Evidence Report/Technology Assessment Number 20

Garlic: Effects on Cardiovascular Risks and Disease, Protective Effects Against Cancer, and Clinical Adverse Effects

File Inventory


Prepared by:

San Antonio Evidence-based Practice Center based at the University of Texas Health Science Center at San Antonio and the Veterans Evidence-based Research, Dissemination, and Implementation Center, a Veterans Affairs Health Services Research and Development Center of Excellence
Cynthia Mulrow, M.D., M.Sc.
   Program Director
Valerie Lawrence, M.D., M.Sc.
   Principal Investigator
Ronald Ackermann, M.D.
Gilbert Ramirez, Dr.P.H.
Laura Morbidoni, M.D.
Christine Aguilar, M.D., M.P.H.
Jennifer Arterburn, M.T.S.C.
Erick Block, Ph.D.
Elaine Chiquette, Pharm.D.
Christopher Gardener, Ph.D.
Martha Harris, M.L.S., M.A.
Paul Heidenreich, M.D., M.S.
David Mullins
MaryAnn Richardson, Dr.P.H.
Nancy Russell, M.P.H.
Andrew Vickers, M.D.
Veonica Young, Pharm.D.


File Name	Description			Software	Version		File	Size
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01title.doc	Microsoft Word® Document	MS Word®	97 SR-1		27KB	3 pages
Contents: Cover Page, Title Page
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02front.doc	Microsoft Word® Document	MS Word®	97 SR-1		34KB	5 pages
Contents: Preface, Structured Abstract, Table of Contents
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03summ.doc	Microsoft Word® Document	MS Word®	97 SR-1		48KB	6 pages
Contents: Overview, Reporting the Evidence, Methodology, Findings, Limitations, 
Future Research
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04intro.doc	Microsoft Word® Document	MS Word®	97 SR-1		201KB	10 pages
Contents: Chapter 1. Introduction: Scope and Objectives, Origins and Folklore 
of Garlic, Chemistry of Garlic, Figure 1. Chemical profile of garlic, Historical Uses of Garlic, 
Garlic Research Addressing Cardiovascular-Related Factors and Disease, Garlic Research 
Addressing Cancer, Garlic Preparations, Table 1. Historical examples of different preparations 
of garlic, Summary of Challenges in Conducting and Interpreting Garlic Research in Humans, 
Table 2. Summary points about garlic
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05method.doc	Microsoft Word® Document	MS Word®	97 SR-1		172KB	10 pages
Contents: Chapter 2. Methodology: Expert Input, Questions Addressed in Evidence Report, 
Table 3. Questions and selection criteria grouped by search strategies, Literature Search 
and Selection Methods, Table 4. Electronic sources searched, Selection Processes, 
Figure 2. Flow diagram of selection process, Data Abstraction Process, Unpublished Data, 
Data Analysis Process, Sensitivity and Subgroup Analysis, Presentation of Results
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06result.doc	Microsoft Word® Document	MS Word®	97 SR-1		511KB	30 pages
Contents: Chapter 3. Results: Cardiovascular Risks and Disease, 
(Table 5 in separate file)
Figure 3. Galbraith plot of studies with total cholesterol results at 4 to 6 weeks, 
Figure 4. Funnel plot of studies with total cholesterol results at 4 to 6 weeks, 
Figure 5. Galbraith plot of studies with total cholesterol results at 8 to 12 weeks, 
Figure 6. Funnel plot of studies with total cholesterol results at 8 to 12 weeks, 
Figure 7. Galbraith plot of studies with total cholesterol results at 20 to 24 weeks, 
Figure 8. Funnel plot of studies with total cholesterol results at 20 to 24 weeks, 
(Figures 9-12 in separate files)
Associations With Cancer, Adverse Effects of Garlic
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07tbl5.doc	Microsoft Word® Document	MS Word®	97 SR-1		125KB	3 pages
Contents: Contents: Table 5. Characteristics of trials that evaluated standardized 
dehydrated garlic powder preparations (Chapter 3)
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08f9-12.doc	Microsoft Word® Document	MS Word®	97 SR-1		223KB	5 pages
Contents: Figure 9. Forest plot of studies with total cholesterol results at 4 to 6 weeks, 
Figure 10. Forest plot of studies with total cholesterol results at 8 to 12 weeks, 
Figure 11. Forest plot of studies with total cholesterol results at 20 to 24 weeks, 
Figure 12. Forest plot of pooled results of total cholesterol findings at different time periods
(Chapter 3)
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09conclu.doc	Microsoft Word® Document	MS Word®	97 SR-1		31KB	4 pages
Contents: Chapter 4. Conclusions: Garlic and Cardiovascular Disease Summary Points, 
Garlic and Cancer Summary Points, Adverse Effects Summary Points, Limitations
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10future.doc	Microsoft Word® Document	MS Word®	97 SR-1		24KB	2 pages
Contents: Chapter 5. Future Research Directions: Equivalency of Garlic Preparations, 
Proper Placebos, Cardiovascular-Related Effects, Cancer-Related Associations, 
Adverse Effects, Interactions
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11refs.doc	Microsoft Word® Document	MS Word®	97 SR-1		74KB	10 pages
Contents: References
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12etbl1.doc	Microsoft Word® Document	MS Word®	97 SR-1		158KB	5 pages
Contents: Evidence Table 1. Overview of randomized trials with cardiovascular endpoints 
that were 4 weeks or longer in duration and compared garlic with placebo or other therapy
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13etbl2.doc	Microsoft Word® Document	MS Word®	97 SR-1		125KB	3 pages
Contents: Evidence Table 2. Characteristics of trials that evaluated nonstandardized 
garlic preparations
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14etbl3.doc	Microsoft Word® Document	MS Word®	97 SR-1		133KB	5 pages
Contents: Evidence Table 3. Results of trials reporting blood pressure outcomes after 
garlic supplementation
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15etbl4.doc	Microsoft Word® Document	MS Word®	97 SR-1		116KB	2 pages
Contents: Evidence Table 4. Results of trials assessing effect of garlic supplementation 
on serum glucose
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16etbl5.doc	Microsoft Word® Document	MS Word®	97 SR-1		124KB	3 pages
Contents: Evidence Table 5. Reported results from trials assessing the effect of garlic 
supplementation on thrombotic factors
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17etbl6.doc	Microsoft Word® Document	MS Word®	97 SR-1		108KB	2 pages
Contents: Evidence Table 6. Summary of associations between garlic and cancer
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18etbl7.doc	Microsoft Word® Document	MS Word®	97 SR-1		20KB	1 page
Contents: Evidence Table 7. Summary of associations between garlic and precancerous 
conditions
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19etbl8.doc	Microsoft Word® Document	MS Word®	97 SR-1		134KB	8 pages
Contents: Evidence Table 8. Studies addressing protective associations between garlic and cancer
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20etbl9.doc	Microsoft Word® Document	MS Word®	97 SR-1		21KB	1 page
Contents: Evidence Table 9. Summary of adverse effects
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21biblio.doc	Microsoft Word® Document	MS Word®	97 SR-1		184KB	15 pages
Contents: Bibliography
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22appa.doc	Microsoft Word® Document	MS Word®	97 SR-1		345KB	10 pages
Contents: Contents: Appendix A. Supplemental Figures: 
Figure A-1. LDL, 8 to 12 weeks, Galbraith plot
Figure A-2. LDL, 8 to 12 weeks, funnel plot
Figure A-3. LDL, 8 to 12 weeks, forest plot
Figure A-4. HDL, 8 to 12 weeks, Galbraith plot
Figure A-5. HDL, 8 to 12 weeks, funnel plot
Figure A-6. HDL, 8 to 12 weeks, forest plot
Figure A-7. Triglyceride, 8 to 12 weeks, Galbraith plot
Figure A-8. Triglyceride, 8 to 12 weeks, funnel plot
Figure A-9. Triglyceride, 8 to 12 weeks, forest plot
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23appb.doc	Microsoft Word® Document	MS Word®	97 SR-1		37KB	6 pages
Contents: Appendix B. Contributors
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24appc.doc	Microsoft Word® Document	MS Word®	97 SR-1		21KB	2 pages
Contents: Appendix C. Acronyms and Abbreviations
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AHRQ Publication No. 01-E023
Current as of October 2000


Internet Citation:

Garlic: Effects on Cardiovascular Risks and Disease, Protective Effects Against Cancer, and Clinical Adverse Effects. File Inventory, Evidence Report/Technology Assessment Number 20. AHRQ Publication No. 01-E023, October 2000. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/garlcinv.htm


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