Evidence map›Paper›PMID 31535328›Full record

ArticleAdvances in therapy2019

Expert Consensus on Clinical Use of an Orally Administered Dexketoprofen Plus Tramadol Fixed-Dose Combination in Moderate-To-Severe Acute Pain: A Delphi Study.

Giustino Varrassi, Stefano Coaccioli, Josè De-Andrés, Magdi Hanna, Giorgos Macheras, Antonio Montero, Serge Perrot, Vincenzo Piras, Carmelo Scarpignato

Abstract 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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  6. Article
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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

9 authors.

Giustino VarrassiPaolo Procacci Foundation, Rome, Italy. giuvarr@gmail.com.
Stefano CoaccioliDepartment of Internal Medicine, University of Perugia, Terni, Italy.
Josè De-AndrésDepartment of Anesthesiology Critical Care and Pain Management, General University Hospital, Valencia, Spain.
Magdi HannaAnalgesics & Pain Research Ltd, Beckenham, UK.
Giorgos MacherasFourth Department of Trauma and Orthopaedics, KAT Hospital, Athens, Greece.
Antonio MonteroAnaesthesiology and Surgery Department, Hospital Arnau de Vilanova, Lleida, Spain.
Serge PerrotPain Center, Hôpital Cochin, Paris Descartes University, Paris, France.
Vincenzo PirasDepartment of Surgical Science, University of Cagliari, Cagliari, Italy.
Carmelo ScarpignatoDepartment of Clinical and Experimental Medicine, University of Parma, Parma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn 2016, the orally administered fixed-dose combination of dexketoprofen 25 mg and tramadol 75 mg (DKP/TRAM FDC) was approved in Europe for short-term treatment of moderate-to-severe acute pain, an indication that encompasses a wide range of post-operative and non-surgical painful conditions. This has suggested the necessity to have a clearer indication on its clinical use, with the support of expert pain clinicians, working in different medical specialities, and reinforced by the data present in the literature.

methodsWith the aim of assisting clinicians in the use of DKP/TRAM FDC in daily practice, two rounds of a modified Delphi process were conducted. In the first round, a board of nine experts developed a series of consensus statements based on available evidence, and their clinical experience, with DKP/TRAM FDC. In the second round, 75 clinicians with extensive experience in pain management expressed individually their agreement with the statements, using a dedicated online platform. Consensus was defined as at least 70% agreement.

resultsTwenty-eight statements were developed. Of these, 19 reached the defined level of consensus.

conclusionThe agreed consensus statements may assist clinicians in applying the results of clinical studies and clinical experience to routine care settings, providing guidance for use of this new analgesic combination in moderate-to-severe post-operative and non-surgical acute pain.

fundingMenarini Group.

Indexed as

Acute PainAdultAgedAged, 80 and overAnalgesics, OpioidDelphi TechniqueEuropeFemaleGuidelines as TopicHumansKetoprofenMaleMiddle AgedPain ManagementTramadolAnalgesics, OpioidKetoprofenTramadolAcute painDelphi techniqueDexketoprofenExpert opinionFixed-dose combinationInflammatory painModerate-to-severe painPain managementTramadol

Identifiers

PMID31535328
PMCPMC6822787

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Registered trials

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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.