Table 2. Dose-response relationships for individual drugs included in the analyses.
Information Reported | Rofecoxib | Celecoxib | Ibuprofen | Naproxen | Diclofenac | |||||
≤25 mg/d | >25 mg/d | ≤200 mg/d | >200 mg/d | Low | High | Low | High | Low | High | |
Overall summary estimates | 1.37 | 2.17 | 1.26 | 1.69 | 1.05 | 1.78 | 0.97 | 1.05 | 1.22 | 1.98 |
95% CI | 1.20, 1.57 | 1.59, 2.97 | 1.09, 1.47 | 1.11, 2.57 | 0.96, 1.15 | 1.35, 2.34 | 0.87, 1.08 | 0.89, 1.24 | 1.12, 1.33 | 1.40, 2.82 |
p-Value for dose effect | 0.008 | 0.197 | 0.0004 | 0.433 | 0.009 | |||||
Studies contributing dose data | 16 of 34 studies reporting on rofecoxib | 11 of 35 studies reporting on celecoxib | 11 of 38 studies reporting on ibuprofen | 10 of 41 studies reporting on naproxen | 10 of 29 studies reporting on diclofenac | |||||
Heterogeneity Cochrane Q | 71.8 | 80.7 | 33.7 | 119.9 | 43.3 | 221.4 | 11.7 | 29.4 | 16.3 | 437.5 |
p-Value | <0.0001 | <0.0001 | 0.0008 | <0.0001 | <0.0001 | <0.0001 | 0.4 | 0.0058 | 0.1786 | <0.0001 |
The RR values in this table differ from those in Table 1 because only a sub-set of all available studies reported dose-response relationships. “Low” and “high” daily doses of ibuprofen, naproxen, and diclofenac were defined in the individual studies as follows. Ibuprofen low dose/high dose: eight studies, ≤1,200 mg/>1,200 mg; one study, ≤1,600 mg/>1,600 mg; two studies, <1,800 mg/≥1,800 mg. Naproxen low dose/high dose: two studies, ≤500 mg/>500 mg; four studies, ≤750 mg/>750 mg; four studies, ≤1,000 mg/≥1,000 mg. Diclofenac low dose/high dose: six studies, ≤100 mg/>100 mg; two, studies <100 mg/≥100 mg; two studies, <150 mg/≥150 mg.