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. 2014 Dec 8;2014(12):CD005046. doi: 10.1002/14651858.CD005046.pub3

Ghoshal 2001.

Methods RCT
 Method of randomisation ‐ computer generated random numbers
 Non‐responders and relapsers retreated with PD
 Remission ‐ dysphagia score 0 or 1
Participants 17 participants
 2 BTX group had previous PD
 Baseline characteristics of both treatment groups were similar
Interventions BTX 60 to 80 units
 Rigiflex 30 mm ‐ 1 min 10 to 15 psi
Outcomes Dysphagia (0 to 3), chest pain (Yes or No), regurgitation (Yes or No)
 Symptoms assessed at 1 week, 3 to 6 monthly
 Mean LOS pressure at 1 week
Notes No complications
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Method of randomisation ‐ computer generated random numbers
Allocation concealment (selection bias) High risk Patients were unblinded
Blinding (performance bias and detection bias) 
 All outcomes High risk Patients were unblinded. Nature of therapies administered did not allow blinding of endoscopists
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Patients were unblinded. Nature of therapies administered did not allow blinding of endoscopists
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk It is unclear whether the assessors were blinded to the therapies
Incomplete outcome data (attrition bias) 
 All outcomes Low risk