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Cited by 1,330

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Algorithm for neuropathic pain treatment: An evidence based proposal

Finnerup, N. B., Otto, M., McQuay, H. J., Jensen, T. S., Sindrup, S. H.·2005·Pain

Abstract

New studies of the treatment of neuropathic pain have increased the need for an updated review of randomized, double-blind, placebo-controlled trials to support an evidence based algorithm to treat neuropathic pain conditions. Available studies were identified using a MEDLINE and EMBASE search. One hundred and five studies were included. Numbers needed to treat (NNT) and numbers needed to harm (NNH) were used to compare efficacy and safety of the treatments in different neuropathic pain syndromes. The quality of each trial was assessed. Tricyclic antidepressants and the anticonvulsants gabapentin and pregabalin were the most frequently studied drug classes. In peripheral neuropathic pain, the lowest NNT was for tricyclic antidepressants, followed by opioids and the anticonvulsants gabapentin and pregabalin. For central neuropathic pain there is limited data. NNT and NNH are currently the best way to assess relative efficacy and safety, but the need for dichotomous data, which may have to be estimated retrospectively for old trials, and the methodological complexity of pooling data from small cross-over and large parallel group trials, remain as limitations.

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Metadata

Authors
Finnerup, N. B., Otto, M., McQuay, H. J., Jensen, T. S., & Sindrup, S. H.
Venue
Pain
Published
2005-12
Volume
118
Issue
3
Pages
289-305
ISSN
0304-3959 (ISSN-L)
OpenAlex
W1981435820
Cited by
1,330
References
9
FWCI
49.27
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Algorithm for neuropathic pain treatment: An evidence based proposal. https://app.cochat.ai/papers/10.1016/j.pain.2005.08.013
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Finnerup, N. B., Otto, M., McQuay, H. J., Jensen, T. S., & Sindrup, S. H. (2005). Algorithm for neuropathic pain treatment: An evidence based proposal. Pain. https://doi.org/10.1016/j.pain.2005.08.013

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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