Critical appraisal:Cepeda MS, Chapman CR, Miranda N, Sanchez R, Rodriguez CH, Restrepo AE, et al 2008
From Cancer Guidelines Wiki
Critical Appraisal
Article being appraised
Cepeda MS, Chapman CR, Miranda N, Sanchez R, Rodriguez CH, Restrepo AE, et al. Emotional disclosure through patient narrative may improve pain and well-being: results of a randomized controlled trial in patients with cancer pain. J Pain Symptom Manage 2008 Jun;35(6):623-31 Available from: http://www.ncbi.nlm.nih.gov/pubmed/18359604.
Applicable clinical question
Key Facts
Study Design
randomised controlled trial
Number of Patients:
234
Includes an economic evaluation
no
Evidence ratings
Level of evidence
II
Risk of bias
Low risk of bias | Comments: This was as good methodology as can be achieved to answer this question |
Size of effect
2 | Reason for decision: There really is no independent way of assessing the signfiicance of the effect for the whole group but the subset effect is probably meaningful in my opinion |
Relevance of evidence
2 | Additional comments: The most interesting outcomes relate to the subset of patients whose written narrative had high emotional content. This will not be known in advance of the task for an individual. It is thus relevant for that subset |
Result of appraisal
Completed by
- Article
- Cepeda MS, Chapman CR, Miranda N, Sanchez R, Rodriguez CH, Restrepo AE, et al. Emotional disclosure through patient narrative may improve pain and well-being: results of a randomized controlled trial in patients with cancer pain. J Pain Symptom Manage 2008 Jun;35(6):623-31 Available from: http://www.ncbi.nlm.nih.gov/pubmed/18359604.
- Assigned to
- User:Matthew.peters
- Topic area
- Guidelines:Lung cancer/Treatment/Non-small-cell stage IV inoperable
- Clinical question
Section below only relevant for Cancer Council Project Officer