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Chou R, McDonagh MS, Nakamoto E, et al. Analgesics for Osteoarthritis: An Update of the 2006 Comparative Effectiveness Review [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 Oct. (Comparative Effectiveness Reviews, No. 38.)
Original Report
Ovid MEDLINE Searches (1966 to July Week 3 2005)
I. Search Strategy: NSAIDs, focus on efficacy (OA)
- exp OSTEOARTHRITIS/ (26153)
- limit 1 to (humans and english language) (18162)
- celecoxib.mp. (1545)
- choline magnesium trisalicylate.mp. (38)
- DICLOFENAC/ (3399)
- DIFLUNISAL/ (380)
- ETODOLAC/ (284)
- FENOPROFEN/ (257)
- FLURBIPROFEN/ (1184)
- IBUPROFEN/ (4177)
- INDOMETHACIN/ (23527)
- KETOPROFEN/ (1443)
- KETOROLAC/ (723)
- meclofenamate sodium.mp. (51)
- Mefenamic Acid/ (764)
- meloxicam.mp. (522)
- nabumetone.mp. (350)
- NAPROXEN/ (2378)
- oxaprozin.mp. (121)
- PIROXICAM/ (1920)
- salsalate.mp. (74)
- SULINDAC/ (923)
- TOLMETIN/ (1255)
- valdecoxib.mp. (183)
- 3 or 4 or 5 or 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or 23 or 24 (40472)
- limit 25 to (humans and english language) (17770)
- 2 and 26 (1094)
- Comparative Study/ (1202473)
- Cohort Studies/ (57012)
- Randomized Controlled Trials/ (38090)
- 27 and (28 or 29 or 30) (532)
- from 31 keep 1–532 (532)
II. Search Strategy: NSAIDs, focus on adverse events (OA & RA)
- Arthritis, Rheumatoid/ (53548)
- limit 1 to (humans and english language) (37493)
- celecoxib.mp. (1545)
- choline magnesium trisalicylate.mp. (38)
- *DICLOFENAC/ae [Adverse Effects] (374)
- *DIFLUNISAL/ae [Adverse Effects] (27)
- *ETODOLAC/ae [Adverse Effects] (19)
- *FENOPROFEN/ae [Adverse Effects] (41)
- *FLURBIPROFEN/ae [Adverse Effects] (41)
- *IBUPROFEN/ae [Adverse Effects] (356)
- *INDOMETHACIN/ae [Adverse Effects] (678)
- *KETOPROFEN/ae [Adverse Effects] (109)
- *KETOROLAC/ae [Adverse Effects] (16)
- meclofenamate sodium.mp. (51)
- *Mefenamic Acid/ae [Adverse Effects] (67)
- meloxicam.mp. (522)
- nabumetone.mp. (350)
- *NAPROXEN/ae [Adverse Effects] (269)
- oxaprozin.mp. (121)
- *PIROXICAM/ae [Adverse Effects] (130)
- salsalate.mp. (74)
- *SULINDAC/ae [Adverse Effects] (116)
- *TOLMETIN/ae [Adverse Effects] (74)
- valdecoxib.mp. (183)
- 3 or 4 or 5 or 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or 23 or 24 (4875)
- limit 25 to (humans and english language) (3433)
- 2 and 26 (357)
- Cohort Studies/ (57012)
- Comparative Study/ (1202473)
- Randomized Controlled Trials/ (38090)
- 27 and (28 or 29 or 30) (128)
- from 31 keep 1–128 (128)
III. Search Strategy: Aspirin/acetaminophen
- exp OSTEOARTHRITIS/ (26153)
- limit 1 to (humans and english language) (18162)
- ASPIRIN/ (26642)
- ACETAMINOPHEN/ (8992)
- 2 and (3 or 4) (323)
- exp Arthritis, Rheumatoid/ (71858)
- limit 6 to (humans and english language) (50057)
- *ASPIRIN/ae [Adverse Effects] (2386)
- *ACETAMINOPHEN/ae [Adverse Effects] (719)
- 7 and (8 or 9) (81)
- 5 or 10 (400)
- Cohort Studies/ (57012)
- Comparative Study/ (1202473)
- Randomized Controlled Trials/ (38090)
- 11 and (12 or 13 or 14) (158)
- from 15 keep 1–158 (158)
IV. Search Strategy: Topical analgesics
- exp OSTEOARTHRITIS/ (26153)
- limit 1 to (humans and english language) (18162)
- (topical and capsaicin).mp. [mp=title, original title, abstract, name of substance word, subject heading word] (614)
- (topical and diclofenac).mp. [mp=title, original title, abstract, name of substance word, subject heading word] (356)
- (topical and ibuprofen).mp. [mp=title, original title, abstract, name of substance word, subject heading word] (137)
- (topical and ketoprofen).mp. [mp=title, original title, abstract, name of substance word, subject heading word] (114)
- (topical and salicylate).mp. [mp=title, original title, abstract, name of substance word, subject heading word] (160)
- 2 and (3 or 4 or 5 or 6 or 7) (40)
- exp Arthritis, Rheumatoid/ (71858)
- 9 and (3 or 4 or 5 or 6 or 7) (11)
- 8 or 10 (49)
- from 11 keep 1–49 (49)
CDSR/CRCT Searches (Through Third Quarter 2005)
I. Search Strategy: NSAIDs, focus on efficacy (OA)
- exp OSTEOARTHRITIS/ (1546)
- limit 1 to (humans and english language) (1546)
- celecoxib.mp. (219)
- choline magnesium trisalicylate.mp. (29)
- DICLOFENAC/ (878)
- DIFLUNISAL/ (90)
- ETODOLAC/ (70)
- FENOPROFEN/ (35)
- FLURBIPROFEN/ (272)
- IBUPROFEN/ (776)
- INDOMETHACIN/ (1224)
- KETOPROFEN/ (299)
- KETOROLAC/ (279)
- meclofenamate sodium.mp. (37)
- Mefenamic Acid/ (92)
- meloxicam.mp. (133)
- nabumetone.mp. (141)
- NAPROXEN/ (645)
- oxaprozin.mp. (47)
- PIROXICAM/ (447)
- salsalate.mp. (31)
- SULINDAC/ (119)
- TOLMETIN/ (360)
- valdecoxib.mp. (56)
- 3 or 4 or 5 or 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or 23 or 24 (5040)
- limit 25 to (humans and english language)(5040)
- 2 and 26 (555)
- Comparative Study/ (96540)
- Cohort Studies/ (2139)
- Randomized Controlled Trials/ (4538)
- 27 and (28 or 29 or 30) (402)
II. Search Strategy: NSAIDs, focus on adverse events (OA & RA)
- Arthritis, Rheumatoid/ (2385)
- limit 1 to (humans and english language) (2385)
- celecoxib.mp. (219)
- choline magnesium trisalicylate.mp. (29)
- *DICLOFENAC/ae [Adverse Effects] (39)
- *DIFLUNISAL/ae [Adverse Effects] (6)
- *ETODOLAC/ae [Adverse Effects] (3)
- *FENOPROFEN/ae [Adverse Effects] (2)
- *FLURBIPROFEN/ae [Adverse Effects] (5)
- *IBUPROFEN/ae [Adverse Effects] (40)
- *INDOMETHACIN/ae [Adverse Effects] (61)
- *KETOPROFEN/ae [Adverse Effects] (9)
- *KETOROLAC/ae [Adverse Effects] (6)
- meclofenamate sodium.mp. (37)
- *Mefenamic Acid/ae [Adverse Effects] (0)
- meloxicam.mp. (133)
- nabumetone.mp. (141)
- *NAPROXEN/ae [Adverse Effects] (62)
- oxaprozin.mp. (47)
- *PIROXICAM/ae [Adverse Effects] (19)
- salsalate.mp. (31)
- *SULINDAC/ae [Adverse Effects] (11)
- *TOLMETIN/ae [Adverse Effects] (0)
- valdecoxib.mp. (56)
- 3 or 4 or 5 or 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or 23 or 24 (846)
- limit 25 to (humans and english language) [Limit not valid in: CDSR,ACP Journal Club,DARE,CCTR; records were retained] (846)
- 2 and 26 (98)
- Cohort Studies/ (2139)
- Comparative Study/ (96540)
- Randomized Controlled Trials/ (4538)
- 27 and (28 or 29 or 30) (73)
III. Search Strategy: Aspirin/acetaminophen
- exp OSTEOARTHRITIS/ (1546)
- limit 1 to (humans and english language) (1546)
- ASPIRIN/ (3028)
- ACETAMINOPHEN/ (1128)
- 2 and (3 or 4) (115)
- exp Arthritis, Rheumatoid/ (2730)
- limit 6 to (humans and english language) (2730)
- *ASPIRIN/ae [Adverse Effects] (271)
- *ACETAMINOPHEN/ae [Adverse Effects] (32)
- 7 and (8 or 9) (10)
- 5 or 10 (124)
- Cohort Studies/ (2139)
- Comparative Study/ (96540)
- Randomized Controlled Trials/ (4538)
- 11 and (12 or 13 or 14) (90)
IV. Search Strategy: Topicals
- exp OSTEOARTHRITIS/ (1546)
- limit 1 to (humans and english language) (1546)
- (topical and capsaicin).mp. [mp=ti, ab, tx, kw, ct, ot, sh, hw] (123)
- (topical and diclofenac).mp. [mp=ti, ab, tx, kw, ct, ot, sh, hw] (199)
- (topical and ibuprofen).mp. [mp=ti, ab, tx, kw, ct, ot, sh, hw] (69)
- (topical and ketoprofen).mp. [mp=ti, ab, tx, kw, ct, ot, sh, hw] (46)
- (topical and salicylate).mp. [mp=ti, ab, tx, kw, ct, ot, sh, hw] (44)
- 2 and (3 or 4 or 5 or 6 or 7) (18)
- exp Arthritis, Rheumatoid/ (2730)
- 9 and (3 or 4 or 5 or 6 or 7) (6)
- 8 or 10 (22)
Current CER Update Search Strings
Database: Ovid MEDLINE 1996 to January week 2 2011
RCTs
- exp OSTEOARTHRITIS/ (18286)
- osteoarthriti$.mp. (23317)
- 1 or 2 (23317)
- Aspirin/ or aspirin.mp. (20844)
- acetaminophen.mp. or Acetaminophen/ (7386)
- Cyclooxygenase 2 Inhibitors/ or celecoxib.mp. [mp=title, original title, abstract, name of substance word, subject heading word, unique identifier] (7518)
- capsaicin.mp. or Capsaicin/ (6135)
- Chondroitin/or chondroitin.mp. (5835)
- diclofenac.mp. or Diclofenac/ (4611)
- diflunisal.mp. or Diflunisal/ (162)
- etodolac.mp. or Etodolac/ (295)
- fenoprofen.mp. or Fenoprofen/ (106)
- flurbiprofen.mp. or Flurbiprofen/ (813)
- Glucosamine/ or glucosamine.mp. (4146)
- ibuprofen.mp. or Ibuprofen/ (4484)
- indomethacin.mp. or Indomethacin/ (11590)
- ketoprofen.mp. or Ketoprofen/ (1574)
- Ketorolac/ or ketorolac.mp. (1209)
- meclofenamate.mp. (157)
- mefenamic acid.mp. or Mefenamic Acid/ (362)
- meloxicam.mp. (881)
- nabumetone.mp. (218)
- naproxen.mp. or Naproxen/ (2158)
- oxaprozin.mp. (59)
- piroxicam.mp. or Piroxicam/ (1288)
- salsalate.mp. (27)
- sulindac.mp. or Sulindac/ (878)
- tolmetin.mp. or Tolmetin/ (410)
- or/4–28 (71421)
- randomized controlled trial.mp. or exp Randomized Controlled Trial/ (189494)
- randomized controlled trial.pt. (186325)
- controlled clinical trial.mp. or exp Controlled Clinical Trial/ (38495)
- controlled clinical trial.pt. (34791)
- clinical trial.mp. or exp Clinical Trial/ (404159)
- clinical trial.pt. (252913)
- or/30–35 (406908)
- limit 36 to humans (397588)
- 3 and 29 and 37 (542)
- 38 and (200507$ or 200508$ or 200509$ or 20051$ or 2006$ or 2007$ or 2008$ or 2009$ or 2010$).ed. (211)
- limit 39 to english language (189)
- limit 39 to abstracts (202)
- 40 or 41 (210)
Systematic Reviews
- exp OSTEOARTHRITIS/ (18286)
- osteoarthriti$.mp. (23317)
- 1 or 2 (23317)
- Aspirin/ or aspirin.mp. (20844)
- acetaminophen.mp. or Acetaminophen/ (7386)
- Cyclooxygenase 2 Inhibitors/ or celecoxib.mp. [mp=title, original title, abstract, name of substance word, subject heading word, unique identifier] (7518)
- capsaicin.mp. or Capsaicin/ (6135)
- Chondroitin/ or chondroitin.mp. (5835)
- diclofenac.mp. or Diclofenac/ (4611)
- diflunisal.mp. or Diflunisal/ (162)
- etodolac.mp. or Etodolac/ (295)
- fenoprofen.mp. or Fenoprofen/ (106)
- flurbiprofen.mp. or Flurbiprofen/ (813)
- Glucosamine/ or glucosamine.mp. (4146)
- ibuprofen.mp. or Ibuprofen/ (4484)
- indomethacin.mp. or Indomethacin/ (11590)
- ketoprofen.mp. or Ketoprofen/ (1574)
- Ketorolac/ or ketorolac.mp. (1209)
- meclofenamate.mp. (157)
- mefenamic acid.mp. or Mefenamic Acid/ (362)
- meloxicam.mp. (881)
- nabumetone.mp. (218)
- naproxen.mp. or Naproxen/ (2158)
- oxaprozin.mp. (59)
- piroxicam.mp. or Piroxicam/ (1288)
- salsalate.mp. (27)
- sulindac.mp. or Sulindac/ (878)
- tolmetin.mp. or Tolmetin/ (410)
- or/4–28 (71421)
- meta-analysis.mp. or exp Meta-Analysis/ (33804)
- (cochrane or medline).tw. (33065)
- search$.tw. (112106)
- 30 or 31 or 32 (139975)
- “Review Literature as Topic”/ or systematic review.mp. (19084)
- 33 or 34 (146484)
- 3 and 29 and 35 (163)
- 36 and (200507$ or 200508$ or 200509$ or 20051$ or 2006$ or 2007$ or 2008$ or 2009$ or 2010$).ed. (77)
- limit 37 to humans (75)
- limit 38 to english language (72)
- limit 38 to abstracts (66)
Harms
- Aspirin/ or aspirin.mp. (20844)
- acetaminophen.mp. or Acetaminophen/ (7386)
- Cyclooxygenase 2 Inhibitors/ or celecoxib.mp. [mp=title, original title, abstract, name of substance word, subject heading word, unique identifier] (7518)
- capsaicin.mp. or Capsaicin/ (6135)
- Chondroitin/ or chondroitin.mp. (5835)
- diclofenac.mp. or Diclofenac/ (4611)
- diflunisal.mp. or Diflunisal/ (162)
- etodolac.mp. or Etodolac/ (295)
- fenoprofen.mp. or Fenoprofen/ (106)
- flurbiprofen.mp. or Flurbiprofen/ (813)
- Glucosamine/ or glucosamine.mp. (4146)
- ibuprofen.mp. or Ibuprofen/ (4484)
- indomethacin.mp. or Indomethacin/ (11590)
- ketoprofen.mp. or Ketoprofen/ (1574)
- Ketorolac/ or ketorolac.mp. (1209)
- meclofenamate.mp. (157)
- mefenamic acid.mp. or Mefenamic Acid/ (362)
- meloxicam.mp. (881)
- nabumetone.mp. (218)
- naproxen.mp. or Naproxen/ (2158)
- oxaprozin.mp. (59)
- piroxicam.mp. or Piroxicam/ (1288)
- salsalate.mp. (27)
- sulindac.mp. or Sulindac/ (878)
- tolmetin.mp. or Tolmetin/ (410)
- or/1–25 (71421)
- (ae or co or de).fs. (1917797)
- (adverse effect$ or adverse event$ or harm$).mp. (125151)
- 27 or 28 (1980478)
- rheumatoid arthritis.mp. or Arthritis, Rheumatoid/ (34754)
- Alzheimer Disease/pc [Prevention & Control] (1442)
- (alzheimer$ adj2 prevent$).mp. [mp=title, original title, abstract, name of substance word, subject heading word, unique identifier] (267)
- 31 or 32 (1566)
- Neoplasms/pc [Prevention & Control] (6517)
- (cancer adj1 prevent$).mp. [mp=title, original title, abstract, name of substance word, subject heading word, unique identifier] (6643)
- 34 or 35 (11729)
- 30 or 33 or 36 (47989)
- 26 and 29 and 37 (1011)
- 38 and (200507$ or 200508$ or 200509$ or 20051$ or 2006$ or 2007$ or 2008$ or 2009$ or 2010$).ed. (332)
- limit 39 to humans (290)
- limit 40 to english language (264)
- limit 40 to abstracts (252)
- 41 or 42 (278)
Database: EBM Reviews - Cochrane Central Register of Controlled Trials (fourth quarter 2010)
- exp OSTEOARTHRITIS/ (2149)
- osteoarthriti$.mp. (3327)
- 1 or 2 (3327)
- Aspirin/ or aspirin.mp. (6044)
- acetaminophen.mp. or Acetaminophen/ (2083)
- Cyclooxygenase 2 Inhibitors/ or celecoxib.mp. [mp=title, original title, abstract, mesh headings, heading words, keyword] (639)
- capsaicin.mp. or Capsaicin/ (427)
- Chondroitin/ or chondroitin.mp. (212)
- diclofenac.mp. or Diclofenac/ (2245)
- diflunisal.mp. or Diflunisal/ (207)
- etodolac.mp. or Etodolac/ (154)
- fenoprofen.mp. or Fenoprofen/ (83)
- flurbiprofen.mp. or Flurbiprofen/ (499)
- Glucosamine/ or glucosamine.mp. (171)
- ibuprofen.mp. or Ibuprofen/ (1769)
- indomethacin.mp. or Indomethacin/ (2174)
- ketoprofen.mp. or Ketoprofen/ (687)
- Ketorolac/ or ketorolac.mp. (909)
- meclofenamate.mp. (69)
- mefenamic acid.mp. or Mefenamic Acid/ (196)
- meloxicam.mp. (160)
- nabumetone.mp. (137)
- naproxen.mp. or Naproxen/ (1268)
- oxaprozin.mp. (48)
- piroxicam.mp. or Piroxicam/ (900)
- salsalate.mp. (31)
- sulindac.mp. or Sulindac/ (249)
- tolmetin.mp. or Tolmetin/ (421)
- or/4–28 (17609)
- 3 and 29 (1357)
- limit 30 to yr=“2005 -Current” (192)
Database: EBM Reviews - Cochrane Database of Systematic Reviews (2005 to January 2011)
- osteoarthriti$.mp. (203)
- Aspirin/ or aspirin.mp. (303)
- acetaminophen.mp. or Acetaminophen/ (86)
- Cyclooxygenase 2 Inhibitors/ or celecoxib.mp. [mp=title, abstract, full text, keywords, caption text] (58)
- capsaicin.mp. or Capsaicin/ (37)
- Chondroitin/ or chondroitin.mp. (10)
- diclofenac.mp. or Diclofenac/ (99)
- diflunisal.mp. or Diflunisal/ (17)
- etodolac.mp. or Etodolac/ (17)
- fenoprofen.mp. or Fenoprofen/ (14)
- flurbiprofen.mp. or Flurbiprofen/ (24)
- Glucosamine/ or glucosamine.mp. (17)
- ibuprofen.mp. or Ibuprofen/ (126)
- indomethacin.mp. or Indomethacin/ (92)
- ketoprofen.mp. or Ketoprofen/ (40)
- Ketorolac/ or ketorolac.mp. (43)
- meclofenamate.mp. (8)
- mefenamic acid.mp. or Mefenamic Acid/ (27)
- meloxicam.mp. (14)
- nabumetone.mp. (9)
- naproxen.mp. or Naproxen/ (90)
- oxaprozin.mp. (5)
- piroxicam.mp. or Piroxicam/ (33)
- salsalate.mp. (2)
- sulindac.mp. or Sulindac/ (21)
- tolmetin.mp. or Tolmetin/ (8)
- or/2–26 (536)
- 1 and 27 (60)
- limit 28 to full systematic reviews (49)