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Abstract
The medical literature was evaluated with respect to the efficacy of NSAIDs for shoulder
complaints. Nineteen randomized clinical trials met the selection criteria and were
included in this review. Each publication was independently scored by two blinded
reviewers, according to a standardized set of 17 methodological criteria. The studies
were ranked according to their total methods score (maximum 100 points). The methodological
quality of the majority of the studies was rather disappointing; only 5 trials received
a methods score exceeding 50 points. Furthermore, methodological criteria were often
inadequately described, particularly those regarding the randomization procedure,
co-interventions and control of compliance. The three trials with the highest methods
scores demonstrated superior short-term efficacy of NSAIDs in comparison with placebo
intervention. Fourteen trials comparing two types of NSAIDs showed no conclusive evidence
in favour of a particular NSAID with respect to efficacy or tolerability. Future studies
should compare the benefit-risk ratios of NSAIDs and analgesics for shoulder complaints
in order to establish whether the use of NSAIDs is more favourable than analgesics,
despite the higher risk of adverse reactions from NSAIDs.
Keywords
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Article info
Publication history
Received:
October 27,
1994
Identification
Copyright
© 1995 Published by Elsevier Inc.
