Evidence map›Paper›PMID 35459926›Full record

SynthesisNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2022

Opioid-sparing effect of cannabinoids for analgesia: an updated systematic review and meta-analysis of preclinical and clinical studies.

Suzanne Nielsen, Louisa Picco, Bridin Murnion, Bryony Winters, Justin Matheson, Myfanwy Graham, Gabrielle Campbell, Laila Parvaresh, Kok-Eng Khor, Brigid Betz-Stablein and 3 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
12.7field-weighted citation impact, top 1% 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

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Cannabinoids and opioid consumption in cancer pain: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  5. Trial
  6. Medicinal cannabis for symptom control in advanced cancer: a double-blind, placebo-controlled, randomised clinical trial of 1:1 tetrahydrocannabinol and cannabidiol.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  7. Trial
  8. Trial
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  10. Review
  11. Ten-year outcomes of medical cannabis for chronic low back pain: opioid reduction, pain relief, and functional improvement in 1,000 patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    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

13 authors at 7 institutions in 2 countries.

Suzanne NielsenMonash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, VIC, Australia. suzanne.nielsen@monash.edu.
Louisa PiccoMonash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, VIC, Australia.
Bridin MurnionDiscipline of Addiction Medicine, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Bryony WintersPain Management Research Institute, University of Sydney and Royal North Shore Hospital, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-4973-0771
Justin MathesonTranslational Addiction Research Laboratory, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-6248-3704
Myfanwy GrahamThe Australian Centre for Cannabinoid Clinical and Research Excellence (ACRE), Newcastle, NSW, Australia.
Gabrielle CampbellSchool of Health and Behavioural Sciences, University of the Sunshine Coast, Maroochydore, QLD, Australia.
Laila ParvareshDrug and Alcohol Services, South Eastern Sydney Local Health District, Surry Hills, NSW, Australia.
Kok-Eng KhorMedicine and Health, UNSW, Kensington, NSW, Australia.
Brigid Betz-StableinThe University of Queensland Diamantina Institute, The University of Queensland, Dermatology Research Centre, Brisbane, QLD, Australia.
Michael FarrellNational Drug and Alcohol Research Centre, UNSW, Sydney, NSW, Australia.
Nicholas LintzerisDiscipline of Addiction Medicine, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Bernard Le FollTranslational Addiction Research Laboratory, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-6406-4973
The University of Sydney · AUCentre for Addiction and Mental Health · CAEastern Health · AUUNSW Sydney · AUThe University of Queensland · AUUniversity of Newcastle Australia · AUUniversity of the Sunshine Coast · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cannabinoid co-administration may enable reduced opioid doses for analgesia. This updated systematic review on the opioid-sparing effects of cannabinoids considered preclinical and clinical studies where the outcome was analgesia or opioid dose requirements. We searched Scopus, Cochrane Central Registry of Controlled Trials, Medline, and Embase (2016 onwards). Ninety-two studies met the search criteria including 15 ongoing trials. Meta-analysis of seven preclinical studies found the median effective dose (ED

Indexed as

AnalgesiaCannabinoidsChronic PainOpioid-Related DisordersAnalgesics, OpioidHumansMorphineAnalgesics, OpioidCannabinoidsMorphine

Identifiers

PMID35459926
PMCPMC9117273
OpenAlexW4224272751

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.