Evidence map›Paper›PMID 36986081›Full record

SynthesisNutrients2023

Palmitoylethanolamide in the Treatment of Chronic Pain: A Systematic Review and Meta-Analysis of Double-Blind Randomized Controlled Trials.

Kordula Lang-Illievich, Christoph Klivinyi, Christian Lasser, Connor T A Brenna, Istvan S Szilagyi, Helmar Bornemann-Cimenti

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07609810 (The Effect of Palmitoylethanolamide on the Clinical Outcomes in Ulcerative Colitis Patients), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
13.3field-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.

NCT07609810 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effect of Palmitoylethanolamide on the Clinical Outcomes in Ulcerative Colitis Patients

TypeinterventionalSponsorAin Shams UniversityRan2026 to 2029Enrolled60ConditionsUlcerative Colitis (UC)ArmsPalmitoylethanolamide (PEA), Placebo
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Loss ofiScience · 2026
    Article
  5. Review
  6. Palmitoylethanolamide in Human and Animal Obesity.Molecules (Basel, Switzerland) · 2026
    Review
  7. Natural Molecules for Brain Health and Resilience.International journal of molecular sciences · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. 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

6 authors at 2 institutions in 2 countries.

Kordula Lang-IllievichDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, 8036 Graz, Austria.
Christoph KlivinyiDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, 8036 Graz, Austria.
Christian LasserDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, 8036 Graz, Austria.
Connor T A BrennaDepartment of Anesthesiology & Pain Medicine, University of Toronto, Toronto, ON M5S 1A1, Canada.ORCID 0000-0002-6126-3897
Istvan S SzilagyiDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Department of Psychiatry, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria.
Helmar Bornemann-CimentiDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-1201-3752
Medical University of Graz · ATUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain is a major source of morbidity for which there are limited effective treatments. Palmitoylethanolamide (PEA), a naturally occurring fatty acid amide, has demonstrated utility in the treatment of neuropathic and inflammatory pain. Emerging reports have supported a possible role for its use in the treatment of chronic pain, although this remains controversial. We undertook a systematic review and meta-analysis to examine the efficacy of PEA as an analgesic agent for chronic pain. A systematic literature search was performed, using the databases MEDLINE and Web of Science, to identify double-blind randomized controlled trials comparing PEA to placebo or active comparators in the treatment of chronic pain. All articles were independently screened by two reviewers. The primary outcome was pain intensity scores, for which a meta-analysis was undertaken using a random effects statistical model. Secondary outcomes including quality of life, functional status, and side effects are represented in a narrative synthesis. Our literature search identified 253 unique articles, of which 11 were ultimately included in the narrative synthesis and meta-analysis. Collectively, these articles described a combined sample size of 774 patients. PEA was found to reduce pain scores relative to comparators in a pooled estimate, with a standard mean difference of 1.68 (95% CI 1.05 to 2.31,

Indexed as

Chronic PainAmidesAnalgesicsEthanolaminesHumansPalmitic AcidsQuality of LifeRandomized Controlled Trials as TopicAmidesAnalgesicsEthanolaminespalmidrolPalmitic Acidsanalgesiachronic painImpulsinN-(2hydroxyethyl)-palmitamidePalmidrolpalmitoylethanolamidequality of life

Identifiers

PMID36986081
PMCPMC10053226
OpenAlexW4323848621

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.