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. 2016 Sep 16;2016(9):CD009999. doi: 10.1002/14651858.CD009999.pub2

Sethi 1988.

Methods Double‐blind, randomised, placebo‐controlled, cross‐over trial
Participants Sample size: 26 children; no dropouts/withdrawals
Setting: not reported
Sex: boys (40%)
Mean age: not reported (SD not reported); range 1 week to 3 months
Mean weight (SD): not reported
 Mean duration of colic: not reported (SD not reported); states simply that no differences in frequency of symptoms at the beginning of treatment were noted between groups
Mean crying: not reported
Feeding: not reported
Birth order: not reported
Inclusion criteria: infants with diagnosis of colic
Exclusion criteria: not specified
Interventions Intervention (n = 26): simethicone; 25 participants received 1 dropper load of medication (20 mg) and 11 received 2 droppers (dose not reported) before evening feeds, since symptoms were nocturnal
Control (n = 26): placebo
Administration: Therapy was administered as a suspension containing 40 mg/mL simethicone and as a matching placebo suspension. Parents were issued a coded trial medication, and after 1 week, the trial medication was returned; parents then were issued the alternative trial medication for the coming week.
Duration of study: 2 weeks
Washout period: none
Outcomes Parents were asked to record (1) daily frequency of crying and (2) amplitude for crying attacks, using a 4‐point rating scale. Parents were also asked to record (3) the number, nature and consistency of infant stools and (4) any perceived adverse effects.
Notes Country: England
Funding source: Study authors did not report whether the study received support.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: Information was insufficient to permit a judgement.
Allocation concealment (selection bias) Unclear risk Comment: Method of concealment was not described.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Quote: "Parents were issued with a coded trial medication".
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "Parents were issued with a coded trial medication".
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: All infants completed the study.
Selective reporting (reporting bias) High risk Comment: Study authors did not clearly report results for all outcomes and did not report results of each treatment by study period.
Other bias High risk Comment: No washout period was planned.