Cakan 2008.
Methods | Randomized, double‐blind, placebo‐controlled, over 24 h Medications administered during skin closure |
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Participants | Type of surgery: elective lumbar laminectomy and discectomy Paracetamol group Entered/completing: 20/20 Age (mean, SD): 41 ± 10 Sex (male, %): 60 Placebo group Entered/completing: 20/20 Age (mean, SD): 44 ± 10 Sex (male, %): 55 |
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Interventions | Intervention: paracetamol 1 g IV over 15 min Placebo: 100 ml normal saline |
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Outcomes | Pain intensity at rest or movement (VAS) Opioid consumption (morphine) All other outcomes reported at 24 h only |
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Source of funding | Not reported | |
Were treatment groups comparable at baseline? | Yes: demographic data (sex, age, duration of surgery, intraoperative opioid use) and vital signs | |
Details of preoperative pain | Not reported | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated block randomization |
Allocation concealment (selection bias) | Low risk | Sealed, opaque envelopes |
Blinding (performance bias and detection bias) All outcomes | Low risk | Placebo administered in same solution over same time period |
Incomplete outcome data (attrition bias) All outcomes | Low risk | It appears that all participants completed the study and contributed data for each outcome at all relevant time points |
Selective reporting (reporting bias) | Low risk | All outcomes from Methods section reported in Results section |
Size | High risk | Fewer than 50 participants per arm of the study (20 paracetamol, 20 placebo) |