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. 2018 Nov 29;2018(11):CD011274. doi: 10.1002/14651858.CD011274.pub2

Irwin 1995.

Methods
  • Study design: parallel RCT

  • Study duration: not reported

  • Study follow‐up: 48 h post‐operatively

Participants
  • Country: Hong Kong

  • Setting: single centre

  • Inclusion criteria: males undergoing elective minor orthopaedic surgery

  • Number: treatment group (11); control group (10)

  • Mean age ± SD (years): treatment group (45.6±19.0); control group (33.5±9.5)

  • Sex (M/F): not reported

  • Exclusion criteria: patients with respiratory, cardiac, hepatic or kidney insufficiency; history of peptic ulcer disease or allergy to aspirin, diclofenac or other prostaglandin inhibiting compounds

Interventions Treatment group
  • Diclofenac: 100 mg suppository before surgery then 100 mg at 8am on day 1


Control group
  • Placebo: suppository before surgery and at 8am on day 1

Outcomes
  • Pre‐operative and post‐operative (at 24 h and 48 h) measurements of CrCl, urine output, sodium output, potassium output, fractional excretion of sodium, fractional excretion of potassium

Notes
  • Funding source: not reported

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Study was described as randomised, method of randomisation was not reported
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Incomplete outcome data (attrition bias) 
 All outcomes Low risk One patient withdrew from study; reason for missing outcome data unlikely to be related to outcome
Selective reporting (reporting bias) Low risk Study protocol matches outcomes presented
Other bias Unclear risk Insufficient information to permit judgement