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. Author manuscript; available in PMC: 2014 Sep 11.
Published in final edited form as: Cochrane Database Syst Rev. 2012 Mar 14;3:CD004233. doi: 10.1002/14651858.CD004233.pub3
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)