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

Perttunen 1999.

Methods
  • Study design: parallel RCT

  • Study duration: not reported

  • Study follow‐up: 2 POD

Participants
  • Country: Finland

  • Setting: single centre

  • 30 patients undergoing thoracoscopy

  • Number: treatment group 1 (10); treatment group 2 (10); control group (10)

  • Mean age, range (years): treatment group 1 (50.3, 26 to 70); treatment group 2 (40.6, 18 to 64); control group (45.0, 25 to 70)

  • Sex (M/F): treatment group 1 (5/5); treatment group 2 (6/4); control group (5/5)

  • Exclusion criteria: > 75 years; cardiac, kidney or hepatic failure; history of GI bleeding or peptic ulceration; haemorrhagic diathesis and asthma; allergy to aspirin, NSAIDs or morphine; confusion, preoperative FEV1 < 60% of reference value; sleep apnoea

Interventions Treatment group 1
  • Diclofenac: bolus of 17 mg 1 h before anaesthesia; followed by a 48 h continuous infusion at 1mg/kg/24 h


Treatment group 2
  • Diclofenac: bolus of 10 mg 1 h before anaesthesia, followed by a 48 h continuous infusion at 1.2mg/kg/24 h


Control group
  • Equivalent placebo bolus and continuous infusion

Outcomes
  • Creatinine at baseline, 1 h, first POD and second POD

  • Urine output measurement 0‐22 h and 22‐46 h

Notes
  • Funding Source: Helsinki University Central Hospital Research Fund and Helsinki University

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Study was described as randomised, method of randomisation was not reported
Allocation concealment (selection bias) Low risk Envelopes were sealed and opened by nurse who was not involved in the study
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Envelopes were sealed and opened by recovery nurse who made up the infusions. This nurse was not involved in the study
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Assessors were blinded to allocation of infusions
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing data
Selective reporting (reporting bias) Low risk Study protocol matches outcomes presented
Other bias Low risk Non‐profit organisation funding received