Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

30 questions · 33 findings · 4 reviews · Pain, Palliative and Supportive Care

No studies found 2 · 6.1%GRADE not reported 0 · 0%Very low 17 · 51.5%Low 10 · 30.3%Moderate 4 · 12.1%High 0 · 0%

Tramadol vs placebo

Additional analgesia required (escape analgesia) · children undergoing surgery

Tramadol may leads to lower number of patients requiring rescue analgesia (PACU) compared with placebo (low certainty).

1 finding from 1 review

Tramadol vs pethidine

Additional analgesia required (escape analgesia) · children undergoing surgery

It is very uncertain whether tramadol changes number of patients requiring rescue analgesia (PACU) compared with pethidine (very low certainty).

1 finding from 1 review

Tramadol vs pethidine

Proportion of participants with moderate to severe pain up to 6 hours after the procedure · children undergoing surgery

Tramadol showed no clear difference in number of patients with moderate to severe pain (PACU) compared with pethidine (low certainty).

1 finding from 1 review

Tramadol vs pethidine

Number of patients with PONV (PACU) · children undergoing surgery

Tramadol showed no clear difference in number of patients with PONV (PACU) compared with pethidine (low certainty).

1 finding from 1 review

Tramadol vs fentanyl

Proportion of participants with moderate to severe pain up to 6 hours after the procedure · children undergoing surgery

The review found no eligible studies for this question.

1 finding from 1 review

Tramadol vs placebo

Number of patients with PONV (PACU) · children undergoing surgery

Tramadol showed no clear difference in number of patients with PONV (PACU) compared with placebo (moderate certainty).

1 finding from 1 review

Tramadol vs placebo

Number of patients with postoperative nausea and vomiting (24 hours postoperatively) · children undergoing surgery

Tramadol showed no clear difference in number of patients with PONV (24 hours postoperatively) compared with placebo (moderate certainty).

1 finding from 1 review

Tramadol vs morphine

Additional analgesia required (escape analgesia) · children undergoing surgery

Tramadol showed no clear difference in number of patients requiring rescue analgesia (PACU) compared with morphine (low certainty).

2 findings from 1 review

Tramadol vs morphine

Proportion of participants with moderate to severe pain up to 6 hours after the procedure · children undergoing surgery

The review found no eligible studies for this question.

1 finding from 1 review

Tramadol vs nalbuphine

Additional analgesia required (escape analgesia) · children undergoing surgery

It is very uncertain whether tramadol changes number of patients requiring rescue analgesia (24 hours… compared with nalbuphine (very low certainty).

1 finding from 1 review