Cochrane · systematic review · CD011274

Effects of peri‐operative nonsteroidal anti‐inflammatory drugs on post‐operative kidney function for adults with normal kidney function

Bell, S, Rennie, T, Marwick, CA, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Kidney and TransplantAMSTAR 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 80%Low 1 · 20%Moderate 0 · 0%High 0 · 0%

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

Nonsteroidal anti‐inflammatory drugs (NSAIDs) versus placebo or no treatment in the peri‐operative period

Population: adults with normal kidney function undergoing surgery
5 questions
OutcomeEffectEvidenceStatus / GRADE
AKI within 30 days of surgery
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs placebo or no treatment
RR 1.79 [0.4, 7.96]2 studies · 7066 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
SCr increase within 30 days of surgery
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs placebo or no treatment
no estimate extracted15 studies · 794 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
RRT within 30 days of surgery
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs placebo or no treatment
RR 1.57 [0.49, 5.07]2 studies · 7056 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Death (all causes)
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs placebo or no treatment
RR 1.44 [0.19, 11.12]2 studies · 312 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Length of hospital stay
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs placebo or no treatment
MD 0.123 studies · 410 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness