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

Malmstrom 2004a.

Methods RCT, DB, single oral dose, 6 parallel groups
Medication administered when baseline pain reached a moderate to severe intensity
Pain assessed at 0, 15, 30, 45, 60, 90 mins then at 2, 3, 4, 5, 6, 7, 8, 12, and 24 hours
Participants Impacted third molar extraction
N = 398
M = 147, F = 251
Mean age 21 years
Interventions Etoricoxib 60 mg, n = 75
Etoricoxib 120 mg, n = 76
Etoricoxib 180 mg, n = 74
Etoricoxib 240 mg, n = 76
Ibuprofen 400 mg, n = 48
Placebo, n = 49
Outcomes PI: standard 4‐point scale
PR: standard 5‐point scale
PGE: standard 5‐point scale
Time to use of rescue medication
Number of participants using rescue medication
Number of participants reporting adverse events and serious adverse events
Withdrawals
Notes Oxford Quality Score: R2, DB2, W1
Participants asked to refrain from using rescue medication for 90 mins
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "computer‐generated allocation schedule"
Allocation concealment (selection bias) Unclear risk Not described
Blinding (performance bias and detection bias) 
 All outcomes Low risk Double‐dummy method. "matching placebo tablet" for both active treatments
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Participants accounted for; analysis appropriate for relevant time interval
Other bias Unclear risk Small treatment group size (48 to 76 participants)