Evidence map›Paper›PMID 26768271›Full record

ReviewZeitschrift fur Rheumatologie2016

[DGRh recommendations for the implementation of current security aspects in the NSAID treatment of musculoskeletal pain].

W W Bolten, K Krüger, S Reiter-Niesert, D O Stichtenoth, Kommission Pharmakotherapie der DGRh

Abstract readReview
PubMed Publisher
In one paragraph

Review in Zeitschrift fur Rheumatologie, 2016. 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
1.5field-weighted citation impact, top 17% 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. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. [Coxibs].Zeitschrift fur Rheumatologie · 2016
    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

5 authors at 3 institutions in 1 country.

W W BoltenAbt. Rheumatologie, Klaus Miehlke Klinik, Leibnizstr. 23, 65191, Wiesbaden, Deutschland. wbolten@em.uni-frankfurt.de.
K KrügerPraxiszentrum Rheumatologie, München, Deutschland.
S Reiter-NiesertBundesinstitut für Arzneimittel und Medizinprodukte (BfArM), Bonn, Deutschland.
D O StichtenothInstitut für Klinische Pharmakologie, Med. Hochschule, Hannover, Deutschland.
Kommission Pharmakotherapie der DGRh
Federal Institute for Drugs and Medical Devices · DEMEDIAN Klaus-Miehlke-Klinik Wiesbaden · DEMedizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

NSAIDs exert their anti-inflammatory and analgesic effects by inhibition of COX‑2, a key enzyme for proinflammatory prostanoid synthesis. Therapy with NSAIDs is limited by their typical gastrointestinal, cardiovascular and renal side effects, which are caused by inhibition of COX‑1 (gastrointestinal toxicity), COX‑2 (cardiovascular side effects) or both COX-isoenzymes (renal side effects). Appropriate prevention strategies should be employed in patients at risk. If gastrointestinal risk factors are present, co-administration of a proton pump inhibitor or misoprostol is recommended; in patients with cardiovascular risk, coxibs, diclofenac and high-dose ibuprofen should be avoided. Furthermore, drug interactions and contraindications should be considered. In patients with renal impairment (GFR < 30 ml/min) all NSAIDs must be avoided. Ulcer anamnesis is a contraindication for traditional NSAIDs. Preexisting cardio- or cerebrovascular diseases are contraindications for coxibs. Treatment decisions should be individually based with a continuous monitoring of the risk - benefit ratio and exploitation of non-pharmacological treatment options.

Indexed as

Practice Guidelines as TopicAnti-Inflammatory Agents, Non-SteroidalArthralgiaDose-Response Relationship, DrugDrug Administration ScheduleGastrointestinal HemorrhageGermanyHumansPain MeasurementRheumatologyTreatment OutcomeAnti-Inflammatory Agents, Non-SteroidalContraindicationsDrug safetyInteractionsMusculoskeletal painNon-steroidal anti-inflammatory drugs

Identifiers

PMID26768271
OpenAlexW2401395758

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.