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

Kostamovaara 1996.

Methods
  • Study design: parallel RCT

  • Study duration: not reported

  • Study follow‐up: 2 POD

Participants
  • Country: Finland

  • Setting: single centre

  • Inclusion criteria: patients undergoing total hip (62) or knee (14) replacement

  • Number: treatment group 1 (19); treatment group 2 (20); treatment group 3 (18) control group (19)

  • Mean age ± SD (years): treatment group 1 (61 ± 10); treatment group 2 (58 ± 8); treatment group 3 (64 ± 5) control group (61 ± 7)

  • Sex (M/F): treatment group 1 (5/14); treatment group 2 (10/10); Treatment group 3 (15/3); control group (6/13)

  • Exclusion criteria: hepatic, kidney or cardiac failure; bleeding or coagulation disorders; peptic ulcer; asthma; hypersensitivity to aspirin or other NSAIDs; on cytostatic treatment

Interventions Treatment group 1
  • Ketoprofen: 50 mg IV loading dose for 30 min, followed 50 mg infusion over following 11.5 h


Treatment group 2
  • Ketoprofen: 100 mg IV loading dose for 30 min, followed 100 mg infusion over following 11.5 h


Treatment group 3
  • Ketoprofen: 150 mg IV loading dose for 30 min, followed 150 mg infusion over following 11.5 h


Control group
  • Isotonic saline: IV infusion for 30 min, followed by saline over following 11.5 h

Outcomes
  • Pre‐operative and day 2 SCr

Notes
  • Funding source: Grant awarded by the Professor Arno Hollmen Fund, Finland

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 All outcomes Low risk Three of 76 patients withdrawn from study; reasons for missing outcome data unlikely to be related to true outcome
Selective reporting (reporting bias) Low risk Study protocol matches outcomes presented
Other bias Low risk Non‐profit organisation funding received