Table 2.
Study, year | Primary outcomes | Secondary outcomes | |
---|---|---|---|
Measure | Findings | ||
Bleidorn et al., 2010 | Symptom resolution by day 4 (test for difference) | No significant difference between NSAIDs and antibiotics in achieving symptom resolution by day 4 | Burden of symptoms, frequency of relapses, secondary antibiotic treatments, incidence of adverse events |
Gágyor et al., 2015 | Burden of symptoms on days 0–7, measured as AUC of the sums of daily symptom scores (test for non-inferiority); number of courses of antibiotics on days 0–28 (test for superiority) | NSAIDs inferior to antibiotics in achieving symptom resolution as measured by the ratio of the AUC of the sum of symptom scores on days 0–7 for both groups | Number of adverse events (including pyelonephritis), frequency of relapses, symptom burden, number of antibiotic doses per patient |
Jamil et al., 2016 | Comparison of post-treatment total symptom scores on day 5 (test for difference) | No significant difference between symptom scores on day 5 for NSAID and antibiotic groups | Comparison of scores for specific symptoms (frequency, urgency, dysuria, suprapubic pain) |
Kronenberg et al., 2017 | Symptom resolution by day 3 (test for non-inferiority and superiority) | NSAIDs inferior to antibiotics in achieving symptom resolution and antibiotics superior to NSAIDs in achieving symptom resolution by day 3 | Use of antibiotics up to day 30, re-consultation for UTIs, mean composite symptom scores, adverse events (including pyelonephritis), time to resolution of symptoms, working days lost, satisfaction with management |
Vik et al., 2018 | Symptom resolution by day 4 (test for non-inferiority) | NSAIDs inferior to antibiotics in achieving symptom resolution by day 4 | Duration of symptoms and symptom load; proportion of patients with a positive second urine culture, in need of a medical consult for UTI within 4 weeks, and who received antibiotics during the study period; frequency of adverse events (including pyelonephritis) |
NSAID, non-steroidal anti-inflammatory drug; UTI, urinary tract infection; AUC, area under the curve