Evidence map›Paper›PMID 20640926›Full record

ReviewWiener medizinische Wochenschrift (1946)2010

[Polypharmacy and pain treatment].

Markus Gosch, Birgit Böhmdorfer, Ursula Benvenuti-Falger, Peter Dovjak, Bernhard Iglseder, Monika Lechleitner, Ronald Otto, Regina E Roller, Ulrike Sommeregger

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Wiener medizinische Wochenschrift (1946), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. [Analgesics in geriatric patients. Adverse side effects and interactions].Zeitschrift fur Gerontologie und Geriatrie · 2015
    Article
  6. Review
  7. [Pain management in elderly patients].Zeitschrift fur Rheumatologie · 2014
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Markus GoschAbteilung für Innere Medizin und Akutgeriatrie, Landeskrankenhaus Hochzirl, Zirl, Austria. markus.gosch@tilak.at.
Birgit BöhmdorferAnstaltsapotheke, Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhügel, Wien, Austria.
Ursula Benvenuti-FalgerAbteilung für Innere Medizin und Akutgeriatrie, Landeskrankenhaus Hochzirl, Zirl, Austria.
Peter DovjakAbteilung für Akutgeriatrie/Remobilisation, Landeskrankenhaus Gmunden, Gmunden, Austria.
Bernhard IglsederUniversitätsklinik für Geriatrie, Paracelsus Medizinische Privatuniversität, Salzburg, Austria.
Monika LechleitnerAbteilung für Innere Medizin und Akutgeriatrie, Landeskrankenhaus Hochzirl, Zirl, Austria.
Ronald OttoUniversitätsklinik für Innere Medizin, Medizinische Universität Graz, Graz, Austria.
Regina E RollerUniversitätsklinik für Innere Medizin, Medizinische Universität Graz, Graz, Austria.
Ulrike SommereggerAbteilung für Akutgeriatrie, Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhügel, Wien, Austria.
Landeskrankenhaus Feldkirch · ATKlinik Hietzing · ATMedical University of Graz · ATParacelsus Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pain is a frequent symptom in clinical practice. Elderly and chronically ill patients are particularly affected. On account of the high prevalence of polypharmacy among these patients, pharmacological pain therapy becomes a challenge for physicians. Drug side effects and drug-drug interactions have to be taken into account so as to minimize the health risk for these patients. Especially the group of NSAID has a high risk of adverse drug reactions and drug interactions. The gastrointestinal, the cardiovascular, the renal and the coagulation system are particularly affected. Except for the toxic effect on the liver (in a high dose) Paracetamol (acetaminophen) has similar risks, to a minor degree, though. According to current data Metamizol is actually better than its reputation. The risk of potential drug interactions seems to be low. Beside the risk of sedation in combination with other drugs, Tramadol and other opioids such as Pethidin may induce the Serotonin syndrome. In order to avoid dangerous drug interactions and adverse side effects in the case of polypharmacy, it is recommended to prefer individual choices instead of sticking to the pain management as proposed by the WHO.

Indexed as

AgedAged, 80 and overAnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalDrug InteractionsDrug Therapy, CombinationHumansPainRisk FactorsAnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID20640926
OpenAlexW2260790846

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.