Table 2
Author, date and countryPatient groupStudy type (level of evidence)OutcomesKey resultsStudy weaknesses
Al-Waili NS and Saloom KY, 1999, Germany64 patients with proven diagnosis of renal colic on IVU, USS and clinical examinationDouble blind randomised controlled studyChange in mean pain scores at 30 and 60 minutes post administration of 75 mg IM diclofenac or 40 mg IM piroxicam as measured on a Visual Analogue 10 cm lineBoth treatments dramatically decreased pain scores by 30 minutes. Diclofenac pre-treatment score 7.83 and 30 minutes post treatment 1.47; piroxicam pre-treatment score 7.41 with 30 minutes post treatment score 0.84. There was a significant improvement in favour of piroxicam for pain relief at 30 minutes (t test of means p<0.05)The blinding mechanism is not given
Those taking NSAIDS or pethidine on long term basis excludedUncertain of sampling method