Evidence map›Paper›PMID 36655316›Full record

SynthesisDeutsches Arzteblatt international2023

Analgesic Use in Sports.

Dieter Leyk, Thomas Rüther, Nadine Hartmann, Emanuel Vits, Markus Staudt, Manuela Andrea Hoffmann

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Deutsches Arzteblatt international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Unlocking Performance: Pharmacogenomic Insights for Athletes.Sports medicine international open · 2026
    Review
  2. Article
  3. Painkiller use in amateur football: high prevalence, but limited misuse.BMC sports science, medicine & rehabilitation · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Menstrual Cramps as a Reason.Deutsches Arzteblatt international · 2023
    Article
  9. In Reply.Deutsches Arzteblatt international · 2023
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Dieter LeykGerman Sport University Cologne, Research Group Epidemiology of Performance, Cologne; University of Koblenz; Bundeswehr Institute for Preventive Medicine, Division A Applied Health Promotion, Andernach; Bundeswehrzentralkrankenhaus Koblenz, Department of Anesthesiology and Intensive Care, Koblenz; University Medical Center of the Johannes Gutenberg University Mainz.
Thomas Rüther
Nadine Hartmann
Emanuel Vits
Markus Staudt
Manuela Andrea Hoffmann
Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsumption of medication to alleviate pain is widespread in Germany. Around 1.9 million men and women take analgesics every day; some 1.6 million persons are addicted to painkillers. Analgesic use is thought also to be common in sports, even in the absence of pain. The aim of this study was to assess the extent of painkiller use among athletes.

methodsIn line with the PRISMA criteria and the modified PICO(S) criteria, a systematic literature review was registered (Openscienceframework, https://doi. org/10.17605/OSF.IO/VQ94D) and carried out in PubMed and SURF. The publications identified (25 survey studies, 12 analyses of doping control forms, 18 reviews) were evaluated in standardized manner using the Newcastle Ottawa Scale (NOS) and AMSTAR (A MeaSurement Tool to Assess systematic Reviews).

resultsAnalgesic use is widespread in elite sports. The prevalence varies between 2.8% (professional tennis) and 54.2% (professional soccer). Pain medication is also taken prophylactically in the absence of symptoms in some non-elite competitive sports. In the heterogeneous field of amateur sports the data are sparse and there is no reliable evidence of wide-reaching consumption of painkillers. Among endurance athletes, 2.1% of over 50 000 persons stated that they used analgesics at least once each month in connection with sports.

conclusionAnalgesic use has become a problem in many areas of professional/ competitive sports, while the consumption of pain medication apparently remains rare in amateur sports. In view of the increasing harmful use of or even addiction to painkillers in society as a whole, there is a need for better education and, above all, restrictions on advertising.

Indexed as

SoccerSportsAnalgesicsAthletesFemaleHumansMalePainAnalgesics

Identifiers

PMID36655316
PMCPMC10201949
OpenAlexW4317475218

What OpenQuestion holds

Textmetadata
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.