Cochrane · systematic review · CD003113

Opioid therapy for treating rheumatoid arthritis pain

Whittle, SL, Richards, BL, Husni, E, et al. · Cochrane Database of Systematic Reviews · 2011 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 6 · 100%Moderate 0 · 0%High 0 · 0%

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.

Questions and results

Opioids for rheumatoid arthritis pain

Population: patients with rheumatoid arthritis pain
6 questions
OutcomeEffectEvidenceStatus / GRADE
Patient reported global impression of clinical change (PGIC) 'good' or 'very good' PGIC scale: Very poor, Poor, No change, Good, Very good.
RR 1.44 [1.03, 2.03]3 studies · 324 participantsLow
Downgraded: risk of bias, indirectness
Withdrawal due to inadequate analgesia
RR 0.82 [0.34, 2.01]4 studies · 345 participantsLow
Downgraded: risk of bias
Functional status (HAQ) HAQ. Scale from: 0 to 3.
no estimate extracted2 studies · 243 participantsLow
Downgraded: risk of bias
Withdrawal due to adverse events
RR 2.67 [0.52, 13.75]3 studies · 331 participantsLow
Downgraded: risk of bias, indirectness
Participants reporting adverse events
OR 3.9 [2.31, 6.56]4 studies · 371 participantsLow
Downgraded: risk of bias, indirectness
Serious adverse events
no estimate extracted2 studies · 317 participantsLow
Downgraded: risk of bias, imprecision