Clinical effectiveness: an approach to clinical trial design more relevant to clinical practice, acknowledging the importance of individual differences
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The average effects are small, as they are for all treatments of chronic pain.
“The average effects are small, as they are for all treatments of chronic pain (Moore 2010).”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2012) · cites this paper as Moore 2010
Small numbers are associated with bias.
“given the demonstrated association between small numbers and bias (Ioannidis 2005; Moore 2010; Nuesch 2009).”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2012) · cites this paper as Moore 2010
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Can pragmatic trials help us better understand chronic pain and improve treatment?
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Self-citationPaley, C. A., Boland, J. W., Santarelli, M., Murtagh, F. E., Ziegler, L. E., & Chapman, E. (2023) · BMC Palliative Care · doi:10.1186/s12904-023-01202-8 · Cited by 50 · see citing works
Pragmatic trials of pain therapies: a systematic review of methods
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What works for whom? Determining the efficacy and harm of treatments for pain
Moore, A. (2013) · Pain · doi:10.1016/j.pain.2013.03.024 · Cited by 49 · see citing works
Spinal Manipulative Therapy for Chronic Lower Back Pain in Older Veterans
Dougherty, P. E., Karuza, J., Dunn, A. S., Savino, D., & Katz, P. R. (2014) · Geriatric Orthopaedic Surgery & Rehabilitation · doi:10.1177/2151458514544956 · Cited by 46 · see citing works
Treede, R., Wagner, T., Kern, K., Husstedt, I., Arendt, G., Birklein, F., Cegla, T. H., Freynhagen, R., Gockel, H.-H., Heskamp, M. ‐. S., et al. (2013) · Current Medical Research and Opinion · doi:10.1185/03007995.2013.781019 · Cited by 45 · see citing works
La Evidencia para el Tratamiento Farmacológico del Dolor Neuropático
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Antidepressants for pain management in adults with chronic pain: a network meta-analysis
Birkinshaw, H., Friedrich, C., Cole, P., Eccleston, C., Serfaty, M. A., Stewart, G. B., White, S. J., Moore, A., Phillippo, D., & Pincus, T. (2024) · Health Technology Assessment · doi:10.3310/mkrt2948 · Cited by 46 · see citing works
Sanabria-Mazo, J. P., Colomer-Carbonell, A., Borràs, X., Castaño-Asins, J. R., McCracken, L. M., Montero-Marin, J., Pérez-Aranda, A., Edo, S., Sanz, A., Feliu-Soler, A., et al. (2023) · The Journal of Pain · doi:10.1016/j.jpain.2023.04.008 · Cited by 40 · see citing works
Gewandter, J. S., McDermott, M. P., He, H., Gao, S., Cai, X., Farrar, J. T., Katz, N. P., Markman, J. D., Senn, S. J., Turk, D. C., et al. (2019) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt.1372 · Cited by 40 · see citing works
Non-steroidal anti-inflammatory drugs (NSAIDs) for cancer-related pain in children and adolescents
Cooper, T. E., Heathcote, L. C., Anderson, B. J., Grégoire, M.-C., Ljungman, G., & Eccleston, C. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012563.pub2 · Cited by 39 · see citing works
Realising stratified psychiatry using multidimensional signatures and trajectories
Joyce, D. W., Kehagia, A. A., Tracy, D. K., Proctor, J., & Shergill, S. S. (2017) · Journal of Translational Medicine · doi:10.1186/s12967-016-1116-1 · Cited by 31 · see citing works
Opioid Analgesics for Rheumatoid Arthritis Pain
Whittle, S., Richards, B. L., & Buchbinder, R. (2013) · JAMA · doi:10.1001/jama.2012.193412 · Cited by 28 · see citing works
The Efficacy and Safety of Opioids in Inflammatory Arthritis: A Cochrane Systematic Review
Whittle, S., Richards, B. L., van der Heijde, D. M. F. M., & Buchbinder, R. (2012) · Journal of Rheumatology Supplement · doi:10.3899/jrheum.120341 · Cited by 27 · see citing works
de Luca, K. E., Fang, S. H., Ong, J., Shin, K.-S., Woods, S., & Tuchin, P. J. (2017) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2017.06.008 · Cited by 24 · see citing works
Karabis, A., Nikolakopoulos, S., Pandhi, S., Papadimitropoulou, K., Nixon, R., Chaves, R. L., & Moore, R. A. (2016) · Arthritis Research & Therapy · doi:10.1186/s13075-016-0972-7 · Cited by 21 · see citing works
Self-citationImpact of comorbidities on pharmacotherapy of painful diabetic neuropathy in clinical practice
Ziegler, D., Schneider, E. M., Boess, F., Berggren, L., & Birklein, F. (2014) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2014.04.004 · Cited by 19 · see citing works
Methods for pragmatic randomized clinical trials of pain therapies: IMMPACT statement
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Self-citationPragmatic Comparative Effectiveness Trials and Learning Health Systems in Pain Medicine
Salmasi, V., Terkawi, A. S., & Mackey, S. C. (2023) · Anesthesiology Clinics · doi:10.1016/j.anclin.2023.03.010 · Cited by 16 · see citing works
Geisler, A. E., Dahl, J. B., Thybo, K. H., Pedersen, T. H., Jørgensen, M. L., Hansen, D., Schulze, L. K., Persson, E. I., & Mathiesen, O. (2019) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.13349 · Cited by 16 · see citing works
Low degree of satisfactory individual pain relief in post‐operative pain trials
Geisler, A. E., Dahl, J. B., Karlsen, A. P. H., Persson, E. I., & Mathiesen, O. (2016) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.12815 · Cited by 15 · see citing works
Emerging Therapeutic Targets for Acute Coronary Syndromes: Novel Advancements and Future Directions
Mitsis, A., Myrianthefs, M. M., Sokratous, S., Karmioti, G., Kyriakou, M., Drakomathioulakis, M., Tzikas, S., Kadoglou, N. P. E., Karagiannidis, E., Nasoufidou, A., et al. (2024) · Biomedicines · doi:10.3390/biomedicines12081670 · Cited by 13 · see citing works
“Unsettling circularity”: Clinical trial enrichment and the evidentiary politics of chronic pain
Campbell, J., & King, N. B. (2016) · BioSocieties · doi:10.1057/biosoc.2016.7 · Cited by 12 · see citing works
A meta‐analytic review of brief guided self‐help education for chronic pain
Liegl, G., Boeckle, M., Leitner, A., & Pieh, C. (2016) · European Journal of Pain · doi:10.1002/ejp.881 · Cited by 12 · see citing works
Progress in pain medicine: where are we now?
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Veettil, S. K., Darouiche, G., Sawangjit, R., Cox, N., Lai, N. M., & Chaiyakunapruk, N. (2022) · Journal of the American Pharmacists Association · doi:10.1016/j.japh.2022.02.015 · Cited by 11 · see citing works
Ketamine in fibromyalgia: a systematic review
de Carvalho, J. F., & de Sena, E. P. (2024) · Revista Brasileira de Reumatologia · doi:10.1186/s42358-024-00393-9 · Cited by 10 · see citing works
Amris, K., von Bülow, C., Christensen, R., Bandak, E., Rasmussen, M. U., Danneskiold‐Samsøe, B., & Wæhrens, E. E. (2019) · Clinical Rehabilitation · doi:10.1177/0269215519843986 · Cited by 10 · see citing works
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Mavandadi, S., Wray, L. O., & Toseland, R. W. (2018) · Journal of Gerontological Social Work · doi:10.1080/01634372.2018.1556767 · Cited by 6 · see citing works
Are we failing clinical trials? A case for strong aggregate outcomes
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The Effect of Combination Pharmacotherapy on Low Back Pain
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Reducing the risk of opioid misuse in persistent pain: Commentary on Jamison et al.
Kalso, E. A., Hearn, L., & Williams, A. C. D. C. (2010) · Pain · doi:10.1016/j.pain.2010.07.005 · Cited by 3 · see citing works
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Why would studies on furry rodents concern us as clinicians?
Kontinen, V. (2010) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2010.01.003 · Cited by 1 · see citing works
Pharmacologic and Non‐Pharmacologic treatment approaches to chronic pain in individuals with HIV
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Budsberg, S. C. (2015) · doi:10.1002/9781119421375.ch56
Straube, S., Derry, S., & Moore, A. (2013) · doi:10.4155/ebo.13.383
Self-citationThe impact of non-pharmacological approaches on post-cesarean ileus: A critical review
Yas, A., Ghezelhesari, E. M., & Roudsari, R. L. (2024) · Payesh (Health Monitor) Journal · doi:10.61186/payesh.23.2.185
Erridge, S., Datta, A., Mukherjee, A. L., Vasooja, D., Coomber, R., Beri, S., Khan, S. A., Weatherall, M., Platt, M. W., Rucker, J., et al. (2026) · The Journal of Clinical Pharmacology · doi:10.1002/jcph.70313
- Authors
- Moore, R. A., Derry, S., McQuay, H. J., Straube, S., Aldington, D., Wiffen, P., Bell, R. F., Kalso, E., & Rowbotham, M. C.
- Affiliations
- John Radcliffe Hospital (GB)
- University of Göttingen (DE)
- Cochrane (GB)
- Haukeland University Hospital (NO)
- Helsinki University Hospital (FI)
- California Pacific Medical Center (US)
- Venue
- Pain
- Published
- 2010-05
- Volume
- 149
- Issue
- 2
- Pages
- 173-176
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2048800165
- Cited by
- 98
- References
- 40
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 7 · 2023: 6 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 5 · 2017: 17 · 2016: 6 · 2015: 7 · 2014: 5 · 2013: 13 · 2012: 4
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- GRO (submittedVersion)
- Funders
- NIHR Biomedical Research Centre Programme
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- clinical effectiveness, clinical trial design, individual differences, pain research
- MeSH terms
- Clinical Trials as Topic, Data Interpretation, Statistical, Drug Resistance, Humans, Research Design, Meta-Analysis as Topic, Observer Variation, Treatment Outcome, Outcome Assessment, Health Care, Evidence-Based Medicine, Drug-Related Side Effects and Adverse Reactions
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