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. 2016 May 1;10(5):ZE01–ZE07. doi: 10.7860/JCDR/2016/16960.7708

[Table/Fig-4b]:

Criteria for risk of bias table.

Criteria Random sequence generation Allocation concealment Blinding of outcome assessment Incomplete outcome data addressed Selective outcome reporting
Low risk Referring to a random number table;
Using computer random number generator
Participants and investigators enrolling participants could not foresee assignment because one of the following, or an equivalent method, was used to conceal allocation:
Central allocation (including telephone, web-based and pharmacy-controlled randomization);
Sequentially numbered drug containers of identical appearance;
Sequentially numbered, opaque, sealed envelopes.
Blinding of participants and key study personnel ensured, and unlikely that the blinding could have been broken. No missing outcome data;
Reasons for missing outcome data unlikely to be related to true outcome (for survival data, censoring unlikely to be introducing bias);
Missing outcome data balanced in numbers across intervention groups, with similar reasons for missing data across groups.
The study protocol is available and all of the study’s pre-specified (primary and secondary) outcomes that are of interest in the review have been reported in the pre-specified way;
The study protocol is not available but it is clear that the published reports include all expected outcomes, including those that were pre-specified (convincing text of this nature may be uncommon).
High risk Allocation by judgement of the clinician;
Allocation by preference of the participant
Using an open random allocation schedule (e.g. a list of random numbers);
Assignment envelopes were used without appropriate safeguards (e.g. if envelopes were unsealed or non-opaque or not sequentially numbered);
Alternation or rotation;
Date of birth;
Case record number;
Any other explicitly unconcealed procedure
No blinding or incomplete blinding, and the outcome is likely to be influenced by lack of blinding;
Blinding of key study participants and personnel attempted, but likely that the blinding could have been broken, and the outcome is likely to be influenced by lack of blinding.
Reason for missing outcome data likely to be related to true outcome, with either imbalance in numbers or reasons for missing data across intervention groups; Not all of the study’s pre-specified primary outcomes have been reported;
One or more primary outcomes is reported using measurements, analysis methods or subsets of the data (e.g. subscales) that were not pre-specified;
One or more reported primary outcomes were not pre-specified (unless clear justification for their reporting is provided, such as an unexpected adverse effect);
Unclear Insufficient information about the sequence generation process to permit judgement of ‘Low risk’ or ‘High risk’.