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Table 4 GRADE for quality of evidence profile

From: Chinese herbal medicine for the treatment of primary hypertension: a methodology overview of systematic reviews

Study ID

Outcomes (number of studies)

Risk of bias

Inconsistency

Indirectness

Imprecision

Publication bias

Quality of evidence

Chen 2014 [11]

Overall antihypertensive effect (12)

Seriousa

No serious

No serious

No serious

Strongly suspectedb

Low

Traditional Chinese symptom improved (4)

Seriousa

Seriousc

No serious

No serious

Undetected

Low

Decrease of C-reactive protein (1)

Seriousa

No serious

No serious

Seriousd

Strongly suspectedb

Very low

Decrease of blood lipid (2)

Seriousa

Seriousc

No serious

Seriousd

Undetected

Very low

Decrease of serum uric acid homocysteine (2)

Seriousa

No serious

No serious

Seriousd

Strongly suspectede

Very low

Adverse events (1)

Seriousa

No serious

No serious

Seriousd

Strongly suspectede

Very low

Wang 2012 [12]

Effect of cerebral hemorrhage (6)

Seriousa

No serious

No serious

No serious

Undetected

Moderate

Nervous function defect of cerebral infarction score (8)

Seriousa

Seriousc

No serious

No serious

Undetected

Low

Adverse events (5)

Seriousa

Seriousc

No serious

No serious

Undetected

Low

Guo 2013 [13]

Overall antihypertensive effect (9)

Seriousa

No serious

No serious

No serious

Undetected

Moderate

Zhou 2012 [22]

Overall antihypertensive effect (6)

Seriousa

No serious

No serious

No serious

Undetected

Moderate

Traditional Chinese symptom improved (4)

Seriousa

Seriousc

No serious

No serious

Undetected

Low

safety (5)

Seriousa

Seriousc

No serious

No serious

Undetected

Low

Dong 2011 [23]

Overall antihypertensive effect (6)

Seriousa

No serious

No serious

No serious

Strongly suspectedb

Low

safety (2)

Seriousa

No serious

No serious

Seriousd

Strongly suspectede

Very low

Ren 2006 [24]

Overall antihypertensive effect (11)

Seriousa

No serious

No serious

No serious

Strongly suspectedb

Low

Dai 2010 [25]

Decrease of systolic blood pressure (9)

Seriousa

No serious

No serious

Seriousd

Undetected

Low

Decrease of diastolic blood pressure (9)

Seriousa

No serious

No serious

Seriousd

Undetected

Low

Du 2014 [26]

Relief of hypertensive headache (10)

Seriousa

No serious

No serious

No serious

Strongly suspectedb

Low

Relief of hypertensive dizziness (5)

Seriousa

No serious

No serious

No serious

Strongly suspectedb

Low

Relief of hypertensive insomnia (3)

Seriousa

No serious

No serious

Seriousd

Strongly suspectedb

Very low

Li 2012 [27]

Overall antihypertensive effect (17)

Seriousa

No serious

No serious

No serious

Strongly suspectedb

Low

Traditional Chinese symptom improved (6)

Seriousa

No serious

No serious

No serious

Strongly suspectedb

Low

Changes of pulse pressure (4)

Seriousa

Seriousc

No serious

Seriousd

Undetected

Very low

Xiong 2012 [28]

Decrease of systolic blood pressure (3)

Seriousa

Seriousc

No serious

Seriousd

Undetected

Very low

Decrease of diastolic blood pressure (3)

Seriousa

Seriousc

No serious

Seriousd

Undetected

Very low

Adverse events (4)

Seriousa

No serious

No serious

Seriousd

Undetected

Low

Wang 2013 [29]

Decrease of systolic blood pressure (3)

Seriousa

Seriousc

No serious

No serious

Undetected

Low

Decrease of diastolic blood pressure (3)

Seriousa

Seriousc

No serious

No serious

Undetected

Low

Wu 2013 [30]

Plasma superoxide dismutase increase (3)

Seriousa

No serious

No serious

Seriousd

Undetected

Low

Overall antihypertensive effect (9)

Seriousa

Seriousc

No serious

No serious

Undetected

Low

  1. aUnclear random sequence generation, allocation concealment blinding not done in all studies
  2. bStatistical test for publication bias was underpowered
  3. cI2 >50 %
  4. dInsufficient sample size and wide confidence interval
  5. eIncomplete retrieval for unpublished studies and gray literature