Effects of open-label placebos in clinical trials: a systematic review and meta-analysis.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
16 02 2021
Historique:
received: 08 10 2020
accepted: 29 01 2021
entrez: 17 2 2021
pubmed: 18 2 2021
medline: 4 1 2022
Statut: epublish

Résumé

Open-label placebos (OLPs) are placebos without deception in the sense that patients know that they are receiving a placebo. The objective of our study is to systematically review and analyze the effect of OLPs in comparison to no treatment in clinical trials. A systematic literature search was carried out in February 2020. Randomized controlled trials of any medical condition or mental disorder comparing OLPs to no treatment were included. Data extraction and risk of bias rating were independently assessed. 1246 records were screened and thirteen studies were included into the systematic review. Eleven trials were eligible for meta-analysis. These trials assessed effects of OLPs on back pain, cancer-related fatigue, attention deficit hyperactivity disorder, allergic rhinitis, major depression, irritable bowel syndrome and menopausal hot flushes. Risk of bias was moderate among all studies. We found a significant overall effect (standardized mean difference = 0.72, 95% Cl 0.39-1.05, p < 0.0001, I

Identifiants

pubmed: 33594150
doi: 10.1038/s41598-021-83148-6
pii: 10.1038/s41598-021-83148-6
pmc: PMC7887232
doi:

Substances chimiques

Placebos 0

Types de publication

Journal Article Meta-Analysis Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3855

Commentaires et corrections

Type : ErratumIn

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Auteurs

Melina von Wernsdorff (M)

Department of Psychosomatic Medicine and Psychotherapy, Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Hauptstr. 8, 79104, Freiburg, Germany.
Department of Psychology, Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg, Germany.

Martin Loef (M)

CHS-Institut, Berlin, Germany.

Brunna Tuschen-Caffier (B)

Department of Psychology, Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg, Germany.

Stefan Schmidt (S)

Department of Psychosomatic Medicine and Psychotherapy, Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Hauptstr. 8, 79104, Freiburg, Germany. stefan.schmidt@uniklinik-freiburg.de.
Institute for Frontier Areas and Mental Health, Freiburg, Germany. stefan.schmidt@uniklinik-freiburg.de.

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Classifications MeSH