Table 2.
GRADE summary of five randomized controlled trials comparing YXQN granules plus routine treatment with nimodipine tablets plus routine treatment in chronic cerebellar circulation insufficiency.
| Outcomes | Anticipated absolute effects∗ (95% CI) | Relative effect (95% CI) | No. of participants (studies) | Certainty of the evidence (GRADE) | |
|---|---|---|---|---|---|
| Assumed risk: nimodipine tablets plus routine treatment | Corresponding risk: YXQN granules plus routine treatment | ||||
| BA blood flow velocity | The mean BA blood flow velocity in the control groups was 45.37 | The mean BA blood flow velocity in the intervention groups was 3.34-fold higher (2.31- to 4.37-fold higher) | — | 272 (3 RCTs) |
|
| VA blood flow velocity | The mean VA blood flow velocity in the control groups was 40.55 | The mean VA blood flow velocity in the intervention groups was 3.21-fold higher (0.62- to 5.8-fold higher) | — | 352 (4 RCTs) |
|
| ICA blood flow velocity | The mean ICA blood flow velocity in the control groups was 50.7 | The mean ICA blood flow velocity in the intervention groups was 7.46-fold higher (2.01- to 12.9-fold higher) | — | 189 (2 RCTs) |
|
| Clinical efficacy of TCM symptoms | 642 per 1000 | 883 per 1,000 (817–927) | RR 4.21 (2.49 to 7.12) | 386 (5 RCTs) |
|
∗The risk in the intervention group (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: confidence interval; RR: risk ratio. GRADE Working Group grades of evidence: high certainty: we are very confident that the true effect lies close to that of the estimate of the effect; moderate certainty: we are moderately confident in the effect estimate. The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different; low certainty: our confidence in the effect estimate is limited. The true effect may be substantially different from the estimate of the effect; and very low certainty: we have very little confidence in the effect estimate. The true effect is likely to be substantially different from the estimate of the effect. aAccording to the risk-of-bias graph. bTotal number of events was less than 300.