Evidence map›Paper›PMID 39201120›Full record

ReviewHealthcare (Basel, Switzerland)2024

The Efficacy of Ketamine for Acute and Chronic Pain in Patients with Cancer: A Systematic Review of Randomized Controlled Trials.

Leila Azari, Homa Hemati, Ronia Tavasolian, Sareh Shahdab, Stephanie M Tomlinson, Margarita Bobonis Babilonia, Jeffrey Huang, Danielle B Tometich, Kea Turner, Kimia Saleh Anaraki and 2 more

Erratum issuedAbstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review of the Interactions Between Anesthetic Agents and Chemotherapeutic Agents in Cancer Cell Lines Studied In Vitro.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Leila AzariMorsani College of Medicine, University of South Florida, Tampa, FL 33602, USA.ORCID 0000-0001-9793-1124
Homa HematiCollege of Pharmacy, Tehran University of Medical Sciences, Tehran 1416753955, Iran.ORCID 0000-0002-8704-2144
Ronia TavasolianDepartment of Clinical Science and Nutrition, University of Chester, Chester CH1 4BJ, UK.
Sareh ShahdabCollege of Pharmacy, Tehran University of Medical Sciences, Tehran 1416753955, Iran.
Stephanie M TomlinsonMorsani College of Medicine, University of South Florida, Tampa, FL 33602, USA.
Margarita Bobonis BabiloniaSupportive Care Medicine Department, Behavioral Medicine Services, Moffitt Cancer Center, Tampa, FL 33612, USA.
Jeffrey HuangDepartment of Anesthesiology, Moffitt Cancer Center, Tampa, FL 33612, USA.ORCID 0000-0002-7478-101X
Danielle B TometichDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL 33612, USA.ORCID 0000-0002-5939-0635
Kea TurnerDepartment of Oncological Sciences, University of South Florida Morsani College of Medicine, Tampa, FL 33602, USA.
Kimia Saleh AnarakiDepartment of Internal Medicine, University of Maryland Capital Region, Largo, MD 20774, USA.
Heather S L JimDepartment of Oncological Sciences, University of South Florida Morsani College of Medicine, Tampa, FL 33602, USA.ORCID 0000-0001-7353-3711
Amir Alishahi TabrizDepartment of Oncological Sciences, University of South Florida Morsani College of Medicine, Tampa, FL 33602, USA.ORCID 0000-0002-6273-9105

Funding

Cancer-related cognitive impairment: Real-time evaluation and assessment of long-term impact of treatment on young adult survivors (CRCI REALITY)R00CA270294 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Danielle Tometich · 2024 to 2026
$747k
NCI NIH HHS R00 CA270294
6 · The paper itself

Abstract

Managing cancer-related pain poses significant challenges, prompting research into alternative approaches such as ketamine. This systematic review aims to analyze and summarize the impact of ketamine as an adjuvant to opioid therapy for cancer-related pain. We conducted a literature review in MEDLINE, EMBASE, and Scopus from 1 January 1982 to 20 October 2023. Abstracts were screened against inclusion criteria, and eligible studies underwent a full-text review. Data was extracted from the included studies, and a framework analysis approach summarized the evidence regarding ketamine's use in patients with cancer. A total of 21 randomized clinical trials were included, and the quality of all the included studies was good or fair. Significant improvements in pain scores and reduced morphine consumption were consistently observed with intravenous ketamine administration for postoperative pain control, particularly when combined with other analgesics such as morphine. Ketamine was less effective when used as an analgesic for chronic pain management, with several studies on neuropathic pain or chemotherapy-induced neuropathy finding minimal significant effect on reduction of pain scores or morphine requirements. The efficacy of ketamine in pain management appears to depend on factors such as dosage, route of administration, and patient population.

Indexed as

cancerketamineoncologypainrefractory cancer pain

Identifiers

PMID39201120
PMCPMC11354190

What OpenQuestion holds

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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.