Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

72 questions · 85 findings · 13 reviews · Pain, Palliative and Supportive Care

No studies found 11 · 12.9%GRADE not reported 0 · 0%Very low 32 · 37.6%Low 33 · 38.8%Moderate 9 · 10.6%High 0 · 0%

Ibuprofen vs morphine

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · children with acute postoperative pain

The review found no eligible studies for this question.

2 findings from 1 review

Ibuprofen vs morphine

Adverse events (reported in the first 7 days after the procedure) · children with acute postoperative pain

Ibuprofen probably leads to lower adverse events (reported in the first 7 days after the procedure) compared with morphine (moderate certainty).

1 finding from 1 review

Ibuprofen vs morphine

Serious adverse events, defined as any medical event at any dose that results in death, is life‐threatening, requires hospitalisation (or prolongation of existing hospitalisation) or results in permanent damage or disability (FDA 2016) · children with acute postoperative pain

The review found no eligible studies for this question.

1 finding from 1 review

CR oxycodone vs CR morphine

Constipation · adults with cancer‐related pain

It is very uncertain whether CR oxycodone changes constipation ‐ only English language studies (Event rate during… compared with CR morphine (very low certainty).

2 findings from 1 review

CR oxycodone vs CR morphine

Drowsiness/somnolence (Event rate during treatment, length of treatment varied across trials) · adults with cancer‐related pain

CR oxycodone showed no clear difference in drowsiness/somnolence (Event rate during treatment, length of… compared with CR morphine (low certainty).

1 finding from 1 review

CR oxycodone vs CR morphine

Nausea · adults with cancer‐related pain

CR oxycodone showed no clear difference in nausea (Event rate during treatment, length of treatment varied… compared with CR morphine (low certainty).

1 finding from 1 review

CR oxycodone vs CR morphine

Vomiting · adults with cancer‐related pain

It is very uncertain whether CR oxycodone changes vomiting (Event rate during treatment, length of treatment varied… compared with CR morphine (very low certainty).

1 finding from 1 review

CR oxycodone vs CR morphine

Quality of life · adults with cancer‐related pain

It is very uncertain whether CR oxycodone changes quality of life compared with CR morphine (very low certainty).

1 finding from 1 review

CR oxycodone vs CR morphine

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · adults with cancer‐related pain

CR oxycodone may leads to higher pain intensity (various pain intensity scales; SMD) compared with CR morphine (low certainty).

1 finding from 1 review

Hydromorphone vs morphine

Nausea · people with moderate to severe cancer pain

It is very uncertain whether hydromorphone changes specific adverse events – nausea compared with morphine (very low certainty).

1 finding from 1 review

Hydromorphone vs morphine

Vomiting · people with moderate to severe cancer pain

It is very uncertain whether hydromorphone changes specific adverse events – vomiting compared with morphine (very low certainty).

1 finding from 1 review

Hydromorphone vs morphine

Dizziness · people with moderate to severe cancer pain

It is very uncertain whether hydromorphone changes specific adverse events – dizziness compared with morphine (very low certainty).

1 finding from 1 review

Hydromorphone vs morphine

Quality of life · people with moderate to severe cancer pain

The review found no eligible studies for this question.

1 finding from 1 review

Hydromorphone vs morphine

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · people with moderate to severe cancer pain
1 finding from 1 review

Hydromorphone vs morphine

Relief of pain · people with moderate to severe cancer pain

It is very uncertain whether hydromorphone changes participant‐reported pain relief compared with morphine (very low certainty).

1 finding from 1 review

Methadone vs morphine

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · people with cancer pain

Methadone may leads to higher participant‐reported pain intensity compared with morphine (low certainty).

1 finding from 1 review

Methadone vs morphine

Adverse events: appetite, thirst, somnolence · people with cancer pain
1 finding from 1 review