Gap finder

Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

1,751 questions in 147 reviews · Pain, Palliative and Supportive Care

current versions
No studies 361 · 20.6%Ungraded 87 · 5%Very low 625 · 35.7%Low 367 · 21%Moderate 232 · 13.2%High 79 · 4.5%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
SSRIs or SNRIs vs placebo
Headache duration (hours) · patients with tension‐type headache
Selective serotonin reuptake inhibitors (SSRIs) and serotonin‐norepinephrine reuptake inhibitors (SNRIs) for… (2015) · Cochrane
no estimate extracted1 study · 40 participantsLow
SSRIs or SNRIs vs placebo
Symptomatic/analgesic medication for acute headache attacks (doses/month) · patients with tension‐type headache
Selective serotonin reuptake inhibitors (SSRIs) and serotonin‐norepinephrine reuptake inhibitors (SNRIs) for… (2015) · Cochrane
no estimate extracted2 studies · 118 participantsLow
SSRIs or SNRIs vs placebo
Headache index · patients with tension‐type headache
Selective serotonin reuptake inhibitors (SSRIs) and serotonin‐norepinephrine reuptake inhibitors (SNRIs) for… (2015) · Cochrane
no estimate extracted2 studies · 128 participantsVery low
SSRIs or SNRIs vs placebo
Quality of life · patients with tension‐type headache
Selective serotonin reuptake inhibitors (SSRIs) and serotonin‐norepinephrine reuptake inhibitors (SNRIs) for… (2015) · Cochrane
no estimate extractedNRNo studies
SSRIs or SNRIs vs placebo
Withdrawals due to adverse events · patients with tension‐type headache
Selective serotonin reuptake inhibitors (SSRIs) and serotonin‐norepinephrine reuptake inhibitors (SNRIs) for… (2015) · Cochrane
OR 3.72 [0.79, 17.53]3 studies · 190 participantsVery low
SSRIs or SNRIs vs other antidepressants
Headache frequency (number of days with headache) · patients with tension‐type headache
Selective serotonin reuptake inhibitors (SSRIs) and serotonin‐norepinephrine reuptake inhibitors (SNRIs) for… (2015) · Cochrane
no estimate extracted2 studies · 152 participantsVery low
SSRIs or SNRIs vs other antidepressants
Headache intensity (mean score) · patients with tension‐type headache
Selective serotonin reuptake inhibitors (SSRIs) and serotonin‐norepinephrine reuptake inhibitors (SNRIs) for… (2015) · Cochrane
no estimate extracted2 studies · 152 participantsVery low
Intervention NR
At least 50% reduction in pain or equivalent (substantial) · adults with fibromyalgia
Amitriptyline for fibromyalgia in adults (2015) · Cochrane
RR 2.9 [1.7, 4.9]4 studies · 275 participantsVery low
Intervention NR
At least 30% reduction in pain or equivalent (moderate) · adults with fibromyalgia
Amitriptyline for fibromyalgia in adults (2015) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Adverse event withdrawals · adults with fibromyalgia
Amitriptyline for fibromyalgia in adults (2015) · Cochrane
RR 1.03 [0.49, 2.2]4 studies · 298 participantsVery low
Intervention NR
Serious adverse events · adults with fibromyalgia
Amitriptyline for fibromyalgia in adults (2015) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Death · adults with fibromyalgia
Amitriptyline for fibromyalgia in adults (2015) · Cochrane
no estimate extractedNRNo studies
Pilocarpine hydrochloride (parasympathomimetic) vs Placebo
Adverse effects (side effects; treatment withdrawals) · Patients with radiation-induced salivary gland dysfunction
Parasympathomimetic drugs for the treatment of salivary gland dysfunction due to radiotherapy (2015) · Cochrane
Johnson 1993 (5 mg tds): sweating 37%, headache 15%, urinary frequency 14%, vasodilatation 12%, dizziness 10%, dyspepsia 10%, nausea 8%, asthenia 8%, diarrhoea 5%; 6% withdrew at 5 mg tds and 29% at 10 mg tds. LeVeque…2 studies · 278 participantsUngraded
Pilocarpine hydrochloride (parasympathomimetic) vs Artificial saliva (mucin-based)
Other oral symptoms (dysgeusia, dysphagia) · Patients with radiation-induced salivary gland dysfunction
Parasympathomimetic drugs for the treatment of salivary gland dysfunction due to radiotherapy (2015) · Cochrane
Davies 1994 assessed dysgeusia and dysphagia; pilocarpine reported more effective than mucin-based artificial saliva for dysgeusia. No pooled data.1 study · 20 participantsUngraded
Pilocarpine hydrochloride (parasympathomimetic) vs Artificial saliva (mucin-based)
Xerostomia (subjective dry mouth; absolute change in VAS score) · Patients with radiation-induced salivary gland dysfunction
Parasympathomimetic drugs for the treatment of salivary gland dysfunction due to radiotherapy (2015) · Cochrane
Davies 1994 (cross-over, 20 participants): mean improvement in VAS score 22.5 mm with pilocarpine vs 15.2 mm with artificial saliva (100 mm scale). The improvement was greater with pilocarpine but was not statistically…1 study · 20 participantsUngraded
Pilocarpine hydrochloride (parasympathomimetic) vs Artificial saliva (mucin-based)
Adverse effects (side effects; treatment withdrawals) · Patients with radiation-induced salivary gland dysfunction
Parasympathomimetic drugs for the treatment of salivary gland dysfunction due to radiotherapy (2015) · Cochrane
Davies 1994: main side effects with pilocarpine were nausea 20%, sweating 15%, lacrimation 10%. One participant definitely withdrew because of side effects; another may have.1 study · 20 participantsUngraded
Intervention NR
At least 50% of maximum pain relief over 4 to 6 hours · adults with moderate or severe acute postoperative pain
Single dose oral etoricoxib for acute postoperative pain in adults (2014) · Cochrane
RR 5.6 [4, 7.8]NRHigh
Intervention NR
Participants with at least 1 adverse event · adults with moderate or severe acute postoperative pain
Single dose oral etoricoxib for acute postoperative pain in adults (2014) · Cochrane
RR 0.93 [0.74, 1.2]NRModerate
Intervention NR
Participants with a serious adverse event · adults with moderate or severe acute postoperative pain
Single dose oral etoricoxib for acute postoperative pain in adults (2014) · Cochrane
no estimate extractedNRLow
Intervention NR
Deaths · adults with moderate or severe acute postoperative pain
Single dose oral etoricoxib for acute postoperative pain in adults (2014) · Cochrane
no estimate extractedNRLow
Intervention NR
"Substantial" benefit At least 50% reduction in pain or equivalent · adults with neuropathic pain (Trigeminal neuralgia, painful diabetic neuropathy, chronic post stroke pain)
Carbamazepine for chronic neuropathic pain and fibromyalgia in adults (2014) · Cochrane
RR 6.5 [3.4, 12]4 studies · 188 participantsLow
Intervention NR
"Moderate" benefit At least 30% reduction in pain · adults with neuropathic pain (Trigeminal neuralgia, painful diabetic neuropathy, chronic post stroke pain)
Carbamazepine for chronic neuropathic pain and fibromyalgia in adults (2014) · Cochrane
no estimate extractedNRVery low
Intervention NR
Proportion below 30/100 mm on VAS · adults with neuropathic pain (Trigeminal neuralgia, painful diabetic neuropathy, chronic post stroke pain)
Carbamazepine for chronic neuropathic pain and fibromyalgia in adults (2014) · Cochrane
no estimate extractedNRVery low
Intervention NR
Patient Global Impression of Change much or very much improved · adults with neuropathic pain (Trigeminal neuralgia, painful diabetic neuropathy, chronic post stroke pain)
Carbamazepine for chronic neuropathic pain and fibromyalgia in adults (2014) · Cochrane
no estimate extractedNRVery low
Intervention NR
Any adverse event · adults with neuropathic pain (Trigeminal neuralgia, painful diabetic neuropathy, chronic post stroke pain)
Carbamazepine for chronic neuropathic pain and fibromyalgia in adults (2014) · Cochrane
RR 2.4 [1.9, 3.2]4 studies · 346 participantsLow
Intervention NR
Adverse event withdrawals · adults with neuropathic pain (Trigeminal neuralgia, painful diabetic neuropathy, chronic post stroke pain)
Carbamazepine for chronic neuropathic pain and fibromyalgia in adults (2014) · Cochrane
no estimate extracted8 studies · 523 participantsVery low
Intervention NR
Serious adverse events · adults with neuropathic pain (Trigeminal neuralgia, painful diabetic neuropathy, chronic post stroke pain)
Carbamazepine for chronic neuropathic pain and fibromyalgia in adults (2014) · Cochrane
no estimate extracted2 studies · 46 participantsVery low
Intervention NR
Death · adults with neuropathic pain (Trigeminal neuralgia, painful diabetic neuropathy, chronic post stroke pain)
Carbamazepine for chronic neuropathic pain and fibromyalgia in adults (2014) · Cochrane
no estimate extracted1 study · 44 participantsVery low
Intervention NR
At least 50% reduction in pain or equivalent · Adults with cancer pain
Codeine, alone and with paracetamol (acetaminophen), for cancer pain (2014) · Cochrane
no estimate extracted2 studies · 69 participantsVery low
Intervention NR
"Moderate" benefit At least 30% reduction in pain · Adults with cancer pain
Codeine, alone and with paracetamol (acetaminophen), for cancer pain (2014) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Proportion below 30/100 mm on VAS · Adults with cancer pain
Codeine, alone and with paracetamol (acetaminophen), for cancer pain (2014) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Patient Global Impression of Change much or very much improved · Adults with cancer pain
Codeine, alone and with paracetamol (acetaminophen), for cancer pain (2014) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Adverse event withdrawals · Adults with cancer pain
Codeine, alone and with paracetamol (acetaminophen), for cancer pain (2014) · Cochrane
no estimate extractedNRVery low
Intervention NR
Serious adverse events · Adults with cancer pain
Codeine, alone and with paracetamol (acetaminophen), for cancer pain (2014) · Cochrane
no estimate extractedNRVery low
Intervention NR
Death · Adults with cancer pain
Codeine, alone and with paracetamol (acetaminophen), for cancer pain (2014) · Cochrane
no estimate extractedNRVery low
Intervention NR
Clinical success (eg 50% reduction in pain) Acute conditions · adults with strains or sprains (acute) or osteoarthritis or low back pain (chronic)
Salicylate‐containing rubefacients for acute and chronic musculoskeletal pain in adults (2014) · Cochrane
no estimate extracted4 studies · 324 participantsVery low
Intervention NR
Clinical success (eg 50% reduction in pain) Chronic conditions · adults with strains or sprains (acute) or osteoarthritis or low back pain (chronic)
Salicylate‐containing rubefacients for acute and chronic musculoskeletal pain in adults (2014) · Cochrane
no estimate extracted6 studies · 455 participantsVery low
Intervention NR
Adverse events ‐ any adverse events Acute and chronic conditions combined · adults with strains or sprains (acute) or osteoarthritis or low back pain (chronic)
Salicylate‐containing rubefacients for acute and chronic musculoskeletal pain in adults (2014) · Cochrane
no estimate extracted11 studies · 984 participantsLow
Intervention NR
Adverse events ‐ local adverse events Acute and chronic conditions combined · adults with strains or sprains (acute) or osteoarthritis or low back pain (chronic)
Salicylate‐containing rubefacients for acute and chronic musculoskeletal pain in adults (2014) · Cochrane
no estimate extracted10 studies · 869 participantsVery low
Intervention NR
Withdrawals ‐ lack of efficacy Acute and chronic conditions combined · adults with strains or sprains (acute) or osteoarthritis or low back pain (chronic)
Salicylate‐containing rubefacients for acute and chronic musculoskeletal pain in adults (2014) · Cochrane
no estimate extracted5 studies · 501 participantsVery low
Intervention NR
Withdrawals ‐ adverse events Acute and chronic conditions combined · adults with strains or sprains (acute) or osteoarthritis or low back pain (chronic)
Salicylate‐containing rubefacients for acute and chronic musculoskeletal pain in adults (2014) · Cochrane
no estimate extracted7 studies · 737 participantsVery low
Intervention NR
Pain‐free response at 2 h · adults with migraine headache ‐ moderate or severe pain
Zolmitriptan for acute migraine attacks in adults (2014) · Cochrane
no estimate extractedNRHigh
Intervention NR
Headache relief at 2 h · adults with migraine headache ‐ moderate or severe pain
Zolmitriptan for acute migraine attacks in adults (2014) · Cochrane
no estimate extractedNRHigh
Intervention NR
Headache relief at 1 h · adults with migraine headache ‐ moderate or severe pain
Zolmitriptan for acute migraine attacks in adults (2014) · Cochrane
no estimate extractedNRHigh
Intervention NR
Sustained pain‐free during the 24 h post dose · adults with migraine headache ‐ moderate or severe pain
Zolmitriptan for acute migraine attacks in adults (2014) · Cochrane
no estimate extractedNRModerate
Intervention NR
Sustained headache relief during the 24 h post dose · adults with migraine headache ‐ moderate or severe pain
Zolmitriptan for acute migraine attacks in adults (2014) · Cochrane
no estimate extractedNRHigh
Intervention NR
At least one AE · adults with migraine headache ‐ moderate or severe pain
Zolmitriptan for acute migraine attacks in adults (2014) · Cochrane
no estimate extractedNRHigh
Intervention NR
Serious AE* · adults with migraine headache ‐ moderate or severe pain
Zolmitriptan for acute migraine attacks in adults (2014) · Cochrane
no estimate extractedNRModerate
Intervention NR
Effective pain relief · adults with acute pain
Caffeine as an analgesic adjuvant for acute pain in adults (2014) · Cochrane
no estimate extracted4262 participantsHigh
Intervention NR
Serious adverse events · adults with acute pain
Caffeine as an analgesic adjuvant for acute pain in adults (2014) · Cochrane
no estimate extractedNRVery low