Random sequence generation (selection bias) |
Describe the method used to generate the allocation sequence insufficient detail to allow an assessment of whether it should produce comparable groups. |
Was the allocation sequence adequately generated? (Yes/No/Unclear) |
Allocation concealment (selection bias) |
Describe the method used to conceal the allocation sequence in sufficient detail to determine whether intervention allocations could have been foreseen in advance of, or during, enrolment. |
Was allocation adequately concealed? (Yes/No/Unclear) |
Blinding of participants, personnel and outcome. (performance bias and detection bias) |
Describe all measures used, if any, to blind study participants and personnel from knowledge of which intervention a participant received. Provide any information relating to whether the intended blinding was effective. |
Was knowledge of the allocated intervention adequately prevented during the study? (Yes/No/Unclear) |
Describe the completeness of outcome data for each main outcome, including attrition and exclusions from the analysis. |
Incomplete outcome data (attrition bias) |
State whether attrition and exclusions were reported, the numbers in each intervention group (compared with total randomized participants), reasons for attrition/exclusions where reported, and any re-inclusions in analyses performed by the review authors. |
Were incomplete outcome data adequately addressed? (Yes/No/Unclear) |
Selective reporting (reporting bias) |
State how the possibility of selective outcome reporting was examined by the review authors, and what was found. |
Are reports of the study free of suggestion of selective outcome reporting? (Yes/No/Unclear) |
Other sources of bias |
State any important concerns about bias not addressed in the other domains in the tool. If particular questions/entries were pre-specified in the review’s protocol, responses should be provided for each question/entry. |
Was the study apparently free of other problems that could put it at a high risk of bias? (Yes/No/Unclear) |