Evidence map›Paper›PMID 41618646›Full record

SynthesisEuropean journal of pain (London, England)2026

Sponsorship Bias in Randomised Controlled Trials on Postoperative Pain After Third Molar Extraction: A Meta-Research Study.

Carlos Eduardo Dutra Rufato, Mayara Colpo Prado, Bernardo Antonio Agostini, Mateus Bertolini Fernandes Dos Santos, Rafael Sarkis-Onofre

Abstract readMeta-Analysis
In one paragraph

Synthesis in European journal of pain (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carlos Eduardo Dutra RufatoGraduate Program in Dentistry, ATITUS Educação, Passo Fundo, Rio Grande do Sul, Brazil.
Mayara Colpo PradoGraduate Program in Dentistry, ATITUS Educação, Passo Fundo, Rio Grande do Sul, Brazil.
Bernardo Antonio AgostiniGraduate Program in Dentistry, ATITUS Educação, Passo Fundo, Rio Grande do Sul, Brazil.
Mateus Bertolini Fernandes Dos SantosDepartment of Prosthodontics, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Rafael Sarkis-OnofreGraduate Program in Dentistry, ATITUS Educação, Passo Fundo, Rio Grande do Sul, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate whether sponsorship influences the reporting of positive results and the occurrence of selective outcome reporting (SOR) in randomised controlled trials (RCTs) investigating pharmacologic interventions for postoperative pain management following third molar extraction.

methodsThis meta-research included RCTs comparing at least one active drug with placebo, two active drugs, or combination thereof, and reporting outcomes related to pain reduction after third molar extraction. Searches were conducted in PubMed, Scopus and Web of Science without date restrictions and last search was performed on 2024 August. Study selection was performed in Rayyan QCRI, with two independent reviewers screening titles, abstracts and full texts. Data extraction was also conducted independently by two reviewers, collecting information on year of publication, trial design, number of groups, placebo comparisons, sample size (number of patients/teeth), follow-up losses, statistical significance of results, protocol registration and funding disclosures. Selective outcome reporting was assessed by comparing registered protocols with published outcomes. Associations between sponsorship status and both SOR and positive result reporting were analysed using chi-square test (α = 0.05).

resultsA total of 430 RCTs were included. No association was found between sponsorship status and SOR (p = 0.861), nor between sponsorship status and the reporting of positive results (p = 0.241).

conclusionsIn this sample, sponsorship was not associated with either selective outcome reporting or the likelihood of reporting positive results in RCTs on postoperative pain management after third molar extraction. SIGNIFICANCE STATEMENT: The absence of sponsorship bias in RCTs on third molar extraction suggests that industry-funded and non-sponsored studies provide comparably reliable evidence, supporting clinicians in making unbiased, evidence-based decisions for postoperative pain management in third molar surgery.

Indexed as

Molar, ThirdPostoperative PainRandomized Controlled Trials as TopicResearch Support as TopicTooth ExtractionHumansdentistrymetaresearchoral surgerypostoperative painrandomised controlled trialsponsorship biasthird molar

Identifiers

PMID41618646
PMCPMC12859532

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.