Collado 2008.
Methods | Case series Duration: 6 months |
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Participants | N = 215 enrolled Primary condition: Various, including arthrosis (n = 51), ischemic vascular disease (n = 42), postlaminectomy syndrome (n = 34), vertebral compression fracture (n = 22), trigeminal neuralgia (n = 21), disk herniation (n = 18), rheumatoid arthritis (n = 9), diabetic polyneuropathy (n = 8), scoliosis (n = 4), central pain (n = 4) Baseline pain score: Mean 9.86 (SD 0.35) / 10 VAS Time since onset: Not reported, at least 6 months to meet inclusion criteria Mean age: 57.61 years; Range 32 to 75 Female: 54% Previous opioid analgesia: Not reported |
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Interventions | Transdermal fentanyl Initial dose:12 ug/hour Titrated to: Mean not reported. 50 ug/h in 48% of patients, 75 ug/hr in 18%, 100 ug/hr in 5% Supplemental analgesia:Oral transmucosal fentanyl citrate (Actiq) prescribed for breakthrough pain |
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Outcomes | Discontinuation due to adverse events Adverse events Pain, continuous |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Comparability of patients at baseline and follow‐up (continuous data) All outcomes | Low risk | All patients followed up |
Selection method random or consecutive | Unclear risk | Not reported |
Prospective | Low risk | Prospective |
Free from confounding treatment(s) | High risk | Supplemental analgesics permitted |
Patient compliance monitored and reported at at least 85%? | Unclear risk | Not reported |
Attrition and right censoring less than 15% (continuous data) All outcomes | Low risk | All patients followed up |
Funding from a source without financial conflict of interest? | Unclear risk | Not reported |