Table 1 Characteristics of included meta-analyses on Chinese herbal medicine for cancer palliative care.

From: Effectiveness of Chinese herbal medicine for cancer palliative care: overview of systematic reviews with meta-analyses

First author and year of publication

Included study design

Search period

Cancer site (tumor stage)

No. of studies (No. of patients)

Nature of Chinese herbal medicine (CHM) interventions^

Nature of control interventions

Outcomes reported

Ma, 2004

RCT or quasi-RCT

2003

NSCLC (TNM III–IV)

10 (771)

CHM + chemotherapy (Cisplatin drugs)

Cisplatin drugs chemotherapy alone

QOL

Liu,2009

RCT

Sep. 2007

CRC (NR)

6 (334)

Jianpi CHM + chemotherapy

Chemotherapy alone

Chemotherapy related toxicity, including: leucopenia, nausea and vomiting, neurotoxicity

Wu, 2009a

RCT

Jul. 2008

NSCLC (TNM III–IV)

19 (1380)

Aidi injection + NP chemotherapy

NP chemotherapy alone

chemotherapy related toxicity: leucopenia, nausea and vomiting

Wu, 2009b

RCT

Feb. 2009

Liver cancer (TNM III–IV)

45 (3236)

CHM + TACE

TACE alone

Survival rate

Zhu,2009

RCT or quasi-RCT

Aug. 2008

NSCLC (TNM III–IV)

16 (1041)

KLT+ NP or MVP or GP chemotherapy

NP or MVP or GP chemotherapy alone

QOL

Chen, 2010

RCT

Oct. 2009

NSCLC (NR)

11 (796)

CHM+ MVP or NP chemotherapy

MVP or NP chemotherapy alone

Survival rate

Dong, 2010a

RCT or quasi-RCT

NR

Various (NR)

12 (1230)

Astragalus injection + chemotherapy

Chemotherapy alone

QOL, chemotherapy related toxicity: leucopenia, anemia, thrombocytopenia

Fu, 2010

RCT

Oct. 2009

Various (NR)

24 (4150)

CHM + chemotherapy

Chemotherapy alone or Chemotherapy + placebo

Chemotherapy related toxicity: leucopenia, thrombocytopenia

Guo, 2010

RCT

2009

Liver cancer (NR)

33 (2619)

CHM + TACE

TACE alone or TACE + placebo

QOL

Zhou, 2010

RCT

NR

Gastric cancer (NR)

13 (877)

CHM + chemotherapy

Chemotherapy alone

Survival rate

Dong, 2010b

RCT

Apr. 2010

NSCLC (TNM III–IV)

29 (2062)

SFI + platinum containing chemotherapy

Platinum containing chemotherapy alone

QOL, chemotherapy related toxicity: leucopenia, anemia, thrombocytopenia and nausea and vomiting

Cui, 2011

RCT

Dec. 2010

NSCLC (TNM III–IV)

9 (584)

KS + NP chemotherapy

NP chemotherapy alone

QOL

Ma, 2011a

RCT

Jun. 2010

NSCLC (TNM III–IV)

11 (752)

KS + NP chemotherapy

NP chemotherapy alone

QOL

Ma, 2011b

RCT

Jun. 2010

Liver cancer (NR)

11 (NR)

KS + TACE

TACE alone

QOL, survival rate

Wang, 2011

RCT

Aug. 2010

Gastric cancer (NR)

4 (304)

KLT + chemotherapy

Chemotherapy alone

Survival rate

Qiao, 2011

RCT

Mar. 2010

Nasopharyngeal cancer (TNM I–IV)

9 (795)

Yiqi Yangyin and Qingre Huoxue decoction + radiotherapy

Radiotherapy alone

QOL, survival rate

Zhuang, 2011

RCT or qusai-RCT

Nov. 2010

NSCLC (TNM III–IV)

6 (416)

Kang Ai injection + TP

TP chemotherapy alone

QOL

Guo, 2012

RCT or quasi-RCT

Aug. 2011

CRC (TNM IV)

20 (1304)

CHM + chemotherapy or radiotherapy

Chemotherapy or radiotherapy alone

Survival rate, QOL

Jin, 2012

RCT

Oct. 2011

Various (NR)

5 (373)

Extract of Ganoderma lucidum (chemotherapy or radiotherapy)

Chemotherapy + placebo or chemotherapy alone or radiotherapy+ conventional care

QOL

Yang, 2012

RCT or quasi-RCT

2006

Lung cancer (NR)

10 (853)

CHM* + chemotherapy or radiotherapy or both

Chemotherapy or radiotherapy or both.

Survival rate

Qin, 2012

RCT

Oct. 2011

NSCLC (TNM III–IV)

13 (972)

Kang Ai injection + paclitaxel or gemcitabine or navelbin + platinum containing chemotherapy

Paclitaxel or gemcitabine or navelbin + platinum containing chemotherapy alone

QOL

Cai, 2012

RCT

2011

Gastric cancer (TNM I–IV)

9 (NR)

SFI + chemotherapy

Chemotherapy alone

QOL

Wang, 2012a

RCT or qusai-RCT

2010

CRC (NR)

9 (518)

CHM + chemotherapy

Chemotherapy alone

QOL

Li, 2012a

RCT or quasi-RCT

2011

CRC (NR)

14 (1081)

CHM+ chemotherapy

Chemotherapy alone

Survival rate

Li, 2012b

RCT

Aug. 2011

Liver cancer (NR)

47 (3854)

CHM + TACE

TACE alone

Survival rate, chemotherapy related toxicity: nausea and vomiting

Liu, 2012

RCT

2011

Breast cancer (NR)

6 (NR)

KS + chemotherapy

Chemotherapy alone

QOL

Fan, 2012

RCT

Jun. 2011

Breast cancer (TNM I–IV)

6 (496)

KS + chemotherapy

Chemotherapy alone

QOL

Ma, 2012

RCT

Jun. 2010

NSCLC (TNM III–IV)

8 (696)

KS +TP chemotherapy

TP chemotherapy alone

QOL

Shi, 2012

RCT or quasi-RCT

2010

Gastric cancer (NR)

21 (1178)

CHM + chemotherapy

Chemotherapy alone

Survival rate, Chemotherapy related toxicity: leucopenia, anemia, thrombocytopenia.

Wang, 2012b

RCT

Jun. 2012

Gastric cancer (TNM III–IV)

44 (3088)

CHM + conventional care

Conventional care alone

QOL

Rong, 2012

RCT

Nov. 2011

NSCLC (TNM III–IV)

18 (1108)

CHM + Chemotherapy

Chemotherapy alone

Survival rate

Wang, 2012c

RCT or qusai-RCT

Sep. 2011

Various (NR)

11 (618)

Xiaoaiping injection + chemotherapy

Chemotherapy alone

QOL

Zhang, 2012

RCT

Dec. 2011

Various (TNM II–IV)

16 (1539)

SFI + chemotherapy or radiotherapy

Chemotherapy or radiotherapy alone

QOL

Xu, 2012

RCT or qusai-RCT

NR

Cervical cancer (TNM II–IV)

18 (1657)

CHM + radiotherapy or CHM + radiotherapy + conventional care

Radiotherapy alone or radiotherapy + conventional care

Survival rate

Cheung, 2013

RCT

Oct. 2012

Liver cancer (TNM II–IV)

67 (5211)

CHM + TACE

TACE alone

QOL, survival rate, Chemotherapy related toxicity: nausea and vomiting

Li, 2013

RCT

Sep. 2012

NSCLC (TNM III–IV)

24 (NR)

CHM + chemotherapy

Chemotherapy alone

QOL, survival rate, Chemotherapy related toxicity: nausea and vomiting, leucopenia, anemia and thrombocytopenia.

Xie, 2013

RCT or quasi-RCT

Jan. 2013

Gastric cancer (TNM III–IV)

15 (1008)

Huachansu + chemotherapy

Chemotherapy alone

Survival rate

Du, 2013

RCT

2012

Esophageal cancer (NR)

5 (NR)

KS + chemotherapy or radiotherapy

chemo or radiotherapy or (chemo + radiotherapy) alone

Survival rate

Tian, 2013

RCT

Nov. 2012

NSCLC (NR)

24 (1845)

CHM + chemotherapy or radiotherapy

chemotherapy alone or chemotherapy + radiotherapy

Survival rate

Jiang, 2013

RCT

2013

Liver cancer (NR)

16 (1105)

CHM + TACE

TACE alone

Survival rate

Liu, 2013

RCT or quasi-RCT

2012

NSCLC (NR)

6 (346)

Zilongjin (bailongpian) + chemotherapy

chemotherapy (GP, NP or MVP, MVP) alone

QOL

Xu, 2013

RCT

Oct. 2012

Gastric cancer (NR)

15 (NR)

CHM + Chemotherapy

Chemotherapy alone

Survival rate

Xiao, 2013

RCT

2012

NSCLC (NR)

10 (588)

Xiaoaiping injection + platinum containing chemotherapy

Platinum containing chemotherapy alone

QOL

Su, 2013

RCT or quasi-RCT

Oct. 2012

Various (NR)

82 (NR)

KS + chemotherapy or radiotherapy

Chemotherapy or radiotherapy alone

Survival rate

Yan, 2013

RCT

Feb. 2012

NSCLC (TNM III–IV)

10 (687)

KLT+NP chemotherapy

NP chemotherapy alone

QOL

Sheng, 2013

RCT

2011

NSCLC (NR)

38 (NR)

SFI + chemotherapy (GP or NP or TP or DP)

Chemotherapy (GP or NP or TP or DP) alone

QOL

He, 2013

RCT

Sep. 2012

NSCLC (TNM III–IV)

19 (1110)

Shenfu injection + platinum containing chemotherapy

Platinum containing chemotherapy alone

QOL

Chen, 2014

RCT

Dec. 2012

CRC (TNM IV)

13 (940)

CHM + FOLFOX 4

FOLFOX4 alone

Survival rate, Chemotherapy related toxicity: neutropenia, nausea and vomiting, neurotoxicity, diarrhea, anemia, thrombocytopenia and stomatitis

Xu, 2014

RCT

Dec. 2012

NSCLC (TNM III–IV)

17 (1605)

KLT + chemotherapy

Chemotherapy alone

Chemotherapy related toxicity: nausea and vomiting, leucopenia

Liu, 2014

RCT

Jun. 2012

CRC (TNM IV)

13 (781)

CHM + chemotherapy

Chemotherapy alone

Survival rate

Wang, 2014

RCT

2012

Gastric cancer (TNM III–IV)

10 (1020)

SFI+FOLFOX4

FOLFOX4 alone

QOL

  1. *Included all types of CHM.
  2. ^CHM denotes the inclusion of all types of Chinese herbal medicines. The use of generic terms “chemotherapy” or “radiotherapy” denotes that the specific treatments used were not described in the original meta-analyses publications.
  3. Keys: CHM, Chinese herbal medicine; CRC, colorectal cancer; DP, Docetaxel + Cisplatin; FOLFOX, the FOLFOX regimen refers to 5-Fluorouracil + Leucovorin combined with Oxaliplatin; GP, Gemcitabine + Cisplatin; KLT, Kanglaite injection; KS, Compound Kushen injection; MVP, Mitomycin + Vindesine + Cisplatin; NP, Cisplatin + Vinorelbine; NR, not reported; NSCLC, non-small lung cell cancer; QOL, quality of life; RCT, randomized controlled trial; SFI, Shenqi Fuzheng injection; SR, systematic review; TACE, Transcatheter arterial chemoembolization; TNM, tumor-node-metastasis stage; TP, Paclitaxel + Cisplatin.