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大麻素、大麻及基于大麻的药物用于疼痛管理对接受疼痛治疗患者的危害风险:系统评价概述方案

Risks of harm with cannabinoids, cannabis, and cannabis-based medicine for pain management relevant to patients receiving pain treatment: protocol for an overview of systematic reviews.

作者信息

Gilron Ian, Blyth Fiona M, Degenhardt Louisa, Di Forti Marta, Eccleston Christopher, Haroutounian Simon, Moore Andrew, Rice Andrew S C, Wallace Mark

机构信息

Department of Anesthesiology and Perioperative Medicine, Kingston General Hospital, Queen's University, Kingston, ON, Canada.

Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.

出版信息

Pain Rep. 2019 May 29;4(3):e742. doi: 10.1097/PR9.0000000000000742. eCollection 2019 May-Jun.

Abstract

INTRODUCTION

With the increasing availability of cannabis and cannabinoids and their potential utility for pain treatment, there is a growing need to evaluate the risk-benefit considerations of cannabinoids for the management of pain. As part of the IASP Cannabis and Cannabinoids Task Force, this protocol describes a planned overview of systematic reviews summarizing the risks of harm with cannabinoids that are relevant to patients receiving pain treatment.

METHODS

This overview will involve literature searches of several databases and a defined search strategy that will target systematic reviews or meta-analyses of cannabinoids where harms are the primary focus. Data extraction will include various features of the cannabinoid(s) and the harm(s) being studied as well as other methodological features of each included systematic review. Methodological quality of each included review will be assessed using AMSTAR-2 as well as compliance with the PRISMA harms checklist. Prospero registration pending.

DISCUSSION

The broad overview of reviews defined by this protocol is expected to synthesize available good quality evidence of harms that will help inform risk-benefit considerations about the use of cannabinoids for pain management.

摘要

引言

随着大麻和大麻素的可获得性增加及其在疼痛治疗中的潜在效用,评估大麻素用于疼痛管理的风险效益考量的需求日益增长。作为国际疼痛研究协会(IASP)大麻和大麻素特别工作组的一部分,本方案描述了一项计划中的系统评价概述,总结了与接受疼痛治疗的患者相关的大麻素危害风险。

方法

本概述将涉及对多个数据库的文献检索以及一种明确的检索策略,该策略将针对以危害为主要关注点的大麻素系统评价或荟萃分析。数据提取将包括所研究大麻素的各种特征和危害以及每项纳入的系统评价的其他方法学特征。将使用AMSTAR-2以及对PRISMA危害清单的依从性来评估每项纳入评价的方法学质量。正在等待在国际系统评价注册库(Prospero)登记。

讨论

本方案所定义的广泛的评价概述预计将综合现有的关于危害的高质量证据,这将有助于为大麻素用于疼痛管理的风险效益考量提供信息。

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