Evidence map›Paper›PMID 39344363›Full record

ArticleThe Korean journal of pain2024

Efficacy and safety of low-dose naltrexone for the management of fibromyalgia: a systematic review and meta-analysis of randomized controlled trials with trial sequential analysis.

Akhil Deepak Vatvani, Pratik Patel, Timotius Ivan Hariyanto, Theo Audi Yanto

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In one paragraph

Article in The Korean journal of pain, 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Akhil Deepak VatvaniDepartment of Medicine, Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Indonesia.ORCID 0009-0004-6795-7189
Pratik PatelDepartment of Medicine, Washington University of Health and Science, Belize, Central America, United States of America.ORCID 0009-0000-0705-937X
Timotius Ivan HariyantoDepartment of Medicine, Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Indonesia.ORCID 0000-0002-1748-9776
Theo Audi YantoDepartment of Internal Medicine, Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Indonesia.ORCID 0000-0002-6939-7144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fibromyalgia is characterized by the presence of chronic widespread pain that may impair patient's quality of life. Currently, the use of naltrexone as a therapeutic agent for fibromyalgia is not supported by enough evidence, especially from randomized controlled trials (RCTs). This study aims to analyze the efficacy and safety of low-dose naltrexone (LDN) for the management of fibromyalgia. Methods: A comprehensive search was conducted on the Scopus, Medline, ClinicalTrials.gov, and Cochrane Library databases up until May 20th, 2024. This review incorporates RCTs that examine the comparison between LDN and placebo in fibromyalgia patients. We employed random-effect models to analyze the odds ratio and mean difference (MD) for presentation of the outcomes. Results: A total of 4 RCTs with 222 fibromyalgia patients were incorporated. The results of our meta-analysis showed a significant reduction in pain scores (MD: -0.86, 95% confidence interval [CI]: -1.20, -0.51, Conclusions: This study suggests the efficacy of LDN in mitigating pain symptoms for fibromyalgia patients with a relatively good safety profile.

Indexed as

AnalgesicsChronic PainFibromyalgiaMeta-AnalysisNaltrexoneOpioidPain ThresholdRheumatologyTherapeutics

Identifiers

PMID39344363
PMCPMC11450306

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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.