Meta-analysis of grip strength: most common, but superfluous variable in comparative NSAID trials.
A meta-analysis was done on grip strength, the most common variable in comparative NSAID trials. The median grip strength was 133 mm Hg (SD 64). The drugs were better than placebo (11.9 mm Hg, confidence interval (CI): 8.9-14.9), but the full dose was not significantly superior to half the dose (3.5 mm Hg, CI: -1.4 to +8.4 mm Hg). The difference between new drugs and control drugs in 70 crossover trials was only 1.4 mm Hg (CI: -0.1 to +2.9). Significant results in favour of the new drug were claimed more often than expected (p less than 0.01), suggesting biased data analysis. Grip strength is a superfluous variable in comparative NSAID trials: even the drug effect over placebo was less than what most rheumatologists considered of relevance.
Gøtzsche
P C
PC
Liver Unit, Hvidovre Hospital, Copenhagen.
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage* / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000188:drug therapy; D002986:Clinical Trials as Topic; D004305:Dose-Response Relationship, Drug; D004311:Double-Blind Method; D006225:Hand / Q000503:physiopathology*; D006801:Humans; D015201:Meta-Analysis as Topic; D009119:Muscle Contraction / Q000187:drug effects*; D012044:Regression Analysis
D000894:Anti-Inflammatory Agents, Non-Steroidal