Methods | RCT, DB single oral dose and multiple oral dose, 4 parallel groups Medication administered when baseline pain reached a moderate to severe intensity Pain assessed at 0, 15, 30, 45, 60, and 90 mins, then at 2, 3, 4, 5, 6, 7, 8 h |
|
Participants | Impacted third molar extraction Mean age 23 years N = 272 M = 100, F = 172 |
|
Interventions | Celecoxib 200 mg, n = 91 Rofecoxib 50 mg, n = 90 Ibuprofen 400 mg, n = 46 Placebo, n = 45 |
|
Outcomes | PI: std 4-point scale PR: std 5-point scale PGE: std 5-point scale Time to use of rescue medication Number of participants using rescue medication |
|
Notes | Oxford Quality Score: R2, DB2, W1 Participants asked to refrain from rescue medication for 1.5 h |
|
Risk of bias | ||
Bias | Authors’ judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | “computer-generated allocation schedule” |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding (performance bias and detection bias) All outcomes |
Low risk | Double-dummy method, using marketed tablet or capsule formulations or matching placebos |
Incomplete outcome data (attrition bias) All outcomes |
Low risk | Participants accounted for; analysis appropriate for relevant time interval |
Other bias | High risk | Small treatment group size (90, 91 coxib, 45,46 ibuprofen, and placebo participants) |