Evidence map›Paper›PMID 24959571›Full record

ReviewISRN family medicine2013

Tramadol/Paracetamol fixed-dose combination for chronic pain management in family practice: a clinical review.

Ignacio Morón Merchante, Joseph V Pergolizzi, Mart van de Laar, Hans-Ulrich Mellinghoff, Srinivas Nalamachu, Joanne O'Brien, Serge Perrot, Robert B Raffa

Open access · diamondAbstract readReview
In one paragraph

Review in ISRN family medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact, top 82% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

8 authors at 5 institutions in 3 countries.

Ignacio Morón MerchanteCentro de Salud Universitario Goya, c/O'Donnell 55, 28009 Madrid, Spain.
Joseph V PergolizziJohns Hopkins University, Baltimore, MD 21287, USA ; Association of Chronic Pain Patients, Houston, TX 77515, USA.
Mart van de LaarArthritis Center Twente (MST & UT), P.O. Box 50.000, 7500KA Enschede, The Netherlands.
Hans-Ulrich MellinghoffDepartment of Endocrinology, Diabetology and Osteology, Kantonsspital St. Gallen, 9007 St. Gallen, Switzerland.
Srinivas NalamachuKansas University Medical Center, Kansas City, KS 66160, USA ; International Clinic Research, Overland Park, KS 66210, USA.ORCID 0000-0002-5854-7549
Joanne O'BrienDepartment of Pain Medicine, Beaumont Hospital, Beaumont, Dublin 9, Ireland.
Serge PerrotService de Médecine Interne et Consultation de la Douleur, Hôpital Dieu, 75004 Paris, France.
Robert B RaffaDepartment of Pharmaceutical Sciences, Temple University School of Pharmacy, Philadelphia, PA 19140, USA.
Beaumont Hospital · IEJohns Hopkins University · USKantonsspital St. Gallen · CHTemple University · USUniversity Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The family practitioner plays an important role in the prevention, diagnosis, and early management of chronic pain. He/she is generally the first to be consulted, the one most familiar with the patients and their medical history, and is likely the first to be alerted in case of inadequate pain control or safety and tolerability issues. The family practitioner should therefore be at the center of the multidisciplinary team involved in a patient's pain management. The most frequent indications associated with chronic pain in family practice are of musculoskeletal origin, and the pain is often multimechanistic. Fixed-dose combination analgesics combine compounds with different mechanisms of action; their broader analgesic spectrum and potentially synergistic analgesic efficacy and improved benefit/risk ratio might thus be useful. A pain specialist meeting held in November 2010 agreed that the fixed-dose combination tramadol/paracetamol might be a useful pharmacological option for chronic pain management in family practice. The combination is effective in a variety of pain conditions with generally good tolerability. Particularly in elderly patients, it might be considered as an alternative to conventional analgesics such as NSAIDs, which should be used rarely with caution in this population.

Identifiers

PMID24959571
PMCPMC4041254
OpenAlexW2150999940

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.