Evidence map›Paper›PMID 22447886›Full record

SynthesisRheumatology (Oxford, England)2012

Multinational evidence-based recommendations for pain management by pharmacotherapy in inflammatory arthritis: integrating systematic literature research and expert opinion of a broad panel of rheumatologists in the 3e Initiative.

Samuel L Whittle, Alexandra N Colebatch, Rachelle Buchbinder, Christopher J Edwards, Karen Adams, Matthias Englbrecht, Glen Hazlewood, Jonathan L Marks, Helga Radner, Sofia Ramiro and 21 more

Open access · bronzeAbstract readConsensus StatementMulticenter StudySystematic Review
In one paragraph

Synthesis in Rheumatology (Oxford, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
10.2field-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.

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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  20. Rheumatoid Arthritis: A Brief Overview of the Treatment.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2018
    Review
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

31 authors at 20 institutions in 15 countries.

Samuel L WhittleRheumatology Unit, The Queen Elizabeth Hospital, Woodville South, South Australia 5011, Adelaide, Australia. sam@whit.tl
Alexandra N Colebatch
Rachelle Buchbinder
Christopher J Edwards
Karen Adams
Matthias Englbrecht
Glen Hazlewood
Jonathan L Marks
Helga Radner
Sofia Ramiro
Bethan L Richards
Ingo H Tarner
Daniel Aletaha
Claire Bombardier
Robert B Landewé
Ulf Müller-Ladner
Johannes W J Bijlsma
Jaime C Branco
Vivian P Bykerk
Geraldo da Rocha Castelar Pinheiro
Anca I Catrina
Pekka Hannonen
Patrick Kiely
Burkhard Leeb
Elisabeth Lie
Píndaro Martinez-Osuna
Carlomaurizio Montecucco
Mikkel Ostergaard
Rene Westhovens
Jane Zochling
Désirée van der Heijde
University Hospital Southampton NHS Foundation Trust · GBAcademic Medical Center · NLMedical University of Vienna · ATUniversity of Giessen · DEUniversity of Toronto · CACentral Finland Health Care District · FIDiakonhjemmet Hospital · NOHospital Universitário Pedro Ernesto · BRKarolinska Institutet · SEKU Leuven · BELeiden University · NLPoliclinico San Matteo Fondazione · ITQueen Elizabeth Hospital · AURigshospitalet · DKRoyal Prince Alfred Hospital · AUSinai Hospital · USState Hospital · GBThe Alfred Hospital · AUUniversidade Nova de Lisboa · PTUniversité Laval · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop evidence-based recommendations for pain management by pharmacotherapy in patients with inflammatory arthritis (IA).

methodsA total of 453 rheumatologists from 17 countries participated in the 2010 3e (Evidence, Expertise, Exchange) Initiative. Using a formal voting process, 89 rheumatologists representing all 17 countries selected 10 clinical questions regarding the use of pain medications in IA. Bibliographic fellows undertook a systematic literature review for each question, using MEDLINE, EMBASE, Cochrane CENTRAL and 2008-09 European League Against Rheumatism (EULAR)/ACR abstracts. Relevant studies were retrieved for data extraction and quality assessment. Rheumatologists from each country used this evidence to develop a set of national recommendations. Multinational recommendations were then formulated and assessed for agreement and the potential impact on clinical practice.

resultsA total of 49,242 references were identified, from which 167 studies were included in the systematic reviews. One clinical question regarding different comorbidities was divided into two separate reviews, resulting in 11 recommendations in total. Oxford levels of evidence were applied to each recommendation. The recommendations related to the efficacy and safety of various analgesic medications, pain measurement scales and pain management in the pre-conception period, pregnancy and lactation. Finally, an algorithm for the pharmacological management of pain in IA was developed. Twenty per cent of rheumatologists reported that the algorithm would change their practice, and 75% felt the algorithm was in accordance with their current practice.

conclusionsEleven evidence-based recommendations on the management of pain by pharmacotherapy in IA were developed. They are supported by a large panel of rheumatologists from 17 countries, thus enhancing their utility in clinical practice.

Indexed as

Pain ManagementAlgorithmsAnalgesicsArthritisEvidence-Based MedicineFemaleHumansPainPregnancyTreatment OutcomeAnalgesics

Identifiers

PMID22447886
PMCPMC3397467
OpenAlexW2139115936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.