Cochrane · systematic review · CD008921

Neuromodulators for pain management in rheumatoid arthritis

Richards, BL, Whittle, SL, Buchbinder, R · Cochrane Database of Systematic Reviews · 2012 · 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
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 8 · 88.9%Moderate 1 · 11.1%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

Nefopam 60 mg tds compared to placebo for pain management in rheumatoid arthritis

Population: patients with pain management in rheumatoid arthritis
3 questions
OutcomeEffectEvidenceStatus / GRADE
Pain VAS 100mm
Nefopam 60 mg tds vs placebo
no estimate extracted2 studies · 48 participantsLow
Downgraded: risk of bias, imprecision
Withdrawal Due to adverse events
Nefopam 60 mg tds vs placebo
RR 11 [0.64, 189.65]1 study · 54 participantsModerate
Downgraded: imprecision
Total adverse events
Nefopam 60 mg tds vs placebo
RR 4.11 [1.58, 10.69]2 studies · 104 participantsLow
Downgraded: risk of bias, imprecision

Capsaicin 0.025% compared to placebo for knee pain in patients with rheumatoid arthritis

Population: patients with Knee pain in patients with rheumatoid arthritis
2 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (% reduction from baseline) VAS 100mm
Capsaicin 0.025% vs placebo
no estimate extracted1 study · 30 participantsLow
Downgraded: risk of bias, imprecision
Pain (% reduction from baseline) VAS 100mm
Capsaicin 0.025% vs placebo
no estimate extracted1 study · 29 participantsLow
Downgraded: risk of bias, imprecision

Oromucosal cannabis (Sativex) compared to placebo for pain management in patients with rheumatoid arthritis

Population: patients with pain management in patients with rheumatoid arthritis
4 questions
OutcomeEffectEvidenceStatus / GRADE
Pain at present McGill short form questionnaire ‐ Verbal rating scale (0‐5)
Oromucosal cannabis (Sativex) vs placebo
no estimate extracted1 study · 58 participantsLow
Downgraded: risk of bias, imprecision
Quality of Sleep Numerical rating scale (0‐10). Scale from: 0 to 10.
Oromucosal cannabis (Sativex) vs placebo
no estimate extracted1 study · 58 participantsLow
Downgraded: risk of bias, imprecision
Withdrawal due to adverse events
Oromucosal cannabis (Sativex) vs placebo
RR 0.13 [0.01, 2.39]1 study · 58 participantsLow
Downgraded: risk of bias, imprecision
Total adverse events
Oromucosal cannabis (Sativex) vs placebo
RR 1.82 [1.1, 3]1 study · 58 participantsLow
Downgraded: risk of bias, imprecision