Cochrane · systematic review · CD009950

Pharmacological treatment for pain in Guillain‐Barré syndrome

Liu, J, Wang, LN, McNicol, ED · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Neuromuscular2 versionsAMSTAR 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
18
current version
GRADE rated
14
No studies
4
Included studies
NR
No studies 4 · 22.2%Ungraded 0 · 0%Very low 11 · 61.1%Low 3 · 16.7%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

Show all 2 versions

Gabapentin compared with placebo for pain in Guillain‐Barré syndrome

Population: patients with pain in Guillain‐Barré syndrome
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of patients with self reported pain relief of 50% or greater (not measured)
Gabapentin vs placebo
no estimate extractedNRNo studies
Pain score (numerical rating scale of 0 to 10: 0 = no pain, 10 = worst pain)
Gabapentin vs placebo
no estimate extracted2 studies · 54 participantsVery low
Downgraded: risk of bias
Sedation score (numerical rating scale of 1 to 6: 0 = anxious, agitated, or restless, 6 = asleep, no response)
Gabapentin vs placebo
no estimate extracted2 studies · 54 participantsVery low
Downgraded: risk of bias
Rescue analgesic consumption
Gabapentin vs placebo
no estimate extracted2 studies · 54 participantsVery low
Downgraded: risk of bias
Nausea
Gabapentin vs placebo
RR 0.5 [0.05, 5.04]1 study · 18 participantsVery low
Downgraded: risk of bias
Constipation
Gabapentin vs placebo
RR 0.14 [0.01, 2.54]1 study · 18 participantsVery low
Downgraded: risk of bias

Carbamazepine compared with placebo for pain in Guillain‐Barré syndrome

Population: patients with pain in Guillain‐Barré syndrome
4 questions
OutcomeEffectEvidenceStatus / GRADE
Number of patients with self reported pain relief of 50% or greater (not measured)
Carbamazepine vs placebo
no estimate extractedNRNo studies
Pain score (numerical rating scale of 0 to 10: 0 = no pain, 10 = worst pain)
Carbamazepine vs placebo
no estimate extracted1 study · 24 participantsVery low
Downgraded: risk of bias
Sedation score (numerical rating scale of 1 to 6: 0 = anxious, agitated, or restless, 6 = asleep, no response)
Carbamazepine vs placebo
no estimate extracted1 study · 24 participantsVery low
Downgraded: risk of bias
Rescue analgesic consumption
Carbamazepine vs placebo
no estimate extracted1 study · 24 participantsVery low
Downgraded: risk of bias

Methylprednisolone compared with placebo for pain in Guillain‐Barré syndrome

Population: patients with Guillain‐Barré syndrome, with varying severities of pain
4 questions
OutcomeEffectEvidenceStatus / GRADE
Number of patients with self reported pain relief of 50% or greater (not measured)
Methylprednisolone vs placebo
no estimate extractedNRNo studies
Number of participants with pain after 4 weeks
Methylprednisolone vs placebo
RR 0.89 [0.68, 1.16]1 study · 223 participantsLow
Downgraded: risk of bias
Number of participants with decreased pain after 4 weeks
Methylprednisolone vs placebo
RR 0.95 [0.63, 1.42]1 study · 223 participantsLow
Downgraded: risk of bias
Number of participants with increased pain after 4 weeks
Methylprednisolone vs placebo
RR 0.85 [0.52, 1.41]1 study · 223 participantsLow
Downgraded: risk of bias

Gabapentin compared with carbamazepine for pain in Guillain‐Barré syndrome

Population: intensive care unit in India
4 questions
OutcomeEffectEvidenceStatus / GRADE
Number of patients with self reported pain relief of 50% or greater (not measured)
Gabapentin vs carbamazepine
no estimate extractedNRNo studies
Pain score (numerical rating scale of 0 to 10: 0 = no pain, 10 = worst pain)
Gabapentin vs carbamazepine
no estimate extracted24 participantsVery low
Downgraded: risk of bias
Sedation score (numerical rating scale of 1 to 6: 0 = anxious, agitated, or restless, 6 = asleep, no response)
Gabapentin vs carbamazepine
no estimate extracted24 participantsVery low
Downgraded: risk of bias
Rescue analgesic consumption
Gabapentin vs carbamazepine
no estimate extracted24 participantsVery low
Downgraded: risk of bias