Evidence map›Paper›PMID 34138827›Full record

ArticlePain2021

International Association for the Study of Pain Presidential Task Force on Cannabis and Cannabinoid Analgesia: research agenda on the use of cannabinoids, cannabis, and cannabis-based medicines for pain management.

Simon Haroutounian, Lars Arendt-Nielsen, Joletta Belton, Fiona M Blyth, Louisa Degenhardt, Marta Di Forti, Christopher Eccleston, David P Finn, Nanna B Finnerup, Emma Fisher and 12 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pain, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07783295 (Evaluation of Bone Turnover Biomarkers, CB2 and TRPV1 Polymorphisms as Potential Preventive Data in Osteoporosis and Perception of Improvement in Quality of Life in Women With Chronic Pain Treated With Medicinal Cannabis), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT07783295 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of Bone Turnover Biomarkers, CB2 and TRPV1 Polymorphisms as Potential Preventive Data in Osteoporosis and Perception of Improvement in Quality of Life in Women With Chronic Pain Treated With Medicinal Cannabis

TypeinterventionalSponsorAssociação Pan-Americana Multidisciplinar de EndocanabinologiaRan2026 to 2027Enrolled80ConditionsChronic Pain, Fibromyalgia, Osteoporosis, Orofacial PainArmsFull-Spectrum Cannabis Extract 5:1 (CBD:THC)
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Trial
  5. Impact of ΔThe Journal of pharmacology and experimental therapeutics · 2026
    Article
  6. Article
  7. Article
  8. Review
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  10. Article
  11. Article
  12. Review
  13. Therapeutic use of medical Cannabis in neurological diseases: a clinical update.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  14. Article
  15. Article
  16. Medicinal cannabis - has it found a place in palliative care?Palliative care and social practice · 2024
    Article
  17. Advances in diagnosis and management of distal sensory polyneuropathies.Journal of neurology, neurosurgery, and psychiatry · 2023
    Review
  18. Review
  19. Article
  20. 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

22 authors at 17 institutions in 8 countries.

Simon HaroutounianDivision of Clinical and Translational Research and Washington University Pain Center, Department of Anesthesiology, Washington University School of Medicine, St Louis, MO, United States.
Lars Arendt-NielsenCenter for Neuroplasticity and Pain (CNAP) and Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, School of Medicine, Aalborg University, Aalborg, Denmark.
Joletta BeltonIASP Global Alliance of Partners for Pain Advocacy task force, Washington DC, United States.
Fiona M BlythSydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.
Louisa DegenhardtNational Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia.
Marta Di FortiSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Christopher EcclestonCentre for Pain Research, The University of Bath, Bath, United Kingdom, Department of Clinical and Health Psychology, The University of Ghent, Ghent, Belgium.
David P FinnPharmacology and Therapeutics, School of Medicine, Galway Neuroscience Centre and Centre for Pain Research, Human Biology Building, National University of Ireland Galway, University Road, Galway, Ireland.
Nanna B FinnerupDanish Pain Research Center, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Emma FisherCentre for Pain Research, The University of Bath, Bath, United Kingdom.
Alexandra E FogartyDepartment of Neurology, Division of Physical Medicine & Rehabilitation, Washington University School of Medicine, St Louis, MO, United States.
Ian GilronDepartments of Anesthesiology & Perioperative Medicine and Biomedical & Molecular Sciences, Kingston Health Sciences Centre and Queen's University, Centre for Neuroscience Studies, Queen's University, School of Policy Studies, Queen's University, Kingston, ON, Canada.
Andrea G HohmannDepartment of Psychological and Brain Sciences, Program in Neuroscience, Gill Center for Biomolecular Science, Indiana University, Bloomington, IN, United States.
Eija KalsoDepartment of Pharmacology and SleepWell Research Programme, University of Helsinki, Department of Anaesthesiology, Intensive Care and Pain Medicine, Helsinki University Hospital Helsinki, Finland.
Elliot KraneDepartments of Anesthesiology, Perioperative, and Pain Medicine, & Pediatrics, Stanford University School of Medicine, Stanford, CA, United States.
Mohammed MohiuddinDepartment of Anesthesiology & Perioperative Medicine and, Queen's University, Kingston, ON, Canada.
R Andrew MooreAppledore, Court Road, Newton Ferrers, Plymouth, United Kingdom.
Michael RowbothamDepartment of Anesthesia, University of California, San Francisco, CA, United States.
Nadia SolimanPain Research, Department of Surgery & Cancer, Faculty of Medicine, Imperial College London, United Kingdom.
Mark WallaceDivision of Pain Medicine, Department of Anesthesiology, University of California, San Diego, CA, United States.
Nantthasorn ZinboonyahgoonThe Department of Anesthesiology, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Andrew S C RicePain Research, Department of Surgery & Cancer, Faculty of Medicine, Imperial College London, United Kingdom.
Imperial College London · GBQueen's University · CAUniversity of Bath · GBWashington University in St. Louis · USAalborg University · DKAarhus University · DKApple (United Kingdom) · GBIndiana University Bloomington · USKing's College London · GBMahidol University · THOllscoil na Gaillimhe – University of Galway · IEStanford University · USUniversity of California, San Diego · USUniversity of California, San Francisco · USUniversity of Helsinki · FIUniversity of Sydney · AUUNSW Sydney · AU

Funding

CB2 Cannabinoid Mechanisms for Suppressing Opioid Tolerance and DependenceR01DA047858 · NIDA · TRUSTEES OF INDIANA UNIVERSITY · PI HOHMANN, ANDREA GRACE, MACKIE, KENNETH · 2019 to 2023
$2.6M
Role of CB2 in Analgesic MechanismsR01DA041229 · NIDA · TRUSTEES OF INDIANA UNIVERSITY · PI HOHMANN, ANDREA GRACE, MACKIE, KENNETH · 2016 to 2020
$1.8M
NOS1AP as a novel target for treating pathological painR01CA200417 · NCI · TRUSTEES OF INDIANA UNIVERSITY · PI COURTNEY, MICHAEL, HOHMANN, ANDREA GRACE · 2016 to 2020
$1.4M
Medical Research Council MR/T007818/1NCI NIH HHS R01 CA200417NIDA NIH HHS R01 DA041229NIDA NIH HHS R01 DA047858
6 · The paper itself

Abstract

abstractThe President of the International Association for the Study of Pain established a task force on cannabis and cannabinoid analgesia to systematically examine the evidence on (1) analgesic pharmacology of cannabinoids and preclinical evidence on their efficacy in animal models of injury-related or pathological persistent pain; (2) the clinical efficacy of cannabis, cannabinoids, and cannabis-based medicines for pain; (3) harms related to long-term use of cannabinoids; as well as (4) societal issues and policy implications related to the use of these compounds for pain management. Here, we summarize key knowledge gaps identified in the task force outputs and propose a research agenda for generating high-quality evidence on the topic. The systematic assessment of preclinical and clinical literature identified gaps in rigor of study design and reporting across the translational spectrum. We provide recommendations to improve the quality, rigor, transparency, and reproducibility of preclinical and clinical research on cannabis and cannabinoids for pain, as well as for the conduct of systematic reviews on the topic. Gaps related to comprehensive understanding of the endocannabinoid system and cannabinoid pharmacology, including pharmacokinetics and drug formulation aspects, are discussed. We outline key areas where high-quality clinical trials with cannabinoids are needed. Remaining important questions about long-term and short-term safety of cannabis and cannabinoids are emphasized. Finally, regulatory, societal, and policy challenges associated with medicinal and nonmedicinal use of cannabis are highlighted, with recommendations for improving patient safety and reducing societal harms in the context of pain management.

Indexed as

AnalgesiaCannabinoidsCannabisAnalgesicsAnimalsHumansPainPain ManagementReproducibility of ResultsSystematic Reviews as TopicAnalgesicsCannabinoids

Identifiers

PMID34138827
PMCPMC8855877
OpenAlexW3138527354

What OpenQuestion holds

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Registered trials

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.