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. 2019 Nov 21;2019(11):CD011931. doi: 10.1002/14651858.CD011931.pub2

Jones 2009.

Methods Study design: randomized controlled trial (2 arms)
Study duration: not reported
Study setting: hospital, single centre, Australia
Participants Adults undergoing elective craniotomy (n = 82)
Inclusion criteria
  1. Adults undergoing elective craniotomy


Exclusion criteria
  1. Confusion

  2. Contraindications to NSAIDS

  3. Chronic pain

  4. Regular opioid usage


Mean age, range (years)
  1. 47 (18 to 75)


Numbers allocated to each arm
  1. Group intervention (n = 41)

  2. Group control (n = 39)


Male gender
  1. Group intervention: 24/41

  2. Group control : 17/39

Interventions Technique and timing
  1. Parecoxib versus saline, given intravenously at dural closure


Dosage
40 mg
Outcomes Primary
  1. Morphine consumption in the postoperative recovery unit


Secondary
  1. Morphine consumption in the first 24 hours postoperatively

  2. Pain as measured by the visual analogue score (measured at 1, 6, 12 and 24 hours)

  3. Sedation score

  4. Patient satisfaction

  5. Adverse events ‐ nausea and vomiting

Notes Funding
Vincents research grant
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated permuted block
Allocation concealment (selection bias) High risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Study drugs were prepared by a third party and labelled ‘study drug’.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Assessors were blinded to treatment received.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 2 participants were excluded as surgery was cancelled. An intention‐to‐treat analysis was not performed and the groups to which these participants were initially assigned was not reported.
Selective reporting (reporting bias) Low risk Outcomes were reported as specified.
Other bias Unclear risk Small study