An evidence-based systematic assessment of cannabinoids for the management of severe non-cancer pain

Abstract

Author(s): Kavina Ganapathy*, Manoj Rameshachandra Vyas and Komal Patel

Background and Objective: The systematic assessment evaluated long-term observational research on the efficacy, comfort and security of Cannabis based Medications (CbMs) for Chronic Non-Cancer Pain (CNCP).

Methods: The research was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic assessment and Meta-Analyses).

Results: After reviewing five papers in their entirety, the study excluded them due to lack of pain-related outcomes. Results of a 48-weeks Indian experiment with 143 patients were reported for both responders and non-responders. An average follow-up of 48 weeks-28 weeks was noted in another Indian experiment including 101 participants. Additionally, 1144 persons using medicinal cannabis for various conditions did not separately publish results for individuals experiencing pain at the 6-months follow-up.

Conclusions: It's important to use care when interpreting data from observational research. CbMs were generally well tolerated and safe in the context of observational studies, and they showed beneficial effects on a variety of symptoms for certain CNCP patients’ modalities.

Significance: According to reports of prospective observational studies, the long-term efficiency of medicinal cannabis for CNCP, tolerability, and safety have extremely poor-quality evidence. These kinds of research did not meet the predefined requirements for an effect size of a big magnitude. However, for certain carefully chosen and well-watched CNCP patients, long-term medicinal cannabis treatment may be an option.

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