Evidence map›Paper›PMID 20851058›Full record

ReviewThe journal of pain2011

Combination drug therapy for chronic pain: a call for more clinical studies.

Jianren Mao, Michael S Gold, Miroslav Misha Backonja

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in The journal of pain, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01623271 (Treatment of Complex Regional Pain Syndrome With Once Daily Gastric-Retentive Gabapentin), which is not on this map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
6.3field-weighted citation impact, top 3% 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.

NCT01623271 naterminatednot on this mapstarted 2013, after this paper: background citation

Treatment of Complex Regional Pain Syndrome With Once Daily Gastric-Retentive Gabapentin (Gralise)

TypeinterventionalSponsorMassachusetts General HospitalRan2013 to 2014Enrolled5ConditionsComplex Regional Pain Syndrome I (CRPS I)ArmsGabapentin
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 130 citations in OpenAlex.

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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

3 authors at 3 institutions in 1 country.

Jianren MaoMGHCenter for Translational Pain Research, Department of Anesthesia, Harvard Medical School, Boston, MA 02114, USA. jmao@partners.org
Michael S Gold
Miroslav Misha Backonja
Center for Pain and the Brain · USUniversity of Pittsburgh · USUniversity of Wisconsin–Madison · US

Funding

Translational Research on Prescription Drug AbuseP20DA026002 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI MAROTA, JOHN J. A. · 2008 to 2011
$3.8M
Mechanisms and Treatment of Dental PainR01DE018252 · NIDCR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOLD, MICHAEL S · 2009 to 2013
$2.4M
OPIOID-INDUCED PAIN SENSITIVITY: CLINICAL DIAGNOSIS AND MANAGEMENTR01DA022576 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI MAO, JIANREN · 2006 to 2010
$2.1M
COMORBIDITY BETWEEN DEPRESSION AND OROFACIAL PAINR01DE018538 · NIDCR · MASSACHUSETTS GENERAL HOSPITAL · PI MAO, JIANREN · 2007 to 2011
$2.0M
Central Mechanisms of Orofacial PainR01DE018214 · NIDCR · MASSACHUSETTS GENERAL HOSPITAL · PI MAO, JIANREN · 2008 to 2012
$1.7M
Glutamate Uptake &the Pathogenesis of Neuropathic PainR01NS045681 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI MAO, JIANREN · 2004 to 2007
$1.4M
Inflammation-induced changes in spinal GABA-A receptor signalingR01NS063010 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOLD, MICHAEL S · 2009 to 2011
$1.1M
NIDA NIH HHS P20 DA026002NIDA NIH HHS P20 DA26002NIDA NIH HHS R01 DA022576NIDA NIH HHS R01 DA22576NIDCR NIH HHS R01 DE018214NIDCR NIH HHS R01 DE018252NIDCR NIH HHS R01 DE018538NIDCR NIH HHS R01 DE18214NIDCR NIH HHS R01 DE18538NINDS NIH HHS R01 NS045681NINDS NIH HHS R01 NS063010NINDS NIH HHS R01 NS45681
6 · The paper itself

Abstract

unlabelledChronic pain is a debilitating clinical condition associated with a variety of disease entities including diabetic neuropathy, postherpetic neuralgia, low back pathology, fibromyalgia, and neurological disorders. For many general practitioners and specialists, managing chronic pain has become a daunting challenge. As a modality of multidisciplinary chronic pain management, medications are often prescribed in combinations, an approach referred to as combination drug therapy (CDT). However, many medications for pain therapy, including antidepressants and opioid analgesics, have significant side effects that can compound when used in combination and impact the effectiveness of CDT. To date, clinical practice of CDT for chronic pain has been based largely on clinical experiences. In this article, we will focus on (1) the scientific basis and rationales for CDT, (2) current clinical data on CDT, and (3) the need for more clinical studies to establish a framework for the use of CDT. PERSPECTIVE: More preclinical, clinical, and translational studies are needed to improve the efficacy of combination drug therapy that is an integral part of a comprehensive approach to the management of chronic pain.

Indexed as

AnalgesiaAnalgesicsClinical Trials as TopicDrug Therapy, CombinationHumansIntractable PainAnalgesics

Identifiers

PMID20851058
PMCPMC3006488
OpenAlexW2036288371

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.