Evidence map›Paper›PMID 39487461›Full record

SynthesisBMC urology2024

Metoclopramide for analgesia in renal colic: a narrative systematic review.

Andrew Tabner, Adithan Ganesh, Lucy Hobbs, Nikhil Prasanna Ponna, Matthew J Reed, Apostolos Fakis, Suzanne Toft, Graham Johnson

Abstract readSystematic Review
In one paragraph

Synthesis in BMC urology, 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
–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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Andrew TabnerREMEDY, Emergency Department, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, UK. andrew.tabner@nhs.net.
Adithan GaneshMedical School, University of Nottingham, Queen's Medical Centre, Derby Road, Nottingham, NG7 2UH, UK.
Lucy HobbsMedical School, University of Nottingham, Queen's Medical Centre, Derby Road, Nottingham, NG7 2UH, UK.
Nikhil Prasanna PonnaMedical School, University of Nottingham, Queen's Medical Centre, Derby Road, Nottingham, NG7 2UH, UK.
Matthew J ReedEmergency Medicine Research Group Edinburgh (EMERGE), Royal Infirmary of Edinburgh, Edinburgh, UK.
Apostolos FakisResearch and Development, University Hospitals of Derby and Burton NHS Foundation Trust, Uttoxeter Road, Derby, DE22 3NE, UK.
Suzanne ToftUHDB Library and Knowledge Service, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, UK.
Graham JohnsonREMEDY, Emergency Department, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, UK.

Funding

Derby and Burton Hospitals Charity TI220749
6 · The paper itself

Abstract

Metoclopramide, a prokinetic antiemetic with activity at multiple receptor types, may be a useful treatment for renal colic pain. This review investigated whether metoclopramide is an effective analgesic in the management of adults with renal colic.Eligible studies were randomised, quasi-randomised or case-control trials of metoclopramide for the management renal colic pain. Electronic database searches were performed in November 2022. Screening was performed by two authors independently; disagreement was resolved by discussion or by adjudication by a third author. The Cochrane Collaboration Risk of Bias Tool v2.0 was used to assess bias.Two studies were included, enrolling 279 patients. Heterogeneity of primary outcome measurement and comparators rendered meta-analysis inappropriate; a narrative review is presented. Both studies showed some evidence of analgesic effect. The largest study had a low risk of bias in all assessed domains, whilst the smaller study was at a high risk of bias.There is limited evidence that metoclopramide may be an effective analgesic in the management of renal colic, with the highest quality study demonstrating analgesic properties similar to an intravenous non-steroidal anti-inflammatory medication.Protocol registration Prospero (CRD42022346618).

Indexed as

MetoclopramideRenal ColicHumansMetoclopramideAnalgesiaEmergencyNephrolithiasisPainRenal colicSystematic review

Identifiers

PMID39487461
PMCPMC11529211

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.