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Table 2 Summary of cited studies on non-steroidal anti-inflammatory drugs

From: Effect of non-steroidal anti-inflammatory drugs on post-surgical complications against the backdrop of the opioid crisis

Study

Population

# of patients

Male/female

Pathology

NSAIDs studied

NSAID effect

Kempfer et al. 2003 [16]

Mice

N/A

Female

Wound healing

SC-560 (COX-1 inhibitor), diclofenac, and celecoxib (COX-2 inhibitor)

SC-560 and diclofenac, but not celecoxib, impaired wound repair

Goren et al. 2015 [17]

Mice

N/A

Female

Acute wound healing

SC-560, diclofenac, and celecoxib

Diclofenac impaired wound healing by reducing blood vessel formation

Fairweather et al. 2015 [18]

Mice

N/A

Female

Cutaneous wound healing

Celecoxib

Delayed wound healing through reduced PGE2

Iwamoto et al. 2017 [19]

Mice

N/A

Female and male

Corneal wound healing

Diclofenac

Delayed wound healing through inhibition of 12-HHT/BLT2 pathway

Romana-Sousa et al. 2016 [22]

Mice

N/A

Male

Pressure ulcers

Celecoxib

Improved wound healing through decreased iNOS

dos Santos et al. 2013 [24]

Mice

N/A

Female and male

Cutaneous wound healing

Aspirin

Impaired female, but not male, wound healing

Blomme et al. 2003 [25]

Mice

N/A

Female

Surgical skin wound healing

SC-791 (COX-2 inhibitor), diclofenac

No effect

Krischak et al. 2007 [26]

Rats

N/A

Male

Incisional wound healing

Diclofenac

Decreased fibroblast proliferation, but no effect on wound healing

Hamilton et al. 2008 [28]

Mice

N/A

Female

GAS infection following muscle injury

Toradol

Increased GAS in injured muscles

Hamilton et al. 2014 [29]

Mice

N/A

Female

GAS soft tissue infection

Toradol, ibuprofen, indomethacin, SC-560, SC-236 (COX-2 inhibitor)

Nonselective inhibitors reduced antibiotic efficacy and increased mortality. Selective inhibitors had no effect

Weng et al. 2011 [30]

Mice

N/A

Female

GAS soft tissue infection

Ibuprofen

Increased GAS infection and mortality

Kelley et al. 2016 [49]

Humans

443

Not found

Wound healing

Ibuprofen

Ibuprofen does not increase bleeding

Zura et al. 2016 [45]

Humans

309,330

57.9% women

Bone healing

Various

NSAIDs increased non-union

Sagi et al. 2014 [46]

Humans

98

27.6% women

Bone healing

Indomethacin

Indomethacin may increase non-union or decrease heterotropic ossification

Jeffcoach et al. 2014 [47]

Humans

1901

44% women

Bone healing

Various

NSAIDs increase malunion/non-union and infection in long bone fractures

Depeter et al. 2017 [48]

Humans (children 6 months–17 years)

808

37% women

Bone healing

Ibuprofen

Children with extremity fracture do not demonstrate inhibited healing with ibuprofen

Lisboa et al. 2017 [50]

Humans (combat-related extremity wounds)

73

Not found

Wound healing

Various

NSAIDs decreased inflammation and help wound healing

Nagano et al. 2016 [44]

Mouse MC3T3-E1 Cell line

N/A

Not found

Bone formation and fracture healing

Celecoxib

Celecoxib inhibited osteoblast maturation by suppressing Wnt signaling

Smith et al. 2016 [33]

Humans

657

Not found

Anastomic leaks

Various

Post-operative nonselective NSAID use, but not COX 2 inhibitors, increased anastomic dehiscence

Paulasir et al. 2015 [34]

Humans

4360

56.7% women

Anastomic leaks

Various

No difference

Subendran et al. 2014 [35]

Humans

262

45% women

Anastomic leaks

Various

Non-significant increase in anastomic leaks (p = 0.06)

Saleh et al. 2014 [36]

Humans

731

43% women

Anastomic leaks

Toradol

No difference

Mikaeloff et al. 2008 [37]

Humans (primary varicella or zoster diabnosis)

248,368

48% women—varicella patients; 61% women—zoster patients

Complications of varicella or zoster infection

Various

Elevated risk of severe skin and soft tissue complications

Klein et al. 2012 [43]

Humans

162

80% women

Bleeding after laparoscopic Roux-en-y bypass

Toradol

Lower post op hemoglobin

Flossmann et al. 2007 [53]

Humans

7588

Female and male

Colorectal cancer

Aspirin

Daily dose aspirin is effective in primary prevention of colorectal cancer

Huang et al. 2018 [55]

Humans (who had surgery for non-small-cell lung cancer)

588

Female and male

Survival length post-surgery

Flurbiprofen axetil

The use of flurbiprofen axetil combined with dexamethasone was associated with longer survival

Yin et al. 2018 [56]

Humans (with bone metastasis)

210

Female and male

Levels of interleukin-6, prostacyclin, corticosteroid A2

Flurbiprofen

Flurbiprofen lowered levels of prostacyclin and corticosteroid A2, but did not affect interleukin-6

  1. Cited studies are summarized. Clinical studies are on adult patients unless otherwise specified. In animal studies, if the study included male and female animals, they are age-matched and equal in ratio. In clinical studies, the male/female ratios are presented as % women if the information was given in the paper. Specific non-steroidal anti-inflammatory drugs (NSAID) names are given when supplied by the authors and are non-selective cyclooxygenase (COX) inhibitors unless otherwise specified at first mention in the table