Aim
|
adhering to intervention (the ‘per-protocol’ effect) |
The effect of adhering to intervention…
|
failures in implementing the intervention that could have affected the outcome |
|
Source
|
Journal article(s) |
|
|
|
Outcome
|
asses the effect of preoperative as well as postoperative photobiomodulation on healing as well pain at mandibular third molar extraction sockets |
Weight
|
1 |
|
Domain
|
Signalling question
|
Response
|
Bias arising from the randomization process
|
1.1 Was the allocation sequence random? |
Y |
1.2 Was the allocation sequence concealed until participants were enrolled and assigned to interventions? |
PY |
1.3 Did baseline differences between intervention groups suggest a problem with the randomization process? |
PN |
Risk of bias judgement
|
Low
|
Bias due to deviations from intended interventions
|
2.1 Were participants aware of their assigned intervention during the trial? |
N |
2.2 Were carers and people delivering the interventions aware of participants’ assigned intervention during the trial? |
PN |
2.3. [If applicable:] If Y/PY/NI to 2.1 or 2.2: Were important non-protocol interventions balanced across intervention groups? |
NA |
2.4. [If applicable:] Were there failures in implementing the intervention that could have affected the outcome? |
|
2.5. [If applicable:] Was there non-adherence to the assigned intervention regimen that could have affected participants’ outcomes? |
NA |
2.6. If N/PN/NI to 2.3, or Y/PY/NI to 2.4 or 2.5: Was an appropriate analysis used to estimate the effect of adhering to the intervention? |
NA |
Risk of bias judgement
|
Low
|
Bias due to missing outcome data
|
3.1 Were data for this outcome available for all, or nearly all, participants randomized? |
Y |
3.2 If N/PN/NI to 3.1: Is there evidence that result was not biased by missing outcome data? |
NA |
3.3 If N/PN to 3.2: Could missingness in the outcome depend on its true value? |
NA |
3.4 If Y/PY/NI to 3.3: Is it likely that missingness in the outcome depended on its true value? |
NA |
Risk of bias judgement
|
Low
|
Bias in measurement of the outcome
|
4.1 Was the method of measuring the outcome inappropriate? |
PN |
4.2 Could measurement or ascertainment of the outcome have differed between intervention groups? |
PN |
4.3 Were outcome assessors aware of the intervention received by study participants? |
PN |
4.4 If Y/PY/NI to 4.3: Could assessment of the outcome have been influenced by knowledge of intervention received? |
NA |
4.5 If Y/PY/NI to 4.4: Is it likely that assessment of the outcome was influenced by knowledge of intervention received? |
NA |
Risk of bias judgement
|
Low
|
Bias in selection of the reported result
|
5.1 Were the data that produced this result analysed in accordance with a pre-specified analysis plan that was finalized before unblinded outcome data were available for analysis? |
PY |
5.2 … multiple eligible outcome measurements (e.g., scales, definitions, time points) within the outcome domain? |
Y |
5.3 … multiple eligible analyses of the data? |
NI |
Risk of bias judgement
|
Some concerns
|
Overall bias
|
Risk of bias judgement
|
Some concerns
|
Unique ID
|
2 |
Study ID
|
Nejat et al., 2021 [24] |
|
Aim
|
adhering to intervention (the ‘per-protocol’ effect) |
The effect of adhering to intervention…
|
failures in implementing the intervention that could have affected the outcome |
|
Source
|
Company-owned trial registry record (e.g., GSK Clinical Study Register record) |
|
|
|
Outcome
|
effectivness of photobiomodulation therapy for the prevention of incidence of Alveolar osteitis and post-operative pain following third molar surgery |
Weight
|
1 |
|
Domain
|
Signalling question
|
Response
|
Bias arising from the randomization process
|
1.1 Was the allocation sequence random? |
Y |
1.2 Was the allocation sequence concealed until participants were enrolled and assigned to interventions? |
Y |
1.3 Did baseline differences between intervention groups suggest a problem with the randomization process? |
PN |
Risk of bias judgement
|
Low
|
Bias due to deviations from intended interventions
|
2.1 Were participants aware of their assigned intervention during the trial? |
N |
2.2 Were carers and people delivering the interventions aware of participants’ assigned intervention during the trial? |
N |
2.3. [If applicable:] If Y/PY/NI to 2.1 or 2.2: Were important non-protocol interventions balanced across intervention groups? |
NA |
2.4. [If applicable:] Were there failures in implementing the intervention that could have affected the outcome? |
PN |
2.5. [If applicable:] Was there non-adherence to the assigned intervention regimen that could have affected participants’ outcomes? |
NA |
2.6. If N/PN/NI to 2.3, or Y/PY/NI to 2.4 or 2.5: Was an appropriate analysis used to estimate the effect of adhering to the intervention? |
NA |
Risk of bias judgement
|
Low
|
Bias due to missing outcome data
|
3.1 Were data for this outcome available for all, or nearly all, participants randomized? |
Y |
3.2 If N/PN/NI to 3.1: Is there evidence that result was not biased by missing outcome data? |
NA |
3.3 If N/PN to 3.2: Could missingness in the outcome depend on its true value? |
NA |
3.4 If Y/PY/NI to 3.3: Is it likely that missingness in the outcome depended on its true value? |
NA |
Risk of bias judgement
|
Low
|
Bias in measurement of the outcome
|
4.1 Was the method of measuring the outcome inappropriate? |
PN |
4.2 Could measurement or ascertainment of the outcome have differed between intervention groups? |
N |
4.3 Were outcome assessors aware of the intervention received by study participants? |
N |
4.4 If Y/PY/NI to 4.3: Could assessment of the outcome have been influenced by knowledge of intervention received? |
NA |
4.5 If Y/PY/NI to 4.4: Is it likely that assessment of the outcome was influenced by knowledge of intervention received? |
NA |
Risk of bias judgement
|
Low
|
Bias in selection of the reported result
|
5.1 Were the data that produced this result analysed in accordance with a pre-specified analysis plan that was finalized before unblinded outcome data were available for analysis? |
PN |
5.2 … multiple eligible outcome measurements (e.g., scales, definitions, time points) within the outcome domain? |
Y |
5.3 … multiple eligible analyses of the data? |
NI |
Risk of bias judgement
|
Some concerns
|
Overall bias
|
Risk of bias judgement
|
Low
|
Unique ID
|
3 |
Study ID
|
Pereira 2022 [26] |
|
Aim
|
adhering to intervention (the ‘per-protocol’ effect) |
The effect of adhering to intervention…
|
failures in implementing the intervention that could have affected the outcome |
|
Source
|
Journal article(s) |
|
|
|
Outcome
|
evaluate photobiomodulation therapy with the association of red and infra-red laser therapy in the healing of the post-extraction sockets of third lower molar |
Weight
|
1 |
|
Domain
|
Signalling question
|
Response
|
Bias arising from the randomization process
|
1.1 Was the allocation sequence random? |
Y |
1.2 Was the allocation sequence concealed until participants were enrolled and assigned to interventions? |
PY |
1.3 Did baseline differences between intervention groups suggest a problem with the randomization process? |
PN |
Risk of bias judgement
|
Low
|
Bias due to deviations from intended interventions
|
2.1 Were participants aware of their assigned intervention during the trial? |
N |
2.2 Were carers and people delivering the interventions aware of participants’ assigned intervention during the trial? |
N |
2.3. [If applicable:] If Y/PY/NI to 2.1 or 2.2: Were important non-protocol interventions balanced across intervention groups? |
NA |
2.4. [If applicable:] Were there failures in implementing the intervention that could have affected the outcome? |
N |
2.5. [If applicable:] Was there non-adherence to the assigned intervention regimen that could have affected participants’ outcomes? |
NA |
2.6. If N/PN/NI to 2.3, or Y/PY/NI to 2.4 or 2.5: Was an appropriate analysis used to estimate the effect of adhering to the intervention? |
NA |
Risk of bias judgement
|
Low
|
Bias due to missing outcome data
|
3.1 Were data for this outcome available for all, or nearly all, participants randomized? |
Y |
3.2 If N/PN/NI to 3.1: Is there evidence that result was not biased by missing outcome data? |
NA |
3.3 If N/PN to 3.2: Could missingness in the outcome depend on its true value? |
NA |
3.4 If Y/PY/NI to 3.3: Is it likely that missingness in the outcome depended on its true value? |
NA |
Risk of bias judgement
|
Low
|
Bias in measurement of the outcome
|
4.1 Was the method of measuring the outcome inappropriate? |
PN |
4.2 Could measurement or ascertainment of the outcome have differed between intervention groups? |
PN |
4.3 Were outcome assessors aware of the intervention received by study participants? |
PN |
4.4 If Y/PY/NI to 4.3: Could assessment of the outcome have been influenced by knowledge of intervention received? |
NA |
4.5 If Y/PY/NI to 4.4: Is it likely that assessment of the outcome was influenced by knowledge of intervention received? |
NA |
Risk of bias judgement
|
Low
|
Bias in selection of the reported result
|
5.1 Were the data that produced this result analysed in accordance with a pre-specified analysis plan that was finalized before unblinded outcome data were available for analysis? |
PY |
5.2 … multiple eligible outcome measurements (e.g., scales, definitions, time points) within the outcome domain? |
PY |
5.3 … multiple eligible analyses of the data? |
NI |
Risk of bias judgement
|
Some concerns
|
Overall bias
|
Risk of bias judgement
|
Low
|