Cochrane · systematic review · CD009865

Celecoxib for osteoarthritis

Puljak, L, Marin, A, Vrdoljak, D, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 14.3%Very low 6 · 42.9%Low 1 · 7.1%Moderate 3 · 21.4%High 2 · 14.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Celecoxib versus placebo for osteoarthritis

Population: osteoarthritis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain
Celecoxib vs placebo
no estimate extracted4 studies · 1622 participantsHigh
Physical function
Celecoxib vs placebo
no estimate extracted4 studies · 1622 participantsHigh
Quality of life
Celecoxib vs placebo
no estimate extracted0 studies · 0 participantsUngraded
Number withdrawn due to adverse events
Celecoxib vs placebo
Peto OR 0.99 [0.85, 1.15]24 studies · 10996 participantsModerate
Downgraded: risk of bias, imprecision
Number experiencing any serious adverse events
Celecoxib vs placebo
Peto OR 0.95 [0.66, 1.36]22 studies · 10926 participantsVery low
Downgraded: risk of bias, imprecision
Number experiencing gastro‐intestinal events (perforation, ulcer, bleeds)
Celecoxib vs placebo
Peto OR 1.91 [0.24, 14.9]8 studies · 3263 participantsVery low
Downgraded: risk of bias, imprecision
Number experiencing cardiovascular events (myocardial infarction, stroke)
Celecoxib vs placebo
Peto OR 3.4 [0.73, 15.88]4 studies · 2112 participantsVery low
Downgraded: risk of bias, imprecision

Celecoxib versus tNSAIDs for osteoarthritis

Population: osteoarthritis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain
Celecoxib vs tNSAIDs
no estimate extracted2 studies · 1180 participantsModerate
Downgraded: risk of bias, imprecision, publication bias
Physical function
Celecoxib vs tNSAIDs
no estimate extracted1 study · 264 participantsModerate
Downgraded: risk of bias, imprecision, publication bias
Quality of life
Celecoxib vs tNSAIDs
no estimate extracted0 studies · 0 participantsUngraded
Number withdrawn due to adverse events
Celecoxib vs tNSAIDs
Peto OR 0.97 [0.74, 1.27]8 studies · 3150 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Number experiencing any serious adverse events
Celecoxib vs tNSAIDs
Peto OR 0.92 [0.66, 1.28]5 studies · 2404 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Number experiencing gastro‐intestinal events (perforation, ulcer, bleeds)
Celecoxib vs tNSAIDs
Peto OR 0.61 [0.15, 2.43]4 studies · 1755 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Number experiencing cardiovascular events (myocardial infarction, stroke)
Celecoxib vs tNSAIDs
Peto OR 0.47 [0.17, 1.25]1 study · 916 participantsVery low
Downgraded: risk of bias, imprecision, publication bias