Evidence map›Paper›PMID 40817381›Full record

SynthesisScientific reports2025

Effects of open-label placebos across populations and outcomes: an updated systematic review and meta-analysis of randomized controlled trials.

Johannes C Fendel, Carl Tiersch, Paul Sölder, Jens Gaab, Stefan Schmidt

Abstract readSystematic ReviewMeta-Analysis
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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Methodologic challenges of patient reported outcome research: A systematic review of the treatment of cancer related fatigue with open label placebos and the trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Lymphovenous Bypass: Past, Present, and Future.Archives of plastic surgery · 2026
    Article
  7. Effects of prefrontal transcranial direct current stimulation on open-label placebo responses.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. The mind-bending power of placebo.Nature medicine · 2025
    Article
  16. Review
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

5 authors.

Johannes C FendelDepartment of Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Hauptstrasse 8, 79104, Freiburg, Germany.
Carl TierschDivision of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, Basel, Switzerland.
Paul SölderCognition, Action and Sustainability Unit, Department of Psychology, University of Freiburg, Freiburg, Germany.
Jens GaabDivision of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, Basel, Switzerland.
Stefan SchmidtDepartment of Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Hauptstrasse 8, 79104, Freiburg, Germany. stefan.schmidt@uniklinik-freiburg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This work synthesizes and updates findings from previous systematic-reviews and meta-analyses on open-label placebos (OLPs). For the first time, it directly tests whether OLPs differ in effects between clinical and non-clinical samples, and between self-report and objective outcomes. We searched eight databases up to November 9, 2023, and included 60 randomized controlled trials (RCTs), compromising 63 separate comparisons. OLPs yielded a small positive effect across various health-related outcomes (k = 63, n = 4554, SMD = 0.35, CI 95% = 0.26; 0.44, p < 0.0001, I

Indexed as

HumansPlacebo EffectPlacebosRandomized Controlled Trials as TopicSelf ReportTreatment OutcomePlacebosMeta-analysisObjective outcomeOpen-label placeboSystematic-review

Identifiers

PMID40817381
PMCPMC12356945

What OpenQuestion holds

Textmetadata
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.