Evidence map›Paper›PMID 33505170›Full record

ArticleJournal of pain research2021

Low-Dose Methoxyflurane versus Standard of Care Analgesics for Emergency Trauma Pain: A Systematic Review and Meta-Analysis of Pooled Data.

Andrea Fabbri, Alberto M Borobia, Agnes Ricard-Hibon, Frank Coffey, Aurore Caumont-Prim, François Montestruc, Amedeo Soldi, Susana Traseira Lugilde, Sara Dickerson

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.0field-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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

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

9 authors at 5 institutions in 4 countries.

Andrea FabbriDepartment of Emergency Medicine, Morgagni-Pierantoni Hospital, Forli, Italy.ORCID 0000-0002-9837-4638
Alberto M BorobiaClinical Pharmacology Department, La Paz University Hospital, School of Medicine, Universidad Autónoma de Madrid, IdiPAZ, Madrid, Spain.ORCID 0000-0002-8584-3263
Agnes Ricard-HibonEmergency Department SAMU-SMUR 95, CHG Pontoise-Beaumont/Oise, Pontoise, France.
Frank CoffeyDREEAM: Department of Research and Education in Emergency Medicine, Acute Medicine and Major Trauma, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Aurore Caumont-PrimeXYSTAT, Malakoff, France.
François MontestruceXYSTAT, Malakoff, France.
Amedeo SoldiMundipharma Pharmaceuticals Srl, Milan, Italy.ORCID 0000-0002-4021-4463
Susana Traseira LugildeMundipharma Pharmaceuticals S.L., Madrid, Spain.ORCID 0000-0002-4628-7428
Sara DickersonMundibiopharma Limited, Cambridge, UK.ORCID 0000-0002-9321-1602
BP (France) · FRMundipharma (United Kingdom) · GBNottingham University Hospitals NHS Trust · GBOspedale G.B. Morgagni - L.Pierantoni · ITUniversidad Autónoma de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUndertreatment of trauma-related pain is common in the pre-hospital and hospital settings owing to barriers to the use of traditional standard of care analgesics. Low-dose methoxyflurane is an inhaled non-opioid analgesic with a rapid onset of pain relief that is approved for emergency relief of moderate-to-severe trauma-related pain in adults. This analysis was performed to compare the efficacy and safety of low-dose methoxyflurane with standard of care analgesics in adults with trauma-related pain.

methodsA meta-analysis was performed on pooled data from randomized controlled trials identified via a systematic review. The primary endpoint was the pain intensity difference between baseline and various time intervals (5, 10, 15, 20, and 30 minutes) after initiation of treatment.

resultsThe pain intensity difference was statistically superior with low-dose methoxyflurane compared with standard of care analgesics (overall estimated treatment effect=11.88, 95% CI=9.75-14.00;

conclusionMethoxyflurane can be considered as an alternative to standard of care analgesics in pre-hospital and hospital settings for treatment of adult patients with acute trauma-related pain.

Indexed as

acute painanalgesiaemergency serviceinhaled analgesicpain managementwounds and injury

Identifiers

PMID33505170
PMCPMC7829133
OpenAlexW3125701729

What OpenQuestion holds

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LicenceCC BY-NC
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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.