Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

60 questions · 60 findings · 4 reviews · Musculoskeletal

No studies found 12 · 20%GRADE not reported 1 · 1.7%Very low 6 · 10%Low 22 · 36.7%Moderate 14 · 23.3%High 5 · 8.3%

NSAIDs vs placebo

Participant‐reported pain relief of 50% or greater · acute gout

NSAIDs may leads to higher pain: ≥ 50% improvement in pain (spontaneous pain at 24 hours) compared with placebo (low certainty).

1 finding from 1 review

NSAIDs vs placebo

Inflammation: participants with no swelling at 72 hours (canakinumab 150 mg) Assessed by the investigator as no swelling, mild/palpable, moderate/visible, severe/bulging beyond the joint margins · acute gout

NSAIDs showed no clear difference in inflammation: swelling compared with placebo (low certainty).

1 finding from 1 review

NSAIDs vs placebo

Function: ≥ 50% improvement in pain with movement at 24 hours · acute gout

NSAIDs showed no clear difference in function: ≥ 50% improvement in pain with movement at 24 hours compared with placebo (low certainty).

1 finding from 1 review

Oral NSAIDs vs glucocorticoid injection

Treatment success Fair, good or excellent effectiveness · Adults with lateral elbow pain

It is very uncertain whether oral NSAIDs changes treatment success Fair, good or excellent effectiveness compared with glucocorticoid injection (very low certainty).

1 finding from 1 review