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. 2016 Jul 15;2016(7):CD001069. doi: 10.1002/14651858.CD001069.pub5

Boyle 2006.

Methods RCT
Painful intervention: screening for ROP
Study location: Neonatal Unit, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK and Neonatal Unit, Birmingham Heartlands Hospital, Birmingham, UK
Study period: not stated
Participants 40 preterm infants < 32 weeks' PMA
Sterile water group: mean PMA 27 weeks; mean PNA 45 days
 Sucrose group: mean PMA 29 weeks; mean PNA 43 days
 Water + pacifier group: mean PMA 30 weeks; mean PNA 41 days
 Sucrose + pacifier group: mean PMA 29 weeks; mean PNA 42 days
Interventions 2 min before start of eye examination:
 1 mL sterile water (n = 10)
 1 mL sucrose 33% (n = 10)
 1 mL sterile water + pacifier (n = 9)
 1 mL sucrose 33% + pacifier (n = 11)
 Water or sucrose was given by mouth using a syringe
Outcomes PIPP during eye examination
Notes Data were presented in graph form and reported as means and SDs
 Results of ANOVA and independent t‐tests reported as P values
Adverse events were not evaluated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Sequence generation not described
Allocation concealment (selection bias) High risk Sealed opaque envelopes. Did not state if the envelopes were sealed and sequentially numbered
Blinding (performance bias and detection bias) 
 All outcomes Low risk Sucrose and water alone groups blinded; pacifier + water, and pacifier + sucrose groups were blinded
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Sucrose and water alone groups blinded; pacifier + water, and pacifier + sucrose groups were blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Outcomes reported for all randomized infants
Selective reporting (reporting bias) Unclear risk The study protocol was not available to us so we could not judge whether there were any deviations from it
Other bias Low risk Appears free of other bias