Evidence map›Paper›PMID 33999006›Full record

ArticleJMIR research protocols2021

Efficacy and Safety of Drug Combinations for Chronic Pelvic Pain: Protocol for a Systematic Review.

Mohammed Mohiuddin, Rex Park, Ursula Wesselmann, Caroline Pukall, Keith Jarvi, Curtis Nickel, Christopher Doiron, Ian Gilron

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 95% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 2 countries.

Mohammed MohiuddinDepartment of Anesthesiology & Perioperative Medicine, Kingston General Hospital, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0002-1825-4661
Rex ParkDepartment of Anesthesiology & Perioperative Medicine, Kingston General Hospital, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0001-5218-8680
Ursula WesselmannDepartments of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Neurology and Psychology, The University of Alabama at Birmingham, Birmingham, AL, United States.ORCID https://orcid.org/0000-0002-2503-5256
Caroline PukallDepartment of Psychology, Centre for Neuroscience Studies, School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0003-1553-6118
Keith JarviDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-6966-9114
Curtis NickelDepartment of Urology, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0002-4865-7293
Christopher DoironDepartment of Urology, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0003-0612-367X
Ian GilronDepartment of Anesthesiology & Perioperative Medicine, Kingston General Hospital, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0002-5293-8792
Queen's University · CAUniversity of Alabama at Birmingham · USUniversity of Toronto · CA

Funding

Mechanisms of VulvodyniaR01HD039699 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WESSELMANN, URSULA · 2001 to 2005
$1.8M
Pain and Interstitial CystitisR01DK066641 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WESSELMANN, URSULA · 2003 to 2007
$1.7M
6 · The paper itself

Abstract

backgroundChronic pelvic pain with various etiologies and mechanisms affects men and women and is a major challenge. Monotherapy is often unsuccessful for chronic pelvic pain, and combinations of different classes of medications are frequently prescribed, with the expectation of improved outcomes. Although a number of combination trials for chronic pelvic pain have been reported, we are not aware of any systematic reviews of the available evidence on combination drug therapy for chronic pelvic pain.

objectiveWe have developed a protocol for a systematic review to evaluate available evidence of the efficacy and safety of drug combinations for chronic pelvic pain.

methodsThis systematic review will involve a detailed search of randomized controlled trials investigating drug combinations to treat chronic pelvic pain in adults. The databases searched will include the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, and EMBASE from their inception until the date the searches are run to identify relevant studies. The primary outcome will be pain relief measured using validated scoring tools. Secondary outcomes, where reported, will include the following: adverse events, serious adverse events, sexual function, quality of life, and depression and anxiety. Methodological quality of each included study will be assessed using the Cochrane Risk of Bias Tool.

resultsThe systematic review defined by this protocol is expected to synthesize available good quality evidence on combination drug therapy in chronic pelvic pain, which may help guide future research and treatment choices for patients and their health care providers.

conclusionsThis review will provide a clearer understanding of the efficacy and safety of combination pharmacological therapy for chronic pelvic pain.

trial registrationPROSPERO International Prospective Register of Systematic Reviews CRD42020192231; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=192231. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/21909.

Indexed as

bladder pain syndromechronic painchronic pelvic painchronic pelvic pain syndromechronic prostatitisclinical studiescombinationcombination therapyCPPSdrugefficacyinterstitial cystitispainpelvisprotocolsafetysystematic reviewtherapytreatment

Identifiers

PMID33999006
PMCPMC8167620
OpenAlexW3153392486

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.