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March 28, 2026Journal of Pain Research1 citationsOpen Access

Refining Cannabinoid Ratios for Geriatric Pain: Methodological and Clinical Reflections on the CARE Study Letter

DQDi QiangCZChen ZhengYXYingying Xu

Key Points

  • Evaluate the effectiveness and safety of CBD-dominant cannabis versus THC in older patients with chronic pain.
  • Retrospective analysis of data from the German Pain e-Registry
  • Dual-cohort design over a 24-week period
  • Comparison of response rates between CBD-dominant and THC/Dronabinol groups
  • 85.7% full response rate in the CBD-dominant cohort
  • 21.9% full response rate in the THC/Dronabinol group
  • Highlight the multidimensional benefits of CBD-rich formulations for pain relief

Abstract

CARE -A Retrospective, Dual-Cohort, 24-Week Real-World Study from the German Pain e-Registry on the Effectiveness and Safety of CBD-Dominant Oral Cannabis Extracts versus THC/Dronabinol in Older Patients with Chronic Pain". 1This study provides timely and high-level real-world evidence for a demographic-patients aged 65 years-that is historically underrepresented in clinical trials.The findings, particularly the 85.7% full response rate in the CBD-dominant cohort compared to 21.9% in the THC/DRO group, offer a compelling argument for the multidimensional benefits of CBD-rich formulations.We commend the authors for their rigorous methodology and valuable contribution to the field.To further enhance the clinical translation of these results, we wish to offer several methodological and clinical observations.

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Cite This Study

Qiang et al. (2026) studied this question.

synapsesocial.com/papers/69c770418bbfbc51511e06c3https://doi.org/10.2147/jpr.s608085
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