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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Medicine+(Baltimore)
2016 ; 95
(15
): e3341
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The Adverse Events of Oxycodone in Cancer-Related Pain: A Systematic Review and
Meta-Analysis of Randomized Controlled Trials
#MMPMID27082588
Ma H
; Liu Y
; Huang L
; Zeng XT
; Jin SH
; Yue GJ
; Tian X
; Zhou JG
Medicine (Baltimore)
2016[Apr]; 95
(15
): e3341
PMID27082588
show ga
The adverse events (AEs) of oxycodone in cancer-related pain were controversial,
so we conducted a meta-analysis to determine it. PubMed, Embase, CBM, CNKI,
WanFang database, The Cochrane library, Web of Science, and the reference of
included studies were searched to recognize pertinent studies. Relative risk (RR)
with 95% confidence intervals (CIs) for all AEs were all extracted. The
fixed-effects model was used to calculate pooled RRs and 95% CIs. Power
calculation was performed using macro embedded in SAS software after all
syntheses were completed. We identified 11 eligible trials involving 1211
patients: 604 patients included in oxycodone group and 607 patients involved in
control group. Our quantitative analysis included 8 AEs, and the pooled analyses
indicated that oxycodone compared with other opioids in cancer-related pain were
not significantly decreased RRs of all AEs (dizziness RR?=?0.94, 95% CI:
0.69-1.30, Z?=?0.35, P?=?0.72; nausea RR?=?0.88, 95% CI: 0.72-1.07, Z?=?1.26,
P?=?0.21; vomiting RR?=?0.89, 95% CI: 0.70-1.15, Z?=?0.9, P?=?0.37; sleepiness
RR?=?0.86, 95% CI: 0.38-1.36, Z?=?0.36, P?=?0.72; constipation RR?=?0.98, 95% CI:
0.81-1.19, Z?=?0.21, P?=?0.83; anorexia RR?=?0.97, 95% CI?=?0.58-1.62, Z?=?0.11,
P?=?0.91; pruritus RR?=?0.76, 95% CI: 0.44-1.30, Z?=?1.01, P?=?0.31; dysuria
RR?=?0.33, 95% CI: 0.07-1.62, Z?=?1.36, P?=?0.1)]. The subgroup analysis shown
that Ox controlled-release (CR) had less sleepiness compared with MS-contin (Mc)
CR (RR?=?0.47, 95% CI: 0.25-0.90, P?=?0.02). The power analysis suggests that all
AEs have low statistical power. The present meta-analysis detected that no
statistically significant difference were found among oxycodone and other opioids
in all AEs, but Ox CR may had less sleepiness compared with Mc CR when subgroup
analysis were conducted.
|Analgesics, Opioid/*adverse effects/therapeutic use
[MESH]
|Delayed-Action Preparations
[MESH]
|Humans
[MESH]
|Neoplasms/*complications
[MESH]
|Oxycodone/*adverse effects/therapeutic use
[MESH]