Cochrane · systematic review · CD012535

Antidepressants for chronic non‐cancer pain in children and adolescents

Cooper, TE, Heathcote, LC, Clinch, J, et al. · 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
18
current version
GRADE rated
9
No studies
9
Included studies
NR
No studies 9 · 50%Ungraded 0 · 0%Very low 9 · 50%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

Amitriptyline compared with gabapentin for chronic non‐cancer pain

Population: children and adolescents (birth to 17 years) with chronic non‐cancer pain
6 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported pain relief of 30% or greater
Amitriptyline vs gabapentin
no estimate extractedNRNo studies
Participant‐reported pain relief of 50% or greater
Amitriptyline vs gabapentin
no estimate extractedNRNo studies
Patient Global Impression of Change: much improved or very much improved
Amitriptyline vs gabapentin
no estimate extractedNRNo studies
Adverse events
Amitriptyline vs gabapentin
no estimate extracted1 study · 34 participantsVery low
Serious adverse events
Amitriptyline vs gabapentin
no estimate extracted1 study · 34 participantsVery low
Withdrawals due to adverse events
Amitriptyline vs gabapentin
no estimate extracted1 study · 34 participantsVery low

Amitriptyline compared with placebo for chronic non‐cancer pain

Population: children and adolescents (birth to 17 years) with chronic non‐cancer pain
6 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported pain relief of 30% or greater
Amitriptyline vs placebo
no estimate extractedNRNo studies
Participant‐reported pain relief of 50% or greater
Amitriptyline vs placebo
no estimate extractedNRNo studies
Patient Global Impression of Change: much improved or very much improved
Amitriptyline vs placebo
no estimate extractedNRNo studies
Adverse events
Amitriptyline vs placebo
no estimate extracted2 studies · 123 participantsVery low
Serious adverse events
Amitriptyline vs placebo
no estimate extracted2 studies · 123 participantsVery low
Withdrawals due to adverse events
Amitriptyline vs placebo
no estimate extracted2 studies · 123 participantsVery low

Citalopram compared with placebo for chronic non‐cancer pain

Population: children and adolescents with functional abdominal pain
6 questions
OutcomeEffectEvidenceStatus / GRADE
Participant‐reported pain relief of 30% or greater
Citalopram vs placebo
no estimate extractedNRNo studies
Participant‐reported pain relief of 50% or greater
Citalopram vs placebo
no estimate extractedNRNo studies
Patient Global Impression of Change: much improved or very much improved
Citalopram vs placebo
no estimate extractedNRNo studies
Adverse events
Citalopram vs placebo
no estimate extracted1 study · 115 participantsVery low
Serious adverse events
Citalopram vs placebo
no estimate extracted1 study · 115 participantsVery low
Withdrawals due to adverse events
Citalopram vs placebo
no estimate extracted1 study · 115 participantsVery low