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. 2021 Jun 14;2021(6):CD012978. doi: 10.1002/14651858.CD012978.pub2

Comparison 1. Pre‐emptive NSAIDS/COX‐2 inhibitors versus post‐incision NSAIDS/COX‐2 inhibitors.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 Early acute postoperative pain (within 6 hours postoperatively) 36 2032 Mean Difference (IV, Random, 95% CI) ‐0.69 [‐0.97, ‐0.41]
1.2 Nausea and vomiting (short‐term) 2 100 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.34, 2.94]
1.3 Nausea and vomiting (long‐term) 5 228 Risk Ratio (M‐H, Random, 95% CI) 0.85 [0.52, 1.38]
1.4 Late acute postoperative pain (24‐48 hours postoperatively) 28 1645 Mean Difference (IV, Random, 95% CI) ‐0.22 [‐0.44, 0.00]
1.5 24‐hour morphine consumption (mg) 16 854 Mean Difference (IV, Random, 95% CI) ‐5.62 [‐9.00, ‐2.24]
1.6 Time to first analgesic request (minutes) 18 975 Mean Difference (IV, Random, 95% CI) 17.04 [3.77, 30.31]
1.7 Pruritus (long‐term) 4 254 Risk Ratio (M‐H, Random, 95% CI) 0.40 [0.09, 1.76]
1.8 Sedation (long‐term) 4 281 Risk Ratio (M‐H, Random, 95% CI) 0.51 [0.16, 1.68]