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Table 2 Summary of all outcomes within included systematic reviews and meta-analyses

From: Efficacy and safety of Tripterygium wilfordii polyglycosides for diabetic kidney disease: an overview of systematic reviews and meta-analyses

Study ID

Comparison

Experimental group (TWP regimen)

Control group

Subgroups

UTP

SCR

GFR

AALB

ALT

WBC

AEs

Overall qualitya

Wu W. H. 2010 [12]

TWP+Ctrl vs Ctrl; TWP+RASi vs Ctrl

20/30/40 mg tid; 1–2 mg/kg/d; with tapering (partial studies)

Conventional therapy (or plus CTPM)

Stage of DKD

↓

ND

NR

NR

NR

NR

NR

Critically low

Xie H. Y. 2012 [25]

TWP+Ctrl vs Ctrl

NR

Conventional therapy

No

↓

↓

NR

↑

↑

↓

NR

Critically low

Chen Y. 2013 [27]

TWP+Ctrl vs Ctrl

10/20 mg tid; 1 mg·kg/d; 20/30/40 mg qd

Conventional therapy (or plus RASi/CTPM)

No

↓

ND

NR

↑b

NR

NR

↑

Critically low

Huang J. 2015 [28]

TWP+RASi vs RASi

20 mg tid; 1 mg·kg/d; with tapering (partial studies)

RASi

Follow-up; proteinuria

↓

ND

NR

↑

NR

NR

↑

Low

Luo J. J. 2016 [19]

NR

NR

NR

NR

↓

ND

ND

NR

NR

NR

NR

Critically low

Liang X. H. 2016 [22]

TWP+Ctrl vs Ctrl

NR

Conventional therapy

No

↓

↓

NR

↑

NR

NR

NR

Critically low

Liao Z. M. 2016 [20]

TWP+Ctrl vs Ctrl

TWP vs ACEI

10/20/40 mg tid; 20/30/40 mg qd; 1 mg·kg/d

Conventional therapy (or plus RASi/CTPM)

No

↓

↓

NR

↑b

NR

NR

↑

Critically low

Hong Y. 2016 [24]

TWP+Ctrl vs Ctrl

20 mg tid; 1 mg·kg/d

ACEI/ARB

No

↓

↓

NR

NR

NR

NR

↑

Critically low

Dai X. Y. 2018 [29]

TWP+Ctrl vs Ctrl

TWP+TCM+Ctrl vs Ctrl

NR

Conventional therapy (or plus RASi/CTPM)

No

NR

ND

NR

↑b

NR

NR

↑

Low

Liu K. 2019 [21]

TWP+Ctrl vs Ctrl

20/30 mg/0.3~0.5 mg·kg tid; 1 mg·kg/d; 60–90 mg/d

bid-tid

ACEI/ARB

No

↓

↓

NR

NR

NR

NR

↑

Critically low

Zhu G. S. 2019 [26]

TWP vs Ctrl

20 mg tid; 1~2 mg·kg/d

ACEI/ARB

Follow-up

↓

ND

NR

NR

NR

NR

ND

Low

Ren D. J. 2019 [23]

TWP+Ctrl vs Ctrl

10~40 mg tid; 20/30 mg bid; 0.5~2 mg·kg/d

ACEI/ARB

Multiple subgroups

↓

ND

NR

↑

NR

NR

↑

Critically low

Ye W. C. 2019 [30]

TWP+Ctrl vs Ctrl

20~180 mg/d

Valsartan

Multiple subgroups

↓

ND

ND

↑

NR

NR

↑

Low

Wang Y. 2020 [17]

TWP+Ctrl vs Ctrl

10~40 mg tid; 0.75~2 mg·kg/d; with tapering (partial studies)

ARB

Follow-up

↓

ND

ND

↑

↑

ND

↑

Moderate

Chen H. 2020 [14]

TWP+Ctrl vs Ctrl

TWP+ACEI/ARB vs Ctrl

20/40 mg tid; 1 mg·kg/d; with tapering (partial studies)

Conventional therapy (or plus RASi/CTPM)

No

NR

NR

NR

NR

↑

↓

ND

Critically low

Fang L. 2020 [15]

TWP+Ctrl vs Ctrl

TWP vs Ctrl

10~60 mg tid; 1~1.5 mg·kg/d

Conventional therapy (ACEI/ARB or CTPM)

No

↓

NR

↑

NR

NR

NR

↑

Low

Zhang M. J. 2020 [13]

TWP+Ctrl vs Ctrl

TWP vs Ctrl

10/20/40 mg tid; 20/30/40 mg qd; 0.5/1 mg·kg/d; with tapering (partial studies)

Conventional therapy

(ACEI/ARB or CTPM)

Dosage regimen

↓

↓

NR

↑

ND

ND

↑

Moderate

Fang J. Y. 2020 [18]

TWP+Ctrl vs Ctrl

40–80 mg qd; 30 mg bid; 10–20 mg tid; 0.3~0.5 mg·kg

bid/tid; 1~2 mg·kg/d tid

ACEI/ARB

Follow-up

↓

↓

NR

NR

NR

NR

ND

Low

Wu X. 2020 [16]

TWP+Ctrl vs Ctrl

10/30/40 mg tid; 0.3~0.5 mg·kg tid; 1 mg·kg/d

ARB

Follow-up

↓

↓

NR

↑

NR

NR

NR

Low

  1. RASi renin angiotensin system inhibitor, ACEI/ARB angiotensin-converting enzyme inhibitor/angiotensin II receptor blockade, CTPM Chinese Traditional Patent Medicine, Ctrl control, 24-h UTP 24-h urinary protein, SCR serum creatinine, eGFR estimated glomerular filtration rate, ALB serum albumin, AE adverse events, NR not reported. ↑Increased with significant difference; ↓decreased with significant difference; ND no significant difference, overall qualitya quality assessment based on AMSTAR-2 statement. bThe results were confirmed by the figures in the publication instead of the conclusion from the abstract