Outcome measures in randomized-controlled trials of neuropathic pain conditions: A systematic review of systematic reviews and recommendations for practice

Poonam Mehta, Leica Claydon, Paul Hendrick, Stanley John Winser, G. David Baxter

Research output: Journal article publicationReview articleAcademic researchpeer-review

6 Citations (Scopus)

Abstract

OBJECTIVES:: Neuropathic pain (NeP) is a prevalent, disabling, multidimensional condition with significant morbidity; however, there appears to be a variable approach in the use of outcome measures in NeP trials. A search of systematic reviews of interventional randomized-controlled trials for NeP was undertaken to investigate the range and types of outcome measures used to determine treatment effects. METHODS:: Keywords and MESH searches were conducted in 5 electronic databases from inception to January 31, 2012. Full-text English-language reviews based on various acute and chronic NeP conditions were included. Two independent reviewers screened papers for inclusion, extracted data, and assessed the quality of reviews. Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to critically appraise the reviews. RESULTS:: A total of 46 studies were identified: the majority of reviews (n=28/46, 61%) scored well on the PRISMA (PRISMA scores of 20-27/27). Change in levels or intensity of pain were used by the majority of studies as the primary outcome measure in intervention studies (n=40/46 studies, 87%). Few studies used a functional outcome measure as either a primary or secondary outcome measure (n=7/46, 15% of studies). DISCUSSION:: These results demonstrate that measures of pain are predominantly used in trials of NeP conditions and highlight the scant usage of functional outcome measures. The lack of standardization for the diagnostic criteria in NeP trials is also an issue that needs to be considered for future research and guideline development.
Original languageEnglish
Pages (from-to)169-176
Number of pages8
JournalClinical Journal of Pain
Volume31
Issue number2
DOIs
Publication statusPublished - 1 Jan 2015
Externally publishedYes

Keywords

  • neuropathic pain
  • outcome measures
  • pain
  • physical function
  • systematic review

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this