Evidence map›Paper›PMID 40433991›Full record

Trial reportActa anaesthesiologica Scandinavica2025

The Adverse Effects Associated With Ibuprofen Use After Major Orthopaedic Surgeries-A Detailed Statistical Analysis Plan for the PERISAFE Randomized Clinical Trial.

Christina C W Laursen, Troels H Lunn, Daniel Hägi-Pedersen, Markus Harboe Olsen, Andreas Kappel, Thomas Jakobsen, Niels A Pedersen, Thomas Thougaard, Ben K Graungaard, Thomas Bjerno and 15 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Acta anaesthesiologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Christina C W LaursenCentre for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Køge, Denmark.ORCID 0000-0002-9525-0920
Troels H LunnDepartment of Anaesthesia and Intensive Care, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark.
Daniel Hägi-PedersenDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-8008-6614
Markus Harboe OlsenCopenhagen Trial Unit, Centre for Clinical Intervention Research, the Capital Region, Copenhagen University Hospital, Rigshospitalet, Denmark.
Andreas KappelDepartment of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark.
Thomas JakobsenDepartment of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark.
Niels A PedersenDepartment of Anaesthesiology, Næstved, Slagelse, and Ringsted Hospitals, Næstved, Denmark.
Thomas ThougaardDepartment of Anaesthesiology, Næstved, Slagelse, and Ringsted Hospitals, Næstved, Denmark.
Ben K GraungaardDepartment of Anaesthesiology, Gentofte Hospital, Hellerup, Denmark.
Thomas BjernoDepartment of Orthopaedic Surgery, Gentofte Hospital, Hellerup, Denmark.
Peter B HollænderElective Surgery Centre, Department of Orthopaedic Surgery and Anaesthesiology, Silkeborg Regional Hospital, Silkeborg, Denmark.
Charlotte RungeElective Surgery Centre, Department of Orthopaedic Surgery and Anaesthesiology, Silkeborg Regional Hospital, Silkeborg, Denmark.
Müjgan YilmazDepartment of Orthopaedic Surgery, Nordsjællands Hospital Hillerød, Hillerød, Denmark.
Salamah B EljajaDepartment of Orthopaedic Surgery, Næstved, Slagelse, and Ringsted Hospitals, Næstved, Denmark.
Anne S N TherkelsenCentre for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Køge, Denmark.
Joakim SteinessCentre for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Køge, Denmark.
Kasper S GasbjergCentre for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Køge, Denmark.ORCID 0000-0003-1484-483X
Kasper ThyboCentre for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Køge, Denmark.
Kai H W LangeDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Stig BrorsonDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-5337-758X
Claus VarnumDepartment of Orthopaedic Surgery, Lillebaelt Hospital, Vejle, Denmark.ORCID 0000-0002-0625-5691
Martin Lindberg-LarsenDepartment of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark.
Søren OvergaardDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-6829-4787
Ole MathiesenCentre for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Køge, Denmark.ORCID 0000-0003-4544-0619
Janus C JakobsenDepartment of Anaesthesiology, Næstved, Slagelse, and Ringsted Hospitals, Næstved, Denmark.

Funding

Danmarks Frie Forskningsfond 2096-00074BLægeforeningen 2021-0057Region Sjælland R29 A920Skibsreder Per Henriksen, R. og hustrus fondSundhedsdonationer 2021-0199
6 · The paper itself

Abstract

The PERISAFE trial aims to assess the adverse effects associated with an 8-day postoperative treatment with ibuprofen after hip and knee arthroplasties. This paper outlines the detailed statistical analysis plan for the primary data. The PERISAFE trial is a randomized, placebo-controlled, blinded multicentre trial allocating 2904 hip- or knee-arthroplasty patients 1:1 to ibuprofen 400 mg ×3/day or identical placebo ×3/day for 8 days postoperatively. The primary outcome is a composite of death, acute myocardial infarction, stroke, pulmonary embolism, deep venous thrombosis, renal failure, major bleeding, re-operation, gastrointestinal ulcer, or readmission within 90 days postoperatively. Secondary outcomes are hospital-free days within 90 days postoperatively, a composite of ibuprofen and opioid-related adverse reactions based on an 8-day postoperative diary, and health-related quality of life after 90 days postoperatively. All randomized patients who undergo surgery will be included in all analyzes. Binary data will be analyzed using a mixed-effects generalized linear model, count data will be analyzed using the van Elteren test, and continuous data will be analyzed using a mixed-effects linear regression. Additionally, the win ratio will be calculated for the primary outcome. The statistical analyzes will be conducted in accordance with this pre-planned statistical analysis plan with one interim analysis after the inclusion of 1400 patients. All analyzes will be adjusted for site. We expect that the PERISAFE trial will provide high-quality data based on predefined detailed methodology regarding the safety of postoperative treatment with ibuprofen after elective hip and knee arthroplasties.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalArthroplasty, Replacement, HipArthroplasty, Replacement, KneeIbuprofenPostoperative ComplicationsDouble-Blind MethodFemaleHumansPostoperative PainRandomized Controlled Trials as TopicAnti-Inflammatory Agents, Non-SteroidalIbuprofen

Identifiers

PMID40433991
PMCPMC12117996

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.