Cochrane · systematic review · CD012508

Tramadol with or without paracetamol (acetaminophen) for cancer pain

Wiffen, PJ, Derry, S, Moore, RA · Cochrane Database of Systematic Reviews · 2017 · 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 7 · 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

Oral tramadol compared with oral morphine for cancer pain

Population: people with pain due to cancer
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participants with pain reduction of 30% or greater from baseline
Oral tramadol vs oral morphine
no estimate extracted1 study · 227 participantsVery low
Participants with pain reduction of 50% or greater from baseline
Oral tramadol vs oral morphine
no estimate extracted1 study · 227 participantsVery low
Participants with pain no worse than mild
Oral tramadol vs oral morphine
no estimate extracted1 study · 227 participantsVery low
Participants with PGIC of much improved or very much improved
Oral tramadol vs oral morphine
no estimate extracted1 study · 227 participantsVery low
Serious adverse events (death)
Oral tramadol vs oral morphine
no estimate extracted2 studies · 280 participantsVery low
Other adverse events
Oral tramadol vs oral morphine
no estimate extractedNRVery low
Withdrawals
Oral tramadol vs oral morphine
no estimate extractedNRVery low