Pain medicine

Effectiveness of pain medication tapering in chronic pain patients: a systematic review and meta-analysis

Br J AnaesthPublished Systematic review and meta-analysis

Pooled result · Overall effect of taperingResult — go to the resultOverall effect size 0.917 95% CI 0.61–1.22

Authors' conclusion

This systematic review revealed a broad range of outcome measures affected by tapering.

Study context

Population
Adults with chronic noncancer pain undergoing pain medication tapering57 studies
Comparison
After vs before pain medication tapering
Outcome
Overall effect of tapering
Methodological detailsrandom-effect three-level meta-analysis
  • Random-effect three-level meta-analysis

Pooled result

As reported in the abstract

Overall effect size

0.917

95% CI 0.61–1.22

P < 0.001

Further pooled results

Individual outcome measures after tapering

Significant improvement in pain intensity, headache disability, headache days/month, anxiety, depression, pills consumed/month, days with medication intake/month, pain catastrophising and pain interference
No significant effect on physical functioning, mental health-related quality of life, opioid use, pain self-efficacy and physical health-related quality of life

Risk of bias of included studies

Poor quality
30
Fair quality
24
Good quality
3

Original publication

Effectiveness of pain medication tapering in chronic pain patients: a systematic review and meta-analysis. Br J Anaesth. Published 2 October 2024. doi:10.1016/j.bja.2024.07.025

Composed by AI from the published abstract and checked against it. How Briefs are made →

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