Evidence map›Paper›PMID 34754234›Full record

ArticleJournal of pain research2021

A Comparison of the Clinical Effectiveness Between Low-Dose Strong Opioids and Non-Steroidal Anti-Inflammatory Drugs in the Treatment of Mild Cancer Pain: A Randomized Trial.

Mei-Zuo Liu, Jian Ma, Jun-Dong Li, Jing Sun, Hua Zhou, Shuo Guan, Ying Han, Xia Zhang, Ji-Lai Bian

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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Oxycodone for cancer-related pain.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Review
  3. 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 1 institution in 1 country.

Mei-Zuo LiuDepartment of Oncology, The Fifth People's Hospital of Dalian, Dalian, 116000, People's Republic of China.
Jian MaIntensive Care Unit, The Fifth People's Hospital of Dalian, Dalian, 116000, People's Republic of China.
Jun-Dong LiDepartment of Oncology, The Fifth People's Hospital of Dalian, Dalian, 116000, People's Republic of China.
Jing SunDepartment of Oncology, The Fifth People's Hospital of Dalian, Dalian, 116000, People's Republic of China.
Hua ZhouDepartment of Oncology, The Fifth People's Hospital of Dalian, Dalian, 116000, People's Republic of China.
Shuo GuanDepartment of Oncology, The Fifth People's Hospital of Dalian, Dalian, 116000, People's Republic of China.
Ying HanDepartment of Oncology, The Fifth People's Hospital of Dalian, Dalian, 116000, People's Republic of China.
Xia ZhangMedical Examination Center, The Fifth People's Hospital of Dalian, Dalian, 116000, People's Republic of China.
Ji-Lai BianDepartment of Oncology, The Fifth People's Hospital of Dalian, Dalian, 116000, People's Republic of China.
The Third People's Hospital of Dalian City · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe present study aims to explore the effectiveness and safety of low-dose strong opioids compared with non-steroidal anti-inflammatory drugs (NSAIDs) in the treatment of mild cancer pain.

methodsFrom September 2016 to September 2018, 66 patients with a malignant tumor and mild cancer pain admitted to the Department of Oncology of Dalian Fifth People's Hospital were divided into the group A (treated with ibuprofen sustained-release tablets for pain relief) and the group B (treated with oxycodone hydrochloride sustained-release tablets for pain relief). After 7 days of treatment, the pain relief (Numeric Rating Scale [NRS]), physical strength, quality of life scores (Zubrod/ECOG/WHO [ZPS]), the Edmonton Symptom Assessment System [ESAS], and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core15-Palliative [EORTC QLQ-C15-PAL] scores), and the occurrence of adverse reactions between the two groups were compared. The occurrence of adverse reactions in the mid-term (after one month and three months of treatment) between the two groups were also compared.

resultsBoth groups had over 90% analgesic efficiency, but complete pain relief was more likely to be obtained in the group B (41.18%). The total analgesic efficiency in the group B was higher (100%) than in the group A (98.9%), and the difference was statistically significant (P < 0.05). The differences in the physical strength and quality of life scores in the two groups before and after treatment were statistically significant (P < 0.05). The differences in the ZPS scores between the two groups were statistically significant (P < 0.05). The differences in ESAS and EORTC QLQ-C15-PAL scores between groups were not statistically significant (P > 0.05).

conclusionThe application of low-dose oxycodone hydrochloride sustained-release tablets as the initial medication for patients with mild cancer pain was safe and effective, and the adverse reactions were easy to manage.

Indexed as

clinical effectmild cancer painnon-steroidal anti-inflammatory drugsoxycodone hydrochloride sustained-release tablet

Identifiers

PMID34754234
PMCPMC8570376
OpenAlexW3208027969

What OpenQuestion holds

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LicenceCC BY-NC
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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.