Evidence map›Paper›PMID 21426373›Full record

SynthesisBritish journal of clinical pharmacology2011

Cannabinoids for treatment of chronic non-cancer pain; a systematic review of randomized trials.

Mary E Lynch, Fiona Campbell

4 registry-linked trialsOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 144 papers, 20 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed, 20 pooled it
21.4field-weighted citation impact, top 1% 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.

NCT03210766 completednot on this mapstarted 2014, after this paper: background citation

Nabilone and THC/CBD for the Treatment of FBSS Refractory Pain

TypeobservationalSponsorAzienda Ospedaliera Universitaria Policlinico "G. Martino"Ran2014 to 2016Enrolled20ConditionsFBSSArmsNabilone, THC/CBD
NCT03675971 phase2 / phase3unknown statusnot on this mapstarted 2020, after this paper: background citation

COPE: Cannabinoids to Obviate Pain Experiment After Knee Replacement

TypeinterventionalSponsorUnity Health TorontoRan2020 to 2022Enrolled220ConditionsArthroplasty, Replacement, KneeArmsCannabinol, Placebo oral capsule
NCT04376437 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Kinetics of Endocannabinoids in Patients With Chemotherapy Induced Peripheral Neuropathy by Using a Portable Metered-Dose Cannabis Inhaler

TypeinterventionalSponsorHaEmek Medical Center, IsraelRan2022 to 2023Enrolled40ConditionsChemotherapy-induced Peripheral NeuropathyArmsmedical cannabis
NCT04729179 phase3completednot on this mapstarted 2021, after this paper: background citation

Cannabidiol for Fibromyalgia -The CANNFIB Trial Protocol for a Randomized, Double-blind, Placebo-controlled, Parallel-group, Single-center Trial

TypeinterventionalSponsorMarius HenriksenRan2021 to 2024Enrolled200ConditionsFibromyalgiaArmsCannabidiol, Placebo
3 · Its place in the literature

Who cites it

144 citing papers in PubMed, 20 syntheses or guidelines pooled it, 391 citations in OpenAlex.

  1. Pooled it
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  7. Analgesic Effects of Cannabinoids for Chronic Non-cancer Pain: a Systematic Review and Meta-Analysis with Meta-Regression.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2020
    Pooled it
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  10. Cannabis-based medicines for chronic neuropathic pain in adults.The Cochrane database of systematic reviews · 2018
    Pooled it
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  12. Cannabinoids in Pain Management and Palliative Medicine.Deutsches Arzteblatt international · 2017
    Pooled it
  13. Cannabinoids for fibromyalgia.The Cochrane database of systematic reviews · 2016
    Pooled it
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  18. Cannabinoids for the Treatment of Chronic Non-Cancer Pain: An Updated Systematic Review of Randomized Controlled Trials.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2015
    Pooled it
  19. Guideline
  20. Guideline

84 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 1 country.

Mary E LynchDepartment Anesthesia, Psychiatry, Dalhousie University, Halifax, Canada. mary.lynch@dal.ca
Fiona Campbell
Dalhousie University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effective therapeutic options for patients living with chronic pain are limited. The pain relieving effect of cannabinoids remains unclear. A systematic review of randomized controlled trials (RCTs) examining cannabinoids in the treatment of chronic non-cancer pain was conducted according to the PRISMA statement update on the QUORUM guidelines for reporting systematic reviews that evaluate health care interventions. Cannabinoids studied included smoked cannabis, oromucosal extracts of cannabis based medicine, nabilone, dronabinol and a novel THC analogue. Chronic non-cancer pain conditions included neuropathic pain, fibromyalgia, rheumatoid arthritis, and mixed chronic pain. Overall the quality of trials was excellent. Fifteen of the eighteen trials that met the inclusion criteria demonstrated a significant analgesic effect of cannabinoid as compared with placebo and several reported significant improvements in sleep. There were no serious adverse effects. Adverse effects most commonly reported were generally well tolerated, mild to moderate in severity and led to withdrawal from the studies in only a few cases. Overall there is evidence that cannabinoids are safe and modestly effective in neuropathic pain with preliminary evidence of efficacy in fibromyalgia and rheumatoid arthritis. The context of the need for additional treatments for chronic pain is reviewed. Further large studies of longer duration examining specific cannabinoids in homogeneous populations are required.

Indexed as

Analgesics, Non-NarcoticCannabinoidsChronic PainHumansNeuralgiaRandomized Controlled Trials as TopicAnalgesics, Non-NarcoticCannabinoids

Identifiers

PMID21426373
PMCPMC3243008
OpenAlexW1589884020

What OpenQuestion holds

Textmetadata
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.