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. 2016 May 23;2016(5):CD007126. doi: 10.1002/14651858.CD007126.pub3

Juhl 2006.

Methods Randomized, double‐blind, double‐dummy, active‐ and placebo‐controlled
Medication administered when baseline pain reached moderate‐to‐severe intensity within 6 h of surgery
Participants Type of surgery: third molar extraction
Paracetamol group
Entered/completing: 132/132
Age (mean, SD): 25.0 ± 2.6
Sex (male, %): 41
Placebo group
Entered/completing: 33/33
Age (mean, SD): 25.2 ± 2.8
Sex (male, %): 55
Interventions Intervention: IV paracetamol 1 g
Control: IV paracetamol 2 g (not included in our analysis)
Placebo: 100 ml solution
All interventions administered in 100 ml solution for each 1 g of paracetamol (or placebo) over 15 min
Outcomes Pain relief (VAS and VRS) and derived TOTPAR
Pain intensity (VAS and VRS)
Time to request of rescue medication
Global evaluation (categorical)
Source of funding Supported by Bristol‐Myers Squibb Company
Were treatment groups comparable at baseline? Yes: demographics; ASA classification; number of teeth removed; baseline postoperative pain intensity; surgical trauma
No: longer duration of surgery in the IV paracetamol 1 g group in comparison with the IV paracetamol 2 g and placebo groups
Details of preoperative pain Participants with other painful physical conditions that might confound pain assessment were excluded
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Block randomization 4:4:1, each block n = 9
Allocation concealment (selection bias) Unclear risk Not described
Blinding (performance bias and detection bias) 
 All outcomes Low risk A double‐dummy method was used to assure double‐blinding
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk ITT analysis using LOCF. Unclear how many participants had data imputed.
Selective reporting (reporting bias) Low risk All outcomes from Methods section reported in Results section, but SPID was only calculated using categorical pain intensity despite being measured with both categorical and VAS scales
Size Unclear risk 50 to 199 participants per arm of the study (132 paracetamol, 33 placebo)