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. 2014 May 7;2014(5):CD001999. doi: 10.1002/14651858.CD001999.pub2

Tesi 1989.

Methods Double‐blind, placebo‐controlled randomised trial, allocation concealment unclear, method of random sequence generation not stated.
 Run‐in period: none.
 Drop‐outs and study withdrawals: no.
 Intention‐to‐treat: yes.
 Baseline characteristics comparable between two groups.
Participants Country: Italy, 20 participants:
 Age: range 44 to 70 years; males: 11; females: 9; co‐morbidity not stated.
 Inclusion criteria: PAOD and IC diagnosed by clinical examination and ABI.
 Exclusion criteria: obesity, smoking, previous arterial surgery, AMI, angina pectoris.
Interventions Treatment group: 10 participants:
 LMWH 8,000 U s.c. o.d.
 Control group: 10 participants:
 placebo sc od (indistinguishable from treatment).
 Duration: six months.
 Compliance: evaluated.
Outcomes MWD, ABI, thrombotic complications, major and minor bleeding events.
Notes Bar graphs only provided for MWD.
 No data provided by primary author.
 Intensity of walking test not stated.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear

Abbreviations:
 ABI: ankle/brachial index
 AMI: acute myocardial infarction
 ASA: acetylsalicylic acid
 IC: intermittent claudication
 INR: international normalised ratio
 LMWH: low molecular weight heparin
 MWD: maximum walking distance
 o.d.: once daily
 PAOD: peripheral arterial obstructive disease
 PFWD: pain free walking distance
 s.c.: subcutaneously
 SD: standard deviation
 SEM: standard error of the mean
 TIA: transient ischaemic attack
 t.i.d.: tris in diem (three times daily)
 UA: unstable angina