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Cochrane Database of Systematic Reviews

Nonsteroidal anti‐inflammatory drugs for primary dysmenorrhoea

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Information

DOI:
https://doi.org/10.1002/14651858.CD001751Copy DOI
Database:
  1. Cochrane Database of Systematic Reviews
Version published:
  1. 20 October 2003see what's new
Type:
  1. Intervention
Stage:
  1. Review
Cochrane Editorial Group:
  1. Cochrane Gynaecology and Fertility Group

Copyright:
  1. Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Authors

  • Jane Marjoribanks

    Correspondence to: Obstetrics and Gynaecology, Cochrane Menstrual Disorders and Subfertility Group, Auckland, New Zealand

    [email protected]

  • Michelle Proctor

    Psychological Service, Department of Corrections, Auckland, New Zealand

  • Cindy Farquhar

    Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand

  • Ussanee S Sangkomkamhang

    Division of Obstetrics and Gynecology, Khon Kaen Hospital, Khon Kaen, Thailand

  • Roos S Derks

    Amsterdam Medical Centre, University of Amsterdam, Amsterdam, Netherlands

Contributions of authors

Jane Marjoribanks: Took the lead in writing the review, performed independent data extraction and quality assessment of the included trials, was responsible for statistical analysis and interpretation of the data.
Michelle Proctor: Took the lead in writing the protocol, performed independent data extraction and quality assessment of the included trials, was responsible for statistical analysis and interpretation of the data.
Cindy Farquhar: Initiated and conceptualised the review, commented on drafts of the protocol and review.

Sources of support

Internal sources

  • University of Auckland, School of Medicine, Auckland, New Zealand.

External sources

  • Princess of Wales Memorial Trust Fund administered by the Mercia Barnes Fund, New Zealand.

Declarations of interest

None known

Acknowledgements

To Valeria Ivanova and Owen Sinclair who advised on the early stages of the review, to Will Stones who commented on the final draft and to all the people who kindly translated trials free of charge.

Version history

Published

Title

Stage

Authors

Version

2015 Jul 30

Nonsteroidal anti‐inflammatory drugs for dysmenorrhoea

Review

Jane Marjoribanks, Reuben Olugbenga Ayeleke, Cindy Farquhar, Michelle Proctor

https://doi.org/10.1002/14651858.CD001751.pub3

2010 Jan 20

Nonsteroidal anti‐inflammatory drugs for dysmenorrhoea

Review

Jane Marjoribanks, Michelle Proctor, Cindy Farquhar, Roos S Derks

https://doi.org/10.1002/14651858.CD001751.pub2

2003 Oct 20

Nonsteroidal anti‐inflammatory drugs for primary dysmenorrhoea

Review

Jane Marjoribanks, Michelle Proctor, Cindy Farquhar, Ussanee S Sangkomkamhang, Roos S Derks

https://doi.org/10.1002/14651858.CD001751

Differences between protocol and review

The following criteria represent changes or additions to the original protocol for this review:

1) The original protocol specified an intended limit to the interventions to be considered, i.e. the four major NSAIDs prescribed for dysmenorrhoea (naproxen, ibuprofen, indomethacin, mefenamic acid) and two commonly used non‐opioid analgesics (aspirin, paracetamol). However while searching was being carried out it became clear that a much wider group of NSAIDs are now commonly used and also that aspirin is itself commonly considered a NSAID, so it was decided to make the review more comprehensive in its evaluation by considering all types of NSAIDs, including aspirin, versus other NSAIDs, paracetamol or placebo.

2) It was decided to include only double blinded trials, and to exclude trials which analysed fewer than 80% of randomised participants, on grounds of quality.

3) Trials with participants who used intrauterine contraception (IUCD) were excluded unless the results for this group were analysed separately, on the grounds that dysmenorrhoea related to IUCD use is secondary rather than primary (Ylikorkala 1978).

4) Where trials compared differing doses of the same NSAID against placebo or another drug, the results were pooled where feasible, or (in the case of crossover trials where results could not be pooled) the highest recommended dose was used for the purpose of comparison. See Characteristics of Included Studies for details.

5) Cyclooxygenase‐2 inhibitors (Cox 2 inhibitors), such as praecox and celecoxib, were excluded as they will be considered in a separate review.

PICOs

Population
Intervention
Comparison
Outcome

The PICO model is widely used and taught in evidence-based health care as a strategy for formulating questions and search strategies and for characterizing clinical studies or meta-analyses. PICO stands for four different potential components of a clinical question: Patient, Population or Problem; Intervention; Comparison; Outcome.

See more on using PICO in the Cochrane Handbook.