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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, double-dummy, single oral dose, 4 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, and at 24 h
Participants Impacted third molar extraction
Mean age 22 years
N = 355
M = 112, F = 243
Interventions Celecoxib 200 mg, n = 101
Lumiracoxib 400 mg, n = 101
Rofecoxib 50 mg, n = 102
Placebo, n = 51
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: R1, 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) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding (performance bias and detection bias)
All outcomes
Low risk Double-dummy method. Placebo capsules and tablets matching corresponding active treatments
Incomplete outcome data (attrition bias)
All outcomes
Low risk Participants accounted for; analysis appropriate for relevant time interval
Other bias Unclear risk Small treatment group size (100 to 101 active, 51 placebo participants)