for the main comparison.
Etoricoxib compared with placebo for acute postoperative pain | ||||||
Patient or population: adults with moderate or severe acute postoperative pain Settings: community or hospital Intervention: etoricoxib 120 mg Comparison: placebo | ||||||
Outcomes | Probable outcome with |
Relative effect and NNT or NNH (95% CI) |
No of studies, events | Quality of the evidence (GRADE) | Comments | |
comparator | intervention | |||||
At least 50% of maximum pain relief over 4 to 6 hours | 120 in 1000 | 660 in 1000 | RR 5.6 (4.0 to 7.8) NNT 1.9 (1.7 to 2.1) |
6 studies 789 participants 366 events |
High | Adequate numbers of studies, participants and events. Consistency across studies |
Participants with at least 1 adverse event | 360 in 1000 | 330 in 1000 | RR 0.93 (0.74 to 1.2) NNH not calculated |
5 studies 643 participants 219 events |
Moderate | Moderate numbers of studies, participants and events. Consistency across studies. Single dose studies may not reflect clinical practice |
Participants with a serious adverse event | No serious adverse events | Low | Studies underpowered to detect rare events | |||
Deaths | No deaths | Low | Studies underpowered to detect rare events | |||
CI: Confidence interval; NNH: number needed to treat for harm; NNT: number needed to treat for benefit; RR: Risk Ratio | ||||||
GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate. |