Critical appraisal:Cepeda MS, Chapman CR, Miranda N, Sanchez R, Rodriguez CH, Restrepo AE, et al 2008

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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

Jutta's tick icon.png Included




Completed by

Prof Matthew Peters MD FRACP


Jutta's tick icon.png This appraisal has been completed.


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
Form
Form:Critical appraisal


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