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PapersPMID:25335553

Astragalus (a traditional Chinese medicine) for treating chronic kidney disease.

The Cochrane database of systematic reviews2014The record ↗

findings
4
compound
1
endpoints
4
PMID:25335553
  1. Finding, very limited evidenceraisesBlood haemoglobin concentration
  2. Finding, very limited evidenceraisesSerum albumin
  3. Finding, very limited evidencelowersSystolic blood pressure
  4. Finding, very limited evidencelowersDiastolic blood pressure
Study, every finding
meta-analysis
  • “Astragalus significantly decreased 24 hour proteinuria at end of treatment (10 studies, 640 participants; MD -0.53 g/24 h, 95% CI -0.79 to -0.26; I² = 90%); significantly increased haemoglobin levels overall (4 studies, 222 participants): MD 9.51 g/L, 95% CI 4.90 to 14.11; I² = 0%) and in haemodialysis patients in particular (3 studies, 142 participants: MD 11.20 g/L, 95% CI 5.81 to 16.59; I² = 0%).”
    Participants
    222
    Effect
    9.51 mean difference, 95% CI 4.9 to 14.11
    Population
    People with chronic kidney disease, overall pooled estimate of four trials (the haemodialysis subgroup is reported separately); astragalus against placebo, no treatment or conventional interventions
  • “Astragalus significantly increased serum albumin (9 studies, 522 participants: MD 3.55 g/L, 95% CI 2.33 to 4.78; I² = 65%).”
    Participants
    522
    Effect
    3.55 mean difference, 95% CI 2.33 to 4.78
    Population
    People with chronic kidney disease, dialysis and non-dialysis; pooled randomised and quasi-randomised trials of astragalus against placebo, no treatment or conventional interventions
  • “Astragalus significantly decreased systolic blood pressure (2 studies, 77 participants: MD -16.65 mm Hg, 95% CI -28.83 to -4.47; I² = 50%), and diastolic blood pressure (2 studies, 77 participants: MD -6.02 mm Hg, 95% CI -10.59 to -1.46; I² = 0%).”
    • Participants
      77
      Effect
      −16.65 mean difference, 95% CI −28.83 to −4.47
      Population
      People with chronic kidney disease; two pooled trials; astragalus against placebo, no treatment or conventional interventions
    • Participants
      77
      Effect
      −6.02 mean difference, 95% CI −10.59 to −1.46
      Population
      People with chronic kidney disease; two pooled trials; astragalus against placebo, no treatment or conventional interventions

Study record

Design
meta-analysis
Species
human
Population
People with chronic kidney disease, of whom 241 were receiving dialysis treatment, in 22 RCTs and quasi-RCTs
Participants
1,323
Comparator
no treatment / not stated in the paper
Duration
not reported
Endpoints measured
11