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. 2013 Jul 17;2013(7):CD004185. doi: 10.1002/14651858.CD004185.pub3

Boyer 1998.

Methods Twenty‐six‐week double‐blind, randomised, multicentre study
Participants Outpatients (primary care) fulfilling DSM‐IV criteria for major depressive disorder, with a score of at least 20 at Montgomery and Asberg Scale for Depression (MADRS).
 Age range: 18‐65 years
 Exclusion criteria: pregnancy, lactation, failure to use a safe contraceptive method; concurrent major psychiatric disorders, such as anxiety disorder, dementia, somatoform disorders, agoraphobia, social phobia, any history of schizophrenia, psychosis or personality disorder; severe concurrent medical illness; alcohol or drug dependence; serious adverse reactions related to medicines; previous treatment with antidepressant for less than 3 week; major suicide risk.
Interventions Fluoxetine: 120 participants
 Sertraline: 122 participants
 Fluoxetine dose range: 20‐60 mg/day
 Sertraline dose range: 50‐150 mg/day
Outcomes MADRS and Clinical Global Impression (CGI)
Notes Response: decrease of at least 50% in the MADRS total score
 Funding: by industry
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised, no further information
Allocation concealment (selection bias) Unclear risk No information provided
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Double blind, no further information
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Double blind, no further information
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Double blind, no further information
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Criteria and number of drop‐out reported. Rating scale reported without denominator
Selective reporting (reporting bias) Unclear risk Scores at rating scales were reported without standard deviations. Side effects reported
Other bias High risk Last author's affiliation was Pfizer France, Orsay. This company produces sertraline