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. 2018 Nov 13;2018(11):CD010559. doi: 10.1002/14651858.CD010559.pub2

Zhu 2017.

Methods Design: parallel RCT
Randomisation method: not reported
Blinding: no
Power calculation: no
Dropouts/withdrawals: no
Participants People with primary liver cancer who were eligible for receiving transarterial chemoembolization (TACE), and were diagnosed with Chinese medicine syndrome of stagnation of liver qi and spleen deficiency
Number (treatment/control): 60 (30/30)
Mean age: 47.84
Gender (M/F): 44/16
Country: Guangxi province, China
Setting: hospital
Interventions Indirect moxa box on ginger + conventional medicine vs conventional medicine
Treatment group
  • Indirect moxa box on ginger

    • Indirect moxa box on ginger was placed on the bilateral acupoints ST36 (zusanli) and KI 1 (yongquan), 30 minutes, once per day

    • Treatment duration: 8 days (1 day before TACE)

  • Conventional treatment

    • Symptomatic treatment

  • TACE


Control group
  • Conventional treatment

    • Symptomatic treatment

  • TACE

Outcomes Qol (EORTC QLQ‐c30) at the end of treatment
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk No relevant description
Incomplete outcome data (attrition bias) 
 All outcomes Low risk There was no loss to follow‐up. All participants were included in the analysis.
Selective reporting (reporting bias) Unclear risk Limited outcome measures were reported.
Other bias Unclear risk Baseline characteristic data were comparable.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No blinding
Blinding of outcome assessment (detection bias) 
 Subjective outcomes High risk No blinding
Blinding of outcome assessment (detection bias) 
 Objective outcomes Unclear risk No objective outcome was reported.

5‐FU: fluorouracil; CD3: lymphocyte count; CD4: T‐helper cell; CD8: cytotoxic T cell; CTCAE: Common Terminology Criteria for Adverse Events; EORTC QLQ‐C30: European Organization for Research and Treatment of Cancer QoL Questionnaire; FACT‐G 4.0: Functional Assessment of Cancer Therapy ‐ General; G‐CSF: granulocyte‐colony stimulating factor; Hb: haemoglobin; Ig: immunoglobulin; im: intramuscular; iv: intravenous; NVB: vinorelbine; PDD: cis‐platinum (II) diamminedichloride; PWB: physical well‐being; QoL: quality of life; RCT: randomised controlled trial; WBC: white blood cells; WHO: World Health Organization.