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Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations

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Resumo:Interpreting randomized clinical trials (RCTs) is crucial to making decisions regarding the use of analgesic treatments in clinical practice. In this article, we report on an Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) consensus meeting organized by the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks, the purpose of which was to recommend approaches that facilitate interpretation of analgesic RCTs. We review issues to consider when drawing conclusions from RCTs, as well as common methods for reporting RCT results and the limitations of each method. These issues include the type of trial, study design, statistical analysis methods, magnitude of the estimated beneficial and harmful effects and associated precision, availability of alternative treatments and their benefit-risk profile, clinical importance of the change from baseline both within and between groups, presentation of the outcome data, and the limitations of the approaches used.
Autores principais:Smith, Shannon M.
Outros Autores:Dworkin, Robert H.; Turk, Dennis C.; McDermott, Michael P.; Eccleston, Christopher; Farrar, John T.; Rowbotham, Michael C.; Bhagwagar, Zubin; Burke, Laurie B.; Cowan, Penney; Ellenberg, Susan S.; Evans, Scott R.; Freeman, Roy L.; Garrison, Louis P.; Iyengar, Smriti; Jadad, Alejandro; Jensen, Mark P.; Junor, Roderick; Kamp, Cornelia; Katz, Nathaniel P.; Kesslak, James Patrick; Kopecky, Ernest A.; Lissin, Dmitri; Markman, John D.; Mease, Philip J.; O'Connor, Alec B.; Patel, Kushang V.; Raja, Srinivasa N.; Sampaio, Cristina; Schoenfeld, David; Singh, Jasvinder; Steigerwald, Ilona; Strand, Vibeke; Tive, Leslie A.; Tobias, Jeffrey; Wasan, Ajay D.; Wilson, Hilary D.
Assunto:Randomized clinical trials Pain Interpretation Analgesic Analysis
Ano:2020
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
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author Smith, Shannon M.
author2 Dworkin, Robert H.
Turk, Dennis C.
McDermott, Michael P.
Eccleston, Christopher
Farrar, John T.
Rowbotham, Michael C.
Bhagwagar, Zubin
Burke, Laurie B.
Cowan, Penney
Ellenberg, Susan S.
Evans, Scott R.
Freeman, Roy L.
Garrison, Louis P.
Iyengar, Smriti
Jadad, Alejandro
Jensen, Mark P.
Junor, Roderick
Kamp, Cornelia
Katz, Nathaniel P.
Kesslak, James Patrick
Kopecky, Ernest A.
Lissin, Dmitri
Markman, John D.
Mease, Philip J.
O'Connor, Alec B.
Patel, Kushang V.
Raja, Srinivasa N.
Sampaio, Cristina
Schoenfeld, David
Singh, Jasvinder
Steigerwald, Ilona
Strand, Vibeke
Tive, Leslie A.
Tobias, Jeffrey
Wasan, Ajay D.
Wilson, Hilary D.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Smith, Shannon M.
Smith, Shannon M.
Dworkin, Robert H.
Turk, Dennis C.
McDermott, Michael P.
Eccleston, Christopher
Farrar, John T.
Rowbotham, Michael C.
Bhagwagar, Zubin
Burke, Laurie B.
Cowan, Penney
Ellenberg, Susan S.
Evans, Scott R.
Freeman, Roy L.
Garrison, Louis P.
Iyengar, Smriti
Jadad, Alejandro
Jensen, Mark P.
Junor, Roderick
Kamp, Cornelia
Katz, Nathaniel P.
Kesslak, James Patrick
Kopecky, Ernest A.
Lissin, Dmitri
Markman, John D.
Mease, Philip J.
O'Connor, Alec B.
Patel, Kushang V.
Raja, Srinivasa N.
Sampaio, Cristina
Schoenfeld, David
Singh, Jasvinder
Steigerwald, Ilona
Strand, Vibeke
Tive, Leslie A.
Tobias, Jeffrey
Wasan, Ajay D.
Wilson, Hilary D.
Dworkin, Robert H.
Turk, Dennis C.
McDermott, Michael P.
Eccleston, Christopher
Farrar, John T.
Rowbotham, Michael C.
Bhagwagar, Zubin
Burke, Laurie B.
Cowan, Penney
Ellenberg, Susan S.
Evans, Scott R.
Freeman, Roy L.
Garrison, Louis P.
Iyengar, Smriti
Jadad, Alejandro
Jensen, Mark P.
Junor, Roderick
Kamp, Cornelia
Katz, Nathaniel P.
Kesslak, James Patrick
Kopecky, Ernest A.
Lissin, Dmitri
Markman, John D.
Mease, Philip J.
O'Connor, Alec B.
Patel, Kushang V.
Raja, Srinivasa N.
Sampaio, Cristina
Schoenfeld, David
Singh, Jasvinder
Steigerwald, Ilona
Strand, Vibeke
Tive, Leslie A.
Tobias, Jeffrey
Wasan, Ajay D.
Wilson, Hilary D.
author_role author
contributor_name_str_mv Repositório Científico de Acesso Aberto da ULisboa
country_str PT
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datacite.contributors.contributor.contributorName.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Smith, Shannon M.
Dworkin, Robert H.
Turk, Dennis C.
McDermott, Michael P.
Eccleston, Christopher
Farrar, John T.
Rowbotham, Michael C.
Bhagwagar, Zubin
Burke, Laurie B.
Cowan, Penney
Ellenberg, Susan S.
Evans, Scott R.
Freeman, Roy L.
Garrison, Louis P.
Iyengar, Smriti
Jadad, Alejandro
Jensen, Mark P.
Junor, Roderick
Kamp, Cornelia
Katz, Nathaniel P.
Kesslak, James Patrick
Kopecky, Ernest A.
Lissin, Dmitri
Markman, John D.
Mease, Philip J.
O'Connor, Alec B.
Patel, Kushang V.
Raja, Srinivasa N.
Sampaio, Cristina
Schoenfeld, David
Singh, Jasvinder
Steigerwald, Ilona
Strand, Vibeke
Tive, Leslie A.
Tobias, Jeffrey
Wasan, Ajay D.
Wilson, Hilary D.
datacite.date.Accepted.fl_str_mv 2020-11-01T00:00:00Z
datacite.date.available.fl_str_mv 2020-11-09T15:41:02Z
datacite.date.embargoed.fl_str_mv 2020-11-09T15:41:02Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_16ec
datacite.subjects.subject.fl_str_mv Randomized clinical trials
Pain
Interpretation
Analgesic
Analysis
datacite.titles.title.fl_str_mv Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
dc.contributor.none.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Smith, Shannon M.
Dworkin, Robert H.
Turk, Dennis C.
McDermott, Michael P.
Eccleston, Christopher
Farrar, John T.
Rowbotham, Michael C.
Bhagwagar, Zubin
Burke, Laurie B.
Cowan, Penney
Ellenberg, Susan S.
Evans, Scott R.
Freeman, Roy L.
Garrison, Louis P.
Iyengar, Smriti
Jadad, Alejandro
Jensen, Mark P.
Junor, Roderick
Kamp, Cornelia
Katz, Nathaniel P.
Kesslak, James Patrick
Kopecky, Ernest A.
Lissin, Dmitri
Markman, John D.
Mease, Philip J.
O'Connor, Alec B.
Patel, Kushang V.
Raja, Srinivasa N.
Sampaio, Cristina
Schoenfeld, David
Singh, Jasvinder
Steigerwald, Ilona
Strand, Vibeke
Tive, Leslie A.
Tobias, Jeffrey
Wasan, Ajay D.
Wilson, Hilary D.
dc.date.Accepted.fl_str_mv 2020-11-01T00:00:00Z
dc.date.available.fl_str_mv 2020-11-09T15:41:02Z
dc.date.embargoed.fl_str_mv 2020-11-09T15:41:02Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10451/44811
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv LWW Journals
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_16ec
dc.subject.none.fl_str_mv Randomized clinical trials
Pain
Interpretation
Analgesic
Analysis
dc.title.fl_str_mv Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Interpreting randomized clinical trials (RCTs) is crucial to making decisions regarding the use of analgesic treatments in clinical practice. In this article, we report on an Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) consensus meeting organized by the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks, the purpose of which was to recommend approaches that facilitate interpretation of analgesic RCTs. We review issues to consider when drawing conclusions from RCTs, as well as common methods for reporting RCT results and the limitations of each method. These issues include the type of trial, study design, statistical analysis methods, magnitude of the estimated beneficial and harmful effects and associated precision, availability of alternative treatments and their benefit-risk profile, clinical importance of the change from baseline both within and between groups, presentation of the outcome data, and the limitations of the approaches used.
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eu_rights_str_mv restrictedAccess
format article
fulltext.url.fl_str_mv https://repositorio.ulisboa.pt/bitstreams/b6f66ca8-96ec-48fd-90cb-b4dc646aa6b7/download
id ul_f284ce6918e33c9524e689727ab33cee
identifier.url.fl_str_mv http://hdl.handle.net/10451/44811
instacron_str ul
institution Universidade de Lisboa
instname_str Universidade de Lisboa
language eng
network_acronym_str ul
network_name_str Repositório da Universidade de Lisboa
oai_identifier_str oai:repositorio.ulisboa.pt:10451/44811
organization_str_mv urn:organizationAcronym:ul
person_str_mv Smith, Shannon M.
Dworkin, Robert H.
Turk, Dennis C.
McDermott, Michael P.
Eccleston, Christopher
Farrar, John T.
Rowbotham, Michael C.
Bhagwagar, Zubin
Burke, Laurie B.
Cowan, Penney
Ellenberg, Susan S.
Evans, Scott R.
Freeman, Roy L.
Garrison, Louis P.
Iyengar, Smriti
Jadad, Alejandro
Jensen, Mark P.
Junor, Roderick
Kamp, Cornelia
Katz, Nathaniel P.
Kesslak, James Patrick
Kopecky, Ernest A.
Lissin, Dmitri
Markman, John D.
Mease, Philip J.
O'Connor, Alec B.
Patel, Kushang V.
Raja, Srinivasa N.
Sampaio, Cristina
Sampaio, Cristina
http://orcid.org/0000-0002-7052-9079
0000-0002-7052-9079
Schoenfeld, David
Singh, Jasvinder
Steigerwald, Ilona
Strand, Vibeke
Tive, Leslie A.
Tobias, Jeffrey
Wasan, Ajay D.
Wilson, Hilary D.
publishDate 2020
publisher.none.fl_str_mv LWW Journals
reponame_str Repositório da Universidade de Lisboa
repository_id_str urn:repositoryAcronym:ul
service_str_mv urn:repositoryAcronym:ul
spelling engLWW Journalspt_PTInterpreting randomized clinical trials (RCTs) is crucial to making decisions regarding the use of analgesic treatments in clinical practice. In this article, we report on an Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) consensus meeting organized by the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks, the purpose of which was to recommend approaches that facilitate interpretation of analgesic RCTs. We review issues to consider when drawing conclusions from RCTs, as well as common methods for reporting RCT results and the limitations of each method. These issues include the type of trial, study design, statistical analysis methods, magnitude of the estimated beneficial and harmful effects and associated precision, availability of alternative treatments and their benefit-risk profile, clinical importance of the change from baseline both within and between groups, presentation of the outcome data, and the limitations of the approaches used.application/pdfpt_PTInterpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerationsSmith, Shannon M.Dworkin, Robert H.Turk, Dennis C.McDermott, Michael P.Eccleston, ChristopherFarrar, John T.Rowbotham, Michael C.Bhagwagar, ZubinBurke, Laurie B.Cowan, PenneyEllenberg, Susan S.Evans, Scott R.Freeman, Roy L.Garrison, Louis P.Iyengar, SmritiJadad, AlejandroJensen, Mark P.Junor, RoderickKamp, CorneliaKatz, Nathaniel P.Kesslak, James PatrickKopecky, Ernest A.Lissin, DmitriMarkman, John D.Mease, Philip J.O'Connor, Alec B.Patel, Kushang V.Raja, Srinivasa N.PersonalSampaio, CristinaDSpacehttp://dspace.org/items/cb8e1445-bca9-4565-be74-e23dd4f191c1DSpacehttp://dspace.org/items/cb8e1445-bca9-4565-be74-e23dd4f191c1SampaioCristinaORCIDhttp://orcid.org0000-0002-7052-9079Schoenfeld, DavidSingh, JasvinderSteigerwald, IlonaStrand, VibekeTive, Leslie A.Tobias, JeffreyWasan, Ajay D.Wilson, Hilary D.HostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf0304-3959DOIIsPartOf10.1097/j.pain.00000000000019522020-11-09T15:41:02Z2020-112020-11-01T00:00:00ZHandlehttp://hdl.handle.net/10451/44811http://purl.org/coar/access_right/c_16ecrestricted accessRandomized clinical trialsPainInterpretationAnalgesicAnalysis463899 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/b6f66ca8-96ec-48fd-90cb-b4dc646aa6b7/downloadPain1611124462461
spellingShingle Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
Smith, Shannon M.
Randomized clinical trials
Pain
Interpretation
Analgesic
Analysis
Smith, Shannon M.
Randomized clinical trials
Pain
Interpretation
Analgesic
Analysis
status SINGLETON
subject.fl_str_mv Randomized clinical trials
Pain
Interpretation
Analgesic
Analysis
title Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
title_full Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
title_fullStr Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
title_full_unstemmed Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
title_short Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
title_sort Interpretation of chronic pain clinical trial outcomes : IMMPACT recommended considerations
topic Randomized clinical trials
Pain
Interpretation
Analgesic
Analysis
topic_facet Randomized clinical trials
Pain
Interpretation
Analgesic
Analysis
url http://hdl.handle.net/10451/44811
visible 1