Evidence map›Paper›PMID 38508619›Full record

ArticleBMJ open2024

REKOVER study protocol: a pRospective patient treatment rEgistry of tramadol and dexKetoprofen trometamol oral fixed-dose combination (SKUDEXA) in mOderate to seVere acutE pain in Real-world setting in Asia.

Kok Yuen Ho, Bibek Gyanwali, Cesar Dimayuga, Edgar Michael Eufemio, Edwin Bernardo, Gopinathan Raju, Keen Wai Chong, Kritsadakorn Waithayayothin, Leonardo Ona, Marc Anthony L Castro and 8 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Trial
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

18 authors at 10 institutions in 5 countries.

Kok Yuen HoThe Pain Clinic, Mount Alvernia Medical Centre, Singapore hokokyuen@gmail.com.
Bibek GyanwaliMedical Affairs, A Menarini Asia Pacific Holdings Pte Ltd, Singapore.ORCID 0000-0001-7812-7018
Cesar DimayugaDepartment of Orthopedics, The Medical City, Pasig City, Philippines.
Edgar Michael EufemioSports Medicine Institute, Cardinal Santos Medical Center, San Juan, Philippines.
Edwin BernardoDepartment of General Surgery, The Medical City, Pasig City, Philippines.
Gopinathan RajuPain Care Center, Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Keen Wai ChongBJIOS Orthopaedics, Singapore.
Kritsadakorn WaithayayothinDepartment of Surgery, Ananda Mahidol Hospital, Bangkok, Thailand.
Leonardo OnaDepartment of Surgery, Adventist Medical Center Manila, Manila, Philippines.
Marc Anthony L CastroDepartment of Orthopedic, Philippine Orthopedics Institute, Quezon City, Philippines.
Passakorn SawaddirukDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Roehl C SalvadorDepartment of General Surgery, Manila Doctors Hospital, Manila, Philippines.
Sharifah Ahmad RoohiHand & Upper Limb Centre, Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Suwimon TangwiwatDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Vajara WilairatanaDepartment of Orthopedic, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Zhi Hao OonDepartment of Anaesthesia, National University Hospital, Singapore.
Ankur GuptaMedical Affairs, A Menarini Asia Pacific Holdings Pte Ltd, Singapore.
Dinesh NagraleMedical Affairs, A Menarini Asia Pacific Holdings Pte Ltd, Singapore.
MOH Holdings · SGHospital Kuala Lumpur · MYUniversity of Asia and the Pacific · PHChiang Mai University · THKing Chulalongkorn Memorial Hospital · THMahidol University · THMount Elizabeth Hospital · SGNational University Hospital · SGPhilippine General Hospital · PHSiriraj Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSatisfactory management of acute pain remains a major medical challenge despite the availability of multiple therapeutic options including the fixed-dose combination (FDC) drugs. Tramadol and dexketoprofen trometamol (TRAM/DKP) 75/25 mg FDC was launched in 2018 in Asia and is widely used in the management of moderate to severe acute pain. There are limited data on its effectiveness and safety in Asian patients, and therefore, a need to better understand its usage patterns in clinical practice. We aim to understand the usage pattern of TRAM/DKP FDC, its effectiveness and tolerability in patients with moderate to severe acute pain in Asia. METHODS AND ANALYSIS: REKOVER is a phase-IV, multicountry, multicentre, prospective, real-world observational study. A total of 750 postsurgical and non-surgical patients (male and female, aged 18-80 years) will be recruited from 13 tertiary-care hospitals (15 sites) in Singapore, Thailand, the Philippines and Malaysia. All patients prescribed with TRAM/DKP FDC and willing to participate in the study will be enrolled. The recruitment duration for each site will be 6 months. The severity of pain will be collected using Numeric Pain Rating Scale through the treatment period from day 1 to day 5, while satisfaction with the treatment will be evaluated using Patient Global Evaluation Scale at the end of treatment. Any adverse event reported during the study duration will be recorded for safety analysis (up to day 6). The study data will be entered into the ClaimIt portal and mobile application (app) (ObvioHealth, USA). All the inpatient data will be entered into the portal by the study site and for outpatient it will be done by patients through an app. ETHICS AND DISSEMINATION: The study has been approved by the local ethics committee from each study sites in Singapore, Thailand, the Philippines and Malaysia. Findings will be disseminated through local and global conference presentations, publications in peer-reviewed scientific journals and continuing medical education.

Indexed as

Acute PainTramadolTromethamineDouble-Blind MethodDrug CombinationsFemaleHumansKetoprofenMaleObservational Studies as TopicPostoperative PainProspective StudiesRegistriesThailanddexketoprofen trometamolDrug CombinationsKetoprofenTramadoltramadol, dexketoprofen drug combinationTromethamineFollow-Up StudiesPain managementPAIN MANAGEMENT

Identifiers

PMID38508619
PMCPMC10952884
OpenAlexW4393011527

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.