Table 6

PICO 3 (selective vs non-selective NSAIDs)

AuthorOutcome definitionGroupsNMale, n (%)Age, years, mean (SD)Outcome, n (%)Study conclusions
Non-union
Jeffcoach19Not definedSelective NSAID
Non-Selective NSAID
8
185
NR
NR
NR
NR
0 (0)
7 (3.8)
No statement on selective NSAID use.
George4Non-union diagnosis code or a procedure to treat non-unionSelective NSAID
Non-Selective NSAID
2 411
22 590
11 229 (45)
103 003 (37)
49 (17)
60 (19)
69 (2.9)
387 (1.7)
Filling a prescription for a non-selective NSAID after fracture was not associated with an increased risk of non-union in the subsequent year. Both COX-2-inhibitor and opioid prescription fills after fracture were associated with a greater risk of non-union.
Pain
Ortiz10Pain (VAS) at 24 hoursKetorolac (non-selective)
Diclofenac (non-selective)
Etoricoxib (Selectve)
15
17
17
NA
NA
NA
39 (14)
38 (19)
37 (10)
25 (24 hours)
25 (24 hours)
25 (24 hours)
All studied NSAIDs were equally effective analgesics.
  • NSAID, non-steroidal anti-inflammatory drugs; VAS, visual analog scale.