Cochrane · systematic review · CD010692

Oxycodone for neuropathic pain in adults

Gaskell, H, Derry, S, Stannard, C, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Pain, Palliative and Supportive Care2 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 100%Low 0 · 0%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

Current version only

Oxycodone MR compared with placebo for neuropathic pain

Population: adults with neuropathic pain (2 studies in peripheral diabetic neuropathy and 1 study in postherpetic neuralgia)
CD010692.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
'Substantial benefit' (≥ 50% reduction in pain or PGIC very much improved)
Oxycodone MR vs placebo
no estimate extractedNRVery low
'Moderate benefit' (≥ 30% reduction in pain or PGIC much or very much improved)
Oxycodone MR vs placebo
no estimate extracted3 studies · 537 participantsVery low
Withdrawals due to adverse events
Oxycodone MR vs placebo
no estimate extracted5 studies · 680 participantsVery low
Withdrawals due to lack of efficacy
Oxycodone MR vs placebo
no estimate extracted5 studies · 680 participantsVery low
Serious adverse events
Oxycodone MR vs placebo
no estimate extracted4 studies · 352 participantsVery low
Death
Oxycodone MR vs placebo
no estimate extracted5 studies · 680 participantsVery low

Comparison

Population: adults with neuropathic pain (two studies in peripheral diabetic neuropathy and one study in postherpetic neuralgia)
CD010692.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
At least 50% reduction in pain or equivalent
no estimate extractedNRNo studies
"Moderate" benefit At least 30% reduction in pain
no estimate extracted1 study · 159 participantsVery low
Proportion below 30/100 mm on VAS
no estimate extractedNRNo studies
Patient Global Impression of Change much or very much improved
no estimate extracted1 study · 38 participantsVery low
Adverse event withdrawals
no estimate extracted3 studies · 254 participantsVery low
Serious adverse events
no estimate extracted3 studies · 254 participantsVery low
Death
no estimate extracted3 studies · 254 participantsVery low