4.4 Review

Efficacy of commonly prescribed analgesics in the management of osteoarthritis: a systematic review and meta-analysis

期刊

RHEUMATOLOGY INTERNATIONAL
卷 38, 期 11, 页码 1985-1997

出版社

SPRINGER HEIDELBERG
DOI: 10.1007/s00296-018-4132-z

关键词

Osteoarthritis; Pharmacotherapy; Analgesia; Pain

向作者/读者索取更多资源

ObjectivePain management is a cornerstone of osteoarthritis (OA) management. The aim of this review is to obtain current, literature-based estimates of the effect of common pharmacologic treatments on pain reduction in OA.MethodsA MEDLINE search (2006-2016) was conducted for randomized controlled trials studying acetaminophen, oral NSAIDs, topical NSAIDs, COX-2 inhibitors, and opioids in the treatment of OA pain. Drug effect on pain was estimated using relative change in pain, and expressed as percentage change. An overall effect for each drug category was obtained as a weighted average of study-specific effects, with weights based on each study's sample size.ResultsTwenty-nine studies were included. The effect on pain was estimated in a total of 43 treatment arms (acetaminophen n=6, oral NSAIDs n=9, topical NSAIDs n=8, COX-2 inhibitors n=9, and opioids n=11). Relative (%) changes in pain were found to be as follows: acetaminophen=32.5, oral NSAIDs=34.3, topical NSAIDs=40.9, COX-2 inhibitors=36.9, and opioids=35.4.ConclusionThe effects of 5 major drug categories in the treatment of OA pain were reviewed with data extracted from 29 studies published from 2006 to 2016. Acetaminophen was found to have an RC value close to that of oral NSAIDs. The effects of oral NSAIDs, COX-2 inhibitors, and opioids in controlling pain were similar to what has been demonstrated in previous literature. Topical NSAIDs were found to have a greater RC than oral NSAIDs.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Review Medicine, General & Internal

Polyarteritis nodosa isolated to the testis and urinary bladder in the setting of cryptorchidism: a case report and literature review

Mohan Stewart, Greg Marcotte, Michael A. Seidman, Natasha Dehghan

JOURNAL OF MEDICAL CASE REPORTS (2019)

暂无数据