Shi 2001.
Methods | Randomised controlled trial, parallel groups | |
Participants | Setting: hospital inpatients and outpatients Treatment group (males): 45 (20) Control group (males): 35 (16) Age: Treatment group: mean 9 (range 5 to 14) years; Control group: mean 10 (range 6 to 13) years Inclusion: childhood absence epilepsy Exclusion: none Seizure type: childhood absence epilepsy Duration of epilepsy: Treatment group: 10 months to 4 years; Control group: 6 months to 5 years Aetiology of epilepsy: not available Baseline seizure frequency: not available Number of AEDs taken: not available |
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Interventions | Treament group: acupuncture at 6 acupoints (including injection of diazepam to 2 acupoints) alternate day Control group: Na valproate 200 mg tds + piracetam 800 mg tds Duration of treatment: 80 days | |
Outcomes | Seizure freedom 50% or greater reduction in seizure frequency | |
Notes | Duration of follow‐up: 1 year | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Random sequence generation was not described |
Allocation concealment (selection bias) | Unclear risk | Allocation concealment was not described |
Blinding (performance bias and detection bias) All outcomes | High risk | The participants and personnel and outcome assessors were not blinded |
Blinding of participants and personnel (performance bias) All outcomes | High risk | The participants and personnel and outcome assessors were not blinded |
Blinding of outcome assessment (detection bias) All outcomes | High risk | The outcome assessors were not blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | There were no dropouts |
Selective reporting (reporting bias) | Low risk | All outcomes were reported |
Other bias | High risk | Comparability of groups at baseline was uncertain since there were no data on aetiology of epilepsy, current AED treatments, and frequency of seizures at baseline. There was no sham or placebo control and hence there might be placebo effect which causes bias |