Gatoulis 2012.
Methods | R, DB, AC, and PC, parallel groups 1 episode treated with a single dose of study medication when pain was ≥ mod intensity Participant diary |
|
Participants | Episodic TTH (IHS), 2‐10 episodes/month. Able to distinguish from migraine Excl: known allergy to study interventions, previous non‐response to active interventions, significant medical history, recent head injury n = 559 (safety population), 487 (efficacy) M 183, F 304 Mean age 37 years (range 18‐66 years) Baseline PI: 76% mod, 24% severe |
|
Interventions | Paracetamol 300 mg + codeine 30 mg, n = 233 Aspirin 1000 mg, n = 223 Placebo, n = 103 Rescue medication (usual treatment) allowed. No timing given |
|
Outcomes | PI: 4‐point scale (0.5, 1, 2, 3, 4 5, 6 h) PR: 5‐point scale |
|
Notes | Oxford Quality Score: R1, DB2, W1 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | "Individuals were randomly assigned". Method of sequence generation not reported |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Double dummy method |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Double dummy method |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 7‐14% attrition. Imputation method not reported |
Size | Unclear risk | 50‐200 participants in each treatment arm (103‐233) |