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. 2015 Jun 15;2015(6):CD007402. doi: 10.1002/14651858.CD007402.pub3

Dreiser 1994.

Methods R, DB, PC, parallel groups
Patch applied twice daily
Assessed at baseline, 3, 7 days
Participants Traumatic ankle sprain (< 2 days)
N = 131
M 84, F 47
Mean age 34 years
Baseline pain ≥ 50 mm
Interventions Flurbiprofen patch, 2 x 40 mg daily, n = 65
Placebo patch, n = 66
Rescue medication: paracetamol. Ice or light restraint allowed
Exclusions: 1 from flurbiprofen group for protocol violation
Outcomes PGE: 4‐point scale (responder = "good" or "very good")
Improvement in pain: VAS (mean data)
Adverse events
Withdrawals
Notes Oxford Quality Score: R1, DB2, W1. Total = 4/5
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 Placebo patch was "non‐medicated (but otherwise identical)"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All participants included in analysis
Size High risk < 50 participants per treatment arm