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. 2016 Jul 15;2016(7):CD001893. doi: 10.1002/14651858.CD001893.pub2

Schricker 2002.

Methods RCT
Approved by the ethics committee and informed consent obtained
Setting: Canada
Funding: charity
Participants 16 patients with localized colorectal carcinoma scheduled for elective colorectal surgery
None of the patients suffered from cardiac, hepatic, renal or metabolic disease
Interventions Treatment group: thoracic epidural anaesthesia/analgesia (T10‐T12) with bupivacaine 0.5% for a sensory level from T4 to S5 before surgery, bupivacaine 0.25% during surgery and bupivacaine 0.1% with fentanyl 2 mcg/mL after surgery (n = 8). Exact duration unspecified
Control group: IV PCA with morphine (n = 8)
All participants also received general anaesthesia
Outcomes Pain scores at rest at 24 hours
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "The patients were allocated according to a computer‐generated randomization schedule"
Allocation concealment (selection bias) Unclear risk Not mentioned
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not mentioned
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not mentioned
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 1 participant in the opioid group had to be excluded from further analysis because he inadvertently did not receive amino acids (because of an error made by pharmacy preparing the feeding solutions)
Selective reporting (reporting bias) Low risk All results provided
Other bias Unclear risk Groups well balanced
No cross‐over mentioned
Not in intention‐to‐treat