Lewis 1967.
Methods | Randomised trial | |
Participants | 66 patients (total group), 16+ years, 12% male Unknown numbers of nurses and doctors | |
Interventions |
Intervention: patients allocated to nurse‐led care
Control: patients allocated to doctor‐led care Detailed description of the intervention: Compared 2 groups delivering care to patients with chronic illnesses:
Supervision, oversight: unknown |
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Outcomes |
Patient outcomes:
Resource utilisation:
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Notes |
Country: USA Study period: 12 months Nurse role: ongoing primary care for patients with stable chronic disease Nurse title: not clear Nurse educational background: EQF level unknown Nurse years of experience: unknown Nurse additional training: unknown |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No information |
Allocation concealment (selection bias) | Unclear risk | No information |
Baseline characteristics | Low risk | Baseline characteristics were reported and were similar for both groups. "There were no differences among the scores of the two groups on initial testing". |
Baseline outcome measurement | Low risk | Baseline outcomes were reported and were similar for both groups. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not performed It is unclear whether the outcome was influenced by lack of blinding of patients and care providers. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No information |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Follow‐up of patients > 80% |
Selective reporting (reporting bias) | Unclear risk | The protocol was not available. |
Contamination | High risk | Potential contamination represented by cross‐over of patients/clinicians between groups "On 95% of these occasions, patients were seen by the nurse alone". |
Bias due to lack of power | Unclear risk | No power calculation performed |