Cochrane · systematic review · CD012182

Cannabis‐based medicines for chronic neuropathic pain in adults

Mücke, M, Phillips, T, Radbruch, L, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 4 · 57.1%Moderate 2 · 28.6%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

Cannabis‐based medicines compared with placebo for chronic neuropathic pain

Population: adults with chronic neuropathic pain
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported pain relief of 50% or greater
Cannabis‐based medicines vs placebo
no estimate extracted8 studies · 1001 participantsLow
Downgraded: imprecision, indirectness
Patient Global Impression of Change much or very much improved
Cannabis‐based medicines vs placebo
no estimate extracted6 studies · 1092 participantsVery low
Downgraded: inconsistency, indirectness
Withdrawals due to adverse events
Cannabis‐based medicines vs placebo
no estimate extracted13 studies · 1848 participantsModerate
Downgraded: indirectness
Serious adverse events
Cannabis‐based medicines vs placebo
no estimate extracted13 studies · 1876 participantsLow
Downgraded: imprecision, indirectness
Participant‐reported pain relief of 30% or greater
Cannabis‐based medicines vs placebo
no estimate extracted10 studies · 1586 participantsModerate
Downgraded: indirectness
Specific adverse events:nervous system disorder
Cannabis‐based medicines vs placebo
no estimate extracted9 studies · 1304 participantsLow
Downgraded: inconsistency, indirectness
Specific adverse events:psychiatric disorders
Cannabis‐based medicines vs placebo
no estimate extracted9 studies · 1314 participantsLow
Downgraded: inconsistency, indirectness