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. 2014 May 8;2014(5):CD004309. doi: 10.1002/14651858.CD004309.pub4

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.