Evidence map›Paper›PMID 28088231›Full record

Trial reportTrials2017

Efficacy of gabapentin for prevention of postherpetic neuralgia: study protocol for a randomized controlled clinical trial.

Manuel Rullán, Oana Bulilete, Alfonso Leiva, Aina Soler, Antonia Roca, María José González-Bals, Patricia Lorente, Joan Llobera, PHN group

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Shingles in Pregnancy: An Elusive Case of Left Upper Quadrant Abdominal Pain.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2018
    Article
  14. Article
  15. Herpes Zoster in the Older Adult.Infectious disease clinics of North America · 2017
    Review
  16. 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

9 authors at 1 institution in 1 country.

Manuel RullánPollença Health Care Centre, Baleares Health Services (IB-Salut), 07460, Pollença, Spain.
Oana BulileteSon Espases Hospital, Baleares Health Services (IB-Salut), 07010, Palma, Spain.
Alfonso LeivaPrimary Care Research Unit of Mallorca, Baleares Health Services (IB-Salut), 07005, Palma, Spain. aleiva@ibsalut.caib.es.
Aina SolerPrimary Care Research Unit of Mallorca, Baleares Health Services (IB-Salut), 07005, Palma, Spain.
Antonia RocaSon Serra-La Vileta Health Care Centre, Baleares Health Services (IB-Salut), 07013, Palma, Spain.
María José González-BalsManacor Health Care Centre, Baleares Health Services (IB-Salut), 07500, Manacor, Spain.
Patricia LorenteCalvià Health Care Centre, Baleares Health Services (IB-Salut), 07184, Calvià, Spain.
Joan LloberaPrimary Care Research Unit of Mallorca, Baleares Health Services (IB-Salut), 07005, Palma, Spain.
PHN group
Servei de Salut de les Illes Balears · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostherpetic neuralgia (PHN) is a chronic neuropathic pain that results from alterations of the peripheral nervous system in areas affected by the herpes zoster virus. The symptoms include pain, paresthesia, dysesthesia, hyperalgesia, and allodynia. Despite the availability of pharmacological treatments to control these symptoms, no treatments are available to control the underlying pathophysiology responsible for this disabling condition. METHODS/

designPatients with herpes zoster who are at least 50 years old and have a pain score of 4 or higher on a visual analogue scale (VAS) will be recruited. The aim is to recruit 134 patients from the practices of general physicians. Participants will be randomized to receive gabapentin to a maximum of 1800 mg/day for 5 weeks or placebo. Both arms will receive 1000-mg caplets of valacyclovir three times daily for 7 days (initiated within 72 h of the onset of symptoms) and analgesics as needed. The primary outcome measure is the percentage of patients with a VAS pain score of 0 at 12 weeks from rash onset. The secondary outcomes measures are changes in quality of life (measured by the SF-12 questionnaire), sleep disturbance (measured by the Medical Outcomes Study Sleep Scale), and percentage of patients with neuropathic pain (measured by the Douleur Neuropathique in 4 Questions). DISCUSSION: Gabapentin is an anticonvulsant type of analgesic that could prevent the onset of PHN by its antihypersensitivity action in dorsal horn neurons.

trial registrationISRCTN Registry identifier: ISRCTN79871784 . Registered on 2 May 2013.

Indexed as

AcyclovirAminesAnalgesicsAntiviral AgentsClinical ProtocolsCyclohexanecarboxylic AcidsDouble-Blind MethodFemaleGabapentingamma-Aminobutyric AcidHerpes ZosterHumansMaleMiddle AgedNeuralgia, PostherpeticPain MeasurementAcyclovirAminesAnalgesicsAntiviral AgentsCyclohexanecarboxylic AcidsGabapentingamma-Aminobutyric AcidValacyclovirValineGabapentinHerpes zosterPostherpetic neuralgiaPreventionPrimary health care

Identifiers

PMID28088231
PMCPMC5237496
OpenAlexW2577251091

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.