong may lower systolic blood pressure in patients with arterial hypertension, but that further robust research is required to confirm these findings. These cautious conclusions reflected the poor quality of the included trials and are likely to be reliable. CRD Commentary: This review addressed a clear research question but inclusion criteria for study outcomes were not clearly defined. A wide range of electronic databases and other sources were used to identify both unpublished and published studies in any language, which suggested that the risk of publication and language bias was low. Also, attempts were made at each stage of the revie... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3543907 Thu, 06 May 2010 23:00:00 +0100 3543907 http://www.medworm.com/index.php?rid=3417251&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FMomordica-charantia-for-type-2-diabetes-mellitus%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract:   Background Momordica charantia is not only a nutritious vegetable, but is also used in traditional medical practices to treat type 2 diabetes mellitus. Experimental studies with animals and humans suggested that the vegetable has a possible role in glycaemic control.   Objectives To assess the effects of mormodica charantia for type 2 diabetes mellitus.   Search strategy Several electronic databases were searched, among these The Cochrane Library (issue 4, 2009), MEDLINE, EMBASE, CINAHL, SIGLE and LILACS (all up to November 2009), combined with handsearches. No language restriction was used.   Selection criteria Randomized controlled trials that compared momordica charantia... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3417251 Sun, 28 Mar 2010 23:00:00 +0100 3417251 http://www.medworm.com/index.php?rid=3409426&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FGarlic-for-preventing-pre-eclampsia-and-its-complications%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract:   Background The suggestion that garlic may lower blood pressure, inhibit platelet aggregation, and reduce oxidative stress has led to the hypothesis that it may have a role in preventing pre-eclampsia and its complications.   Objectives To assess the effects of garlic on prevention of pre-eclampsia and its complications.   Search strategy We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (January 2010).   Selection criteria Studies were included if they were randomised trials evaluating the effects of garlic on prevention of pre-eclampsia and its complications.   Data collection and analysis Two review authors independently selected trials f... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3409426 Fri, 26 Mar 2010 00:00:00 +0100 3409426 http://www.medworm.com/index.php?rid=3409425&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FHerbal-medicine-for-low-back-pain%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract:   Background Low-back pain is a common condition and a substantial economic burden in industrialized societies. A large proportion of patients with chronic low-back pain use complementary and alternative medicine (CAM), visit CAM practitioners, or both. Several herbal medicines have been purported for use in low-back pain.   Objectives To determine the effectiveness of herbal medicine for non-specific low-back pain.   Search strategy We searched the following electronic databases: Cochrane Complementary Medicine Field Trials Register (Issue 3, 2005), MEDLINE (1966 to July 2005), EMBASE (1980 to July 2005); checked reference lists in review articles, guidelines and retrieved trials; and... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3409425 Fri, 26 Mar 2010 00:00:00 +0100 3409425 http://www.medworm.com/index.php?rid=3405440&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-medicinal-herbs-for-acute-bronchitis%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract:   Background Acute bronchitis is one of the most common diagnoses made by primary-care physicians. It is traditionally treated with antibiotics (although the evidence for their effectiveness is weak and modest at best), and other even less effective treatments. Chinese medicinal herbs have also been used as a treatment.   Objectives This review aimed to summarise the existing evidence on the comparative effectiveness and safety of Chinese medicinal herbs for treating uncomplicated acute bronchitis.   Search strategy We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2007, issue 1), which includes the Cochrane Acute Respiratory Infections Gro... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3405440 Fri, 26 Mar 2010 00:00:00 +0100 3405440 http://www.medworm.com/index.php?rid=3405439&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-medicinal-herbs-for-influenza%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract:   Background Influenza is an acute respiratory communicable disease which, during epidemics, can cause high morbidity and mortality. Traditional Chinese medicinal herbs, often administered following a particular theory, may be a potential medicine of choice.   Objectives To assess the effect of Chinese medicinal herbs in preventing and treating influenza, and to estimate the frequency of adverse effects.   Search strategy We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2007, issue 1), which includes the Cochrane Acute Respiratory Infections Review Group specialised register; MEDLINE (January 1966 to January 2007); EMBASE (January 1988 to J... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3405439 Fri, 26 Mar 2010 00:00:00 +0100 3405439 http://www.medworm.com/index.php?rid=3405438&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-medicinal-herbs-for-measles%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract:   Background Measles is an infectious disease caused by the Morbilli virus. Chinese physicians believe that medicinal herbs are effective in alleviating symptoms and preventing complications. Chinese herbal medicines are dispensed according to the particular symptoms. This is an update of a Cochrane review first published in 2006.   Objectives To assess the effectiveness and possible adverse effects of Chinese medicinal herbs in treating measles.   Search strategy We searched the Cochrane Central Register of Controlled Clinical Trials (CENTRAL) (The Cochrane Library 2009, issue 1) which contains the Cochrane Acute Respiratory Infection Group's Specialised Register; MEDLINE (1966 to Mar... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3405438 Fri, 26 Mar 2010 00:00:00 +0100 3405438 http://www.medworm.com/index.php?rid=3405437&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-medicinal-herbs-for-sore-throat%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract:   Background Chinese herbal medicines are commonly used to treat sore throat in China and among Chinese people worldwide. Their efficacy in treating sore throat has not previously been systematically reviewed.   Objectives To assess the efficacy and safety of Chinese herbal medicines for patients with sore throat.   Search strategy We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2006, issue 3) which contains the Acute Respiratory Infections Group's specialised register; MEDLINE (1966 to August 2006); EMBASE (1980 to August 2006); AMED (1985 to August 2006); the Chinese Biomedical Database (CBM) (1975 to August 2006), and China National Kn... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3405437 Fri, 26 Mar 2010 00:00:00 +0100 3405437 http://www.medworm.com/index.php?rid=3405436&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-medicinal-herbs-for-the-common-cold2%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Abstract:   Background Chinese medicinal herbs are frequently used to treat the common cold in China. Until now, their efficacy has not been systematically reviewed.   Objectives To assess the effectiveness and safety of Chinese medicinal herbs for the common cold.   Search strategy We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2008, issue 2), which contains the Cochrane Acute Respiratory Infections Group's Specialised Register; MEDLINE (1966 to May 2008); EMBASE (1980 to May 2008); AMED (1985 to May 2008); the Chinese Biomedical Database (CBMdisc) (1978 to May 2008); and China National Knowledge Infrastructure (CNKI) (1994 to May 2008).   ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3405436 Fri, 26 Mar 2010 00:00:00 +0100 3405436 http://www.medworm.com/index.php?rid=3367189&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-for-obesity-a-systematic-review-and-meta-analysis%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review concluded that acupuncture for obesity had some beneficial effect compared to placebo or lifestyle control. However, results were of limited value due to clinical heterogeneity and poor methodological quality of included trials. This was a well-conducted review and the authors' conclusions are appropriately cautious. CRD Commentary: This review addressed a clear question supported by appropriate inclusion criteria. The search was very comprehensive and did not place restrictions on language. However, there appeared to be limited efforts to retrieve unpublished data. Suitable methods were used throughout the review process to minimise the risks of reviewer error and bias. Detailed evidence tables were reported.... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3367189 Mon, 15 Mar 2010 00:00:00 +0100 3367189 http://www.medworm.com/index.php?rid=3319285&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FCochrane-review-Honey-for-acute-cough-in-children%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Cough causes concern for parents and is a major cause of outpatient visits. It can impact on quality of life, cause anxiety and affect sleep in parents and children. Several remedies, including honey, have been used to alleviate cough symptoms.   Objectives To evaluate the effectiveness of honey for acute cough in children in ambulatory settings.   Search strategy We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2009, issue 2) which contains the Cochrane Acute Respiratory Infections Group's Specialised Register; MEDLINE (1950 to April Week 2 2009); EMBASE (1990 to April 2009); CINAHL (1982 to April 2009); Web of Science (2000 to April 2009); AMED (198... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3319285 Mon, 01 Mar 2010 00:00:00 +0100 3319285 http://www.medworm.com/index.php?rid=3308258&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FExternal-qigong-for-pain-conditions-a-systematic-review-of-randomized-clinical-trials%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This generally well-conducted systematic review assessed the effectiveness of external qigong for pain management. External qigong involves qigong practitioners directing their qi energy to relieve pain or other illness. The authors concluded that the evidence for the effectiveness of external qigong was encouraging, but not convincing. The cautious conclusion appears appropriate in view of the limited evidence available. CRD Commentary: This review addressed a clear question with appropriate inclusion criteria. The authors searched a number of databases with no language restrictions and made attempts to identify unpublished research, thus reducing the potential for language and publication bias. Study quality was assesse... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3308258 Thu, 25 Feb 2010 00:00:00 +0100 3308258 http://www.medworm.com/index.php?rid=3232859&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FRoselle-for-hypertension-in-adults%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Hypertension is considered a serious health problem worldwide. Controlling and lowering blood pressure have a significant benefit to the hypertensive patients because hypertension is a risk factor for stroke, heart disease and cardiovascular disease. A tropical plant called Roselle, or Red Sorrel in English-speaking countries, has been used both as a thirst-quenching drink and for medical purposes.   Objectives To explore the effect of Roselle on blood pressure in hypertensive adult patients.   Search strategy The following databases were searched (Date of most recent search was September 2009): - Cochrane Database of Systematic Reviews (2nd Quarter 2009) - DARE (2nd Quarter 2009) - Ovid MEDLIN... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3232859 Tue, 02 Feb 2010 00:00:00 +0100 3232859 http://www.medworm.com/index.php?rid=3090523&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FA-systematic-review-and-meta-analysis-of-acupuncture-in-in-vitro-fertilisation%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: The authors concluded that there was insufficient evidence about the effects of acupuncture on the in vitro-fertilisation (IVF) clinical pregnancy rate. This was a well-conducted review and the authors' conclusions are likely to be reliable. CRD Commentary: The review question was clearly stated and inclusion criteria defined for intervention, participants, outcomes and study design. Several relevant sources were searched and attempts were made to minimise publication and language bias; no evidence of publication bias was found. Appropriate methods were used to minimise reviewer error and bias during the review process. Only RCTs were included, validity was assessed and results were reported. Appropriate methods were used... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3090523 Wed, 16 Dec 2009 00:00:00 +0100 3090523 http://www.medworm.com/index.php?rid=3080474&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FEffectiveness-of-probiotics-in-the-treatment-of-irritable-bowel-syndrome%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: The authors concluded that probiotics may improve symptoms in patients with irritable bowel syndrome, but that benefits were uncertain and further research was required. The authors' cautious conclusion appeared to reflect the evidence presented, but the limited search, lack of reporting of review methods and an incomplete validity assessment made it difficult to comment on reliability. CRD Commentary: The review question was clearly stated. Inclusion criteria were defined for study design, intervention and control and participants. Limiting the search to studies identified in one database plus references may have missed other relevant studies and risked publication bias. It was not clear if attempts were made to minimis... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3080474 Fri, 11 Dec 2009 00:00:00 +0100 3080474 http://www.medworm.com/index.php?rid=3072781&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FHerbal-treatments-of-asthma-a-systematic-review%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review of Ayurvedic (traditional Indian medicines) and non-Ayurvedic herbs for asthma concluded that herbs may be a useful treatment despite the limited evidence. The conclusions are likely to be reliable but should be considered with caution given the methodological limitations of the review. CRD Commentary: This review addressed a broad question with broad inclusion criteria. The searches may not have fully addressed the grey literature leading to potential publication bias, and omitted the main complementary/alternative medicine database (AMED). Language bias is likely given the restriction to English language papers and, with the focus on Ayurvedic (Indian) herbs, the review may have omitted relevant studies. The... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3072781 Thu, 10 Dec 2009 00:00:00 +0100 3072781 http://www.medworm.com/index.php?rid=3027714&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FShort-term-efficacy-of-physical-interventions-in-osteoarthritic-knee-pain-a-systematic-review-and-meta-analysis-of-randomised-placebo-controlled-trials%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: The review assessed the efficacy of physical therapy in short-term pain management of patients with osteoarthritis of the knee. The authors' conclusions that electro-acupuncture, transcutaneous electrical nerve stimulation and low level laser therapy offer clinically meaningful effects, are not fully supported by the evidence presented. Given this, and limitations of the review methodology, the reliability of their conclusions is unclear. CRD Commentary: The review addressed a clearly defined question. Study design, patient, intervention and outcome inclusion criteria were all clearly stated, reducing the likelihood of subjective decisions being made during the study selection process. The search strategy covered many e... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=3027714 Thu, 26 Nov 2009 00:00:00 +0100 3027714 http://www.medworm.com/index.php?rid=2982543&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FAcupuncture-for-tension-type-headache-a-meta-analysis-of-randomized-controlled-trials%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This well-conducted review suggested that acupuncture had limited efficacy (visible only at longer term follow-up) for reducing headache frequency in tension-type headache compared with sham acupuncture. The results were likely to be reliable, but further research was needed to assess other variations of needle-based acupuncture and subtypes of tension-type headache. CRD Commentary: This review addressed a clear question with appropriate inclusion criteria. The searches covered the major databases (although not Chinese language databases or AMED, a specialist complementary medicine resource as noted by the authors). Attempts were made to identify unpublished literature. Appropriate methods to reduce reviewer error and bia... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=2982543 Wed, 11 Nov 2009 00:00:00 +0100 2982543 http://www.medworm.com/index.php?rid=2903535&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FChinese-herbal-medicines-for-people-with-impaired-glucose-tolerance-or-impaired-fasting-blood-glucose%2F The objective of this review was to assess the effects and safety of Chinese herbal medicines for the treatment of people with impaired glucose tolerance or impaired fasting glucose (IFG).   Search strategy We searched the following databases: The Cochrane Library, PubMed, EMBASE, AMED, a range of Chinese language databases, SIGLE and databases of ongoing trials.   Selection criteria Randomised clinical trials comparing Chinese herbal medicines with placebo, no treatment, pharmacological or non-pharmacological interventions in people with IGT or IFG were considered.   Data collection and analysis ... (Source: NeLM - Complementary Medicine) NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=2903535 Sun, 18 Oct 2009 23:00:00 +0100 2903535 http://www.medworm.com/index.php?rid=2873415&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FA-meta-analysis-on-the-efficacy-of-probiotics-for-maintenance-of-remission-and-prevention-of-clinical-and-endoscopic-relapse-in-Crohns-disease%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: The authors concluded that there was no evidence that probiotics were effective in maintaining remission and preventing recurrence in patients with Crohn's disease. Evidence appeared to support the authors' conclusions, but it was not clear if the entire evidence base had been assessed. [Lactobacillus rhamnosus strain GG was the most commonly evaluated probiotic. Studies also evaluated Lactobacillus johnsonii, Escherichia coli and Saccharomyces boulardii. ] CRD Commentary: The review question was clearly stated and appropriate inclusion criteria were specified. No language restrictions were applied to the search and abstracts were eligible. However, the search was limited to published studies listed in two databases and... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=2873415 Wed, 07 Oct 2009 23:00:00 +0100 2873415 http://www.medworm.com/index.php?rid=2815921&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FP6-stimulation-for-the-prevention-of-nausea-and-vomiting-associated-with-cesarean-delivery-under-neuraxial-anesthesia-a-systematic-review-of-randomized-controlled-trials%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review found inconsistent evidence for the efficacy of stimulation of the pericardium 6 (P6) Neiguan acupressure point to prevent intra- and post-operative nausea and vomiting in women undergoing a caesarean delivery. The authors' cautious conclusions seem reliable based on the evidence presented. CRD Commentary: This review had clearly stated inclusion criteria with respect to study design, participants and treatments. The authors searched relevant databases for published articles and non-English language articles were available for inclusion. There was no apparent attempt to locate unpublished material which means that relevant studies may have been missed. Steps were taken to minimise reviewer bias and errors in ... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=2815921 Mon, 21 Sep 2009 23:00:00 +0100 2815921 http://www.medworm.com/index.php?rid=2802005&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FEfficacy-of-light-therapy-in-nonseasonal-depression-a-systematic-review%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review concluded that bright light therapy was an excellent candidate for inclusion in the treatment options available for non-seasonal depression as additional therapy to antidepressant medication. Given the methodological limitations of the included studies and a lack of reporting on the review processes, the authors' conclusions need to be treated with some caution and confirmed in further studies. CRD Commentary: This review had broadly defined inclusion criteria for participants, intervention and study design. The exclusion of studies that did not meet light duration and intensity criteria for SAD may have biased the results. Searching was based on two databases and a range of other sources. Only published mater... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=2802005 Wed, 16 Sep 2009 23:00:00 +0100 2802005 http://www.medworm.com/index.php?rid=2748852&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FHypnosis-for-nausea-and-vomiting-in-cancer-chemotherapy-a-systematic-review-of-the-research-evidence%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: The authors' conclusion that hypnosis could be a clinically valuable treatment for anticipatory and cancer-induced nausea and vomiting is supported by the evidence provided but further high quality studies are required. Incomplete reporting of review methods, differences between studies and small sample sizes, make the reliability of these conclusions difficult to determine.   CRD Commentary: Inclusion criteria for intervention, participants, outcomes and study design were clearly defined. Several relevant sources were searched. Attempts were made to reduce language and publication bias. Methods were used to minimise reviewer errors and bias in the assessment of validity and extraction of data, but it was not clear... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=2748852 Wed, 26 Aug 2009 23:00:00 +0100 2748852 http://www.medworm.com/index.php?rid=2748851&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FA-meta-analysis-of-the-effect-of-soy-protein-supplementation-on-serum-lipids%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review investigated the effect of soy protein supplementation on serum lipids. It concluded that soy protein supplementation lowers total cholesterol, low-density lipoprotein cholesterol and triglycerides, and slightly increases high-density lipoprotein cholesterol. These conclusions are appropriate considering the strength of the evidence.   CRD Commentary: This review addressed a clear research question and searched an appropriate database for relevant studies. The authors did not attempt to identify unpublished studies, which may have introduced publication bias (but the authors did not find evidence of this). The search was also restricted to studies in English, which may have introduced language bias. Stu... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=2748851 Wed, 26 Aug 2009 23:00:00 +0100 2748851 http://www.medworm.com/index.php?rid=2748850&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FEffectiveness-of-Petasites-hybridus-preparations-in-the-prophylaxis-of-migraine-a-systematic-review%2F Source: DARE Area: Evidence > Complementary Medicine CRD Summary: This review assessed the effectiveness of Petasites hybridus in the prophylaxis of migraine. The authors concluded that there is moderate evidence in support of the effectiveness for 3-4 months daily treatment with 150mg Petasites. This conclusion may not be reliable given the small number of identified trials. [All trials contained the proprietary extract Petadolex.] CRD Commentary: The review addressed a clear question and undertook a limited search for publish trials. The search appears to have been restricted to trials within the selected databases searched but no attempt was made to locate unpublished studies, which might have introduced publication bias. Minimal inclusion criteria were applied and the methodologic... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=2748850 Wed, 26 Aug 2009 23:00:00 +0100 2748850 http://www.medworm.com/index.php?rid=2748853&cid=s_38889_8_f&fid=38889&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FComplementary-Medicine%2FGarlic-for-the-common-cold%2F Source: Cochrane Library Area: Evidence > Complementary Medicine Background Garlic is alleged to have antimicrobial and antiviral properties that relieve the common cold, among other beneficial effects. There is widespread usage of garlic supplements. The common cold is associated with significant morbidity and economic consequences. On average, children have six to eight colds per year, and adults have two to four.   Objectives To determine whether garlic (allium sativum) is effective for either the prevention or treatment of the common cold, when compared to placebo, no treatment or other treatments.   Search strategy We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2009, issue 1), which includes the Acute Respiratory Inf... NeLM - Complementary Medicine news http://www.medworm.com/rss/comments.php?id=2748853 Mon, 03 Aug 2009 23:00:00 +0100 2748853