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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 and multiple oral dose, 3 parallel groups
Medication administered when baseline pain reached a moderate to severe intensity
Pain assessed at 0, 15, 30, 45, 60, 90 mins then hourly up to 12 h
Participants Impacted third molar extraction
Mean age 22 years
N = 174
M = 75, F = 99
Interventions Celecoxib 200 mg, n = 74
Ibuprofen liquigel 400 mg, n = 74
Placebo, n = 26
Outcomes PI: 4-point scale
PR: 5-point scale
PGE: std 5-point scale (patients reporting “very good” or “excellent”)
Time to use of rescue medication
Number of participants using rescue medication
Number of participants reporting any adverse event and serious adverse events
Number of participants withdrawing due to adverse event
Notes Oxford Quality Score: R2, DB2, W1
Participants asked to refrain from rescue medication for 1 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. “The appearance, presentation and labelling of the placebo formulations were identical to those of the corresponding active drugs”
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 (74 active, 26 placebo participants)