Methods | RCT, DB single oral dose, 5 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, and 12 h |
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Participants | Impacted third molar extraction Mean age 22 years N = 482 M = 124, F = 358 |
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Interventions | Celecoxib 400 mg, n = 151 Celecoxib 200 mg, n = 90 Rofecoxib 50 mg, n = 150 Ibuprofen 400 mg, n = 45 Placebo, n = 45 |
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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 |
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Notes | Oxford Quality Score: R2, DB2, W1 Participants asked to refrain from rescue medication for 1.5 h |
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Risk of bias | ||
Bias | Authors’ judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | “computer-generated allocation schedule” |
Allocation concealment (selection bias) | Low risk | Participants allocated to next randomisation number (lowest for moderate pain, highest for severe pain) |
Blinding (performance bias and detection bias) All outcomes |
Low risk | Double-dummy method. Each active treatment had matching placebo tablets or capsules |
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 to 151 coxib, 45 to 50 ibuprofen, and placebo participants) |