Evidence map›Paper›PMID 40210672›Full record

SynthesisScientific reports2025

A systematic qualitative review of ethical issues in open label placebo in published research.

Mélina Richard, Michael Bernstein, Jens Gaab, Bernice Elger

Abstract readSystematic Review
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. The mind-bending power of placebo.Nature medicine · 2025
    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

4 authors.

Mélina RichardDepartment of Biomedical Engineering, University of Basel, Hegenheimermattweg 167B/C Allschwil, Basel, 4123, Switzerland. melina.richard@unibas.ch.ORCID http://orcid.org/0000-0003-4432-7905
Michael BernsteinWarren Alpert Medical School, Rhode Island Hospital, Brown University, Grads dorm room 215, Providence, RI, 02903, USA.ORCID http://orcid.org/0000-0001-7221-0697
Jens GaabDepartment of Biomedical Engineering, University of Basel, Hegenheimermattweg 167B/C Allschwil, Basel, 4123, Switzerland.ORCID http://orcid.org/0000-0002-9194-8491
Bernice ElgerDepartment of Biomedical Engineering, University of Basel, Hegenheimermattweg 167B/C Allschwil, Basel, 4123, Switzerland.ORCID http://orcid.org/0000-0002-4249-7399

Funding

Harnessing Placebo Analgesia to Address the Opioid EpidemicK01DA048087 · NIDA · RHODE ISLAND HOSPITAL · PI BERNSTEIN, MICHAEL HARRISON · 2019 to 2023
$903k
NIDA NIH HHS K01 DA048087NIDA NIH HHS K01DA048087
6 · The paper itself

Abstract

Open-label placebos (OLPs), which are transparently administered inert treatments, have gained increasing attention in the research community. They have the potential to harness placebo effects without deceiving the patient. The purpose of this study was to examine and synthesize prior research discussing ethical issues in OLPs. A systematic qualitative literature review was conducted (last search on January 2023) across multiple databases (e.g., MEDLINE, Embase, PsycInfo) using keywords related to OLPs. Publications were screened and assessed for eligibility. Seventeen articles explicitly addressing OLP ethics were included. Data were extracted and thematically analyzed following established qualitative content analysis procedures. 37 distinct ethical issues were identified, grouped into five overarching themes: (1) Sociocultural and Contextual Factors, (2) Implementation and Logistics, (3) Informed Consent, (4) Patient Health Behavior and Dynamics, and (5) Therapeutic Relationship. Frequently mentioned concerns focused on uncertainty of OLP efficacy, the need for further research, and complexities of dose-extending OLPs. The effective integration of OLPs into healthcare necessitates thoughtful consideration and responsible communication. This analysis shows that demonstrating the efficacy of OLPs becomes pivotal for their widespread adoption, underscoring the necessity for additional research to validate their effectiveness. This review was pre-registered on January 26th, 2023, in the Open Science Framework Registry under the identifier: DOI https://doi.org/10.17605/OSF.IO/R6NKG .

Indexed as

PlacebosHumansInformed ConsentPlacebo EffectQualitative ResearchPlacebosBioethicsOLPOpen label placebosPlacebo researchSystematic qualitative review

Identifiers

PMID40210672
PMCPMC11986115

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.