Evidence map›Paper›PMID 31485978›Full record

ArticleAdvances in therapy2019

Towards an Effective and Safe Treatment of Inflammatory Pain: A Delphi-Guided Expert Consensus.

Giustino Varrassi, Eli Alon, Michela Bagnasco, Luigi Lanata, Victor Mayoral-Rojals, Antonella Paladini, Joseph V Pergolizzi, Serge Perrot, Carmelo Scarpignato, Thomas Tölle

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Advances in therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 81 citations in OpenAlex.

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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

10 authors at 8 institutions in 5 countries.

Giustino VarrassiPaolo Procacci Foundation, Rome, Italy. giuvarr@gmail.com.ORCID 0000-0002-3822-2923
Eli AlonUniversity of Zurich, Zurich, Switzerland.
Michela BagnascoMedical Affairs Department, Dompé Farmaceutici SpA, Milan, Italy.
Luigi LanataMedical Affairs Department, Dompé Farmaceutici SpA, Milan, Italy.
Victor Mayoral-RojalsUniversity of Belvitge, Barcellona, Spain.
Antonella PaladiniDepartment of MESVA, University of L'Aquila, L'Aquila, Italy.
Joseph V PergolizziNEMA Research Inc, Naples, FL, USA.
Serge PerrotDescartes University and Cochin-Hotel Dieu Hospital, Paris, France.
Carmelo ScarpignatoUniversity of Parma, Parma, Italy.
Thomas TölleUniversity of Munich, Munich, Germany.
Dompé (Italy) · ITBellvitge University Hospital · ESFondazione Roma · ITLudwig-Maximilians-Universität München · DENema Research (United States) · USUniversity of L'Aquila · ITUniversity of Parma · ITUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe clinical management of inflammatory pain requires an optimal balance between effective analgesia and associated safety risks. To date, mechanisms associated with inflammatory pain are not completely understood because of their complex nature and the involvement of both peripheral and central mechanisms. This Expert Consensus document is intended to update clinicians about evolving areas of clinical practice and/or available treatment options for the management of patients with inflammatory pain.

methodAn international group of experts in pain management covering the pharmacology, neurology and rheumatology fields carried out an independent qualitative systematic literature search using MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials.

resultsExisting guidelines for pain management provide recommendations that do not satisfactorily address the complex nature of pain. To achieve optimal outcomes, drug choices should be individualized to guarantee the best match between the characteristics of the patient and the properties of the medication. NSAIDs represent an important prescribing choice in the management of inflammatory pain, and the recent results on paracetamol question its appropriate use in clinical practice, raising the need for re-evaluation of the recommendations in the clinical practice guidelines.

conclusionsIncreasing clinicians' knowledge of the available pharmacologic options to treat different pain mechanisms offers the potential for safe, individualized treatment decisions. We hope that it will help implement the needed changes in the management of inflammatory pain by providing the best strategies and new insights to achieve the ultimate goal of managing the disease and obtaining optimal benefits for patients.

fundingDompé Farmaceutici SPA and Paolo Procacci Foundation.

Indexed as

AcetaminophenAnalgesicsAnti-Inflammatory Agents, Non-SteroidalConsensusHealth Knowledge, Attitudes, PracticeHumansInflammationPainPain ManagementAcetaminophenAnalgesicsAnti-Inflammatory Agents, Non-SteroidalAdjuvant drugsInflammationInflammatory painNeurogenic painNeuroinflammationNSAIDsOpioidsPain

Identifiers

PMID31485978
PMCPMC6822819
OpenAlexW2971901323

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.