Montaseri 2013.
Methods | Randomised, double‐blind, multi‐centre, placebo‐controlled trial | |
Participants |
Sample size: 60 infants. 17% of infants were withdrawn from the study for non‐attendance at clinic or an incomplete booklet. Setting: 6 clinics affiliated with Shiraz University of Medical Sciences Sex: boys (50%) Mean age: not reported (SD not reported); range 1 to 4 months. The largest age group consisted of 2‐month‐old infants in both treatment and control groups. Mean weight: not reported Mean duration of colic: not reported Mean crying: not reported Feeding: not reported Birth order: first born (intervention 50%, control 58%) Inclusion criteria: infants with colic pain (selected and examined by a physician) Exclusion criteria: infants with other problems/disorders |
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Interventions |
Intervention (26 infants):Fumaria extract 2.5 cc was prescribed to be taken 3 times a day for a week. Control (24 infants): placebo Mothers were required to refrain from using any other type of medicine or treatment during this period. Fumaria extract and placebo were prepared and encoded according to the table of random numbers. These codes were kept secret until data collection by a pharmacist was complete, and they were revealed after analysis was performed and labels on reports were prepared. Administration: 2.5 cc of Fumaria extract was prescribed to be taken by infants 3 times a day for a week. Duration of study: 1 week |
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Outcomes | Treatment efficacy was measured by mothers via a booklet diary. Parents were asked to come to the clinic after the treatment period to hand in the booklet and, at the same time, evaluate colic pain in their infant. Information recorded by mothers included frequency and length of crying and frequency of waking up owing to colic pain per day. | |
Notes |
Country: Iran Funding source: This study was supported by the Vice Chancellor of Shiraz University of Medical Sciences. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Comment:Fumaria extract and placebo were prepared and encoded according to the table of random numbers. After written informed consent was obtained from the mothers of the infants, control and treatment groups were established on the basis of labels. |
Allocation concealment (selection bias) | Low risk | Comment:Fumaria extract and placebo were prepared and encoded according to the table of random numbers. These codes were kept secret until data collection by a pharmacist was complete, and they were revealed after analysis was performed and labels on reports were prepared. After written informed consent was obtained from the mothers of the infants, control and treatment groups were established on the basis of these labels. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Comment: Information was insufficient to permit a judgement. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Comment: Information was insufficient to permit a judgement. |
Incomplete outcome data (attrition bias) All outcomes | High risk | Comment: 17% of infants were withdrawn from the study for non‐attendance at clinic or an incomplete booklet. The number of infants randomised to each group was not reported, nor was the number of dropouts in each group. |
Selective reporting (reporting bias) | Low risk | Comment: Study authors reported results for outcomes declared in the Methods section. |
Other bias | Low risk | Comment: At baseline, no significant differences in demographic characteristics and colic criteria were evident between the 2 groups. |