One evidence base; three stories: do opioids relieve chronic breathlessness?

Magnus Ekström, Sabrina Bajwah, J. Martin Bland, David C. Currow, Jamilla Hussain, Miriam J. Johnson

Research output: Contribution to journalLetterpeer-review

59 Citations (SciVal)

Abstract

The efficacy of low-dose systemic opioids for chronic breathlessness was questioned by the recent Cochrane review by Barnes et al We examined the reasons for this conflicting finding and re-evaluated the efficacy of systemic opioids. Compared with previous meta-analyses, Barnes et al reported a smaller effect and lower precision, but did not account for matched data of crossover trials (11/12 included trials) and added a risk-of-bias criterion (sample size). When re-analysed to account for crossover data, opioids decreased breathlessness (standardised mean differences -0.32; -0.18 to -0.47; I2=44.8%) representing a clinically meaningful reduction of 0.8 points (0-10 numerical rating scale), consistent across meta-analyses.

Original languageEnglish
Pages (from-to)88-90
Number of pages3
JournalThorax
Volume73
Issue number1
DOIs
Publication statusPublished - 2018

Subject classification (UKÄ)

  • Biomedical Laboratory Science/Technology
  • Public Health, Global Health, Social Medicine and Epidemiology

Keywords

  • COPD Pharmacology
  • Palliative Care
  • Perception of Asthma/Breathlessness

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