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. 2017 Aug 2;2017(8):CD012537. doi: 10.1002/14651858.CD012537.pub2

Brewer 1982.

Methods Allocation: randomised
Blinding: double‐blind
Controlled: active comparator
Centre: multicentre
Arm: 2 arms, parallel groups
Participants Inclusion criteria: children with juvenile rheumatoid arthritis
Exclusion criteria: unstated
Baseline characteristics
N = 99
Age: range unstated; mean age 8.5 years
Gender: male (23); female (76)
Number randomised: fenoprofen (49); aspirin (50)
Number completed: fenoprofen (47); aspirin (40)
Setting and location: multicentre, location unstated
Interventions Intervention group (N = 49): aspirin 1500 mg/m2/day increased to 3000 mg/m2/day, maximum 5450 mg/day
Control group (N = 50): fenoprofen 900 mg/m2/day increased to 1800 mg/m2/day, maximum 3200 mg/day
Study duration: 12 weeks
Outcomes Primary outcomes
  1. Unstated


Secondary outcomes
  1. Adverse reactions

Notes Sources of funding: unstated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "99 patients were randomized into the study"
Comment: No information regarding method of randomisation
Allocation concealment (selection bias) Unclear risk Quote: Insufficient information
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "capsules containing either fenoprofen or ASA were white opaque size #2 for the 0.5 to 0.75m2 groups, and white opaque size #1 for the 0.76m2 and over groups. Therefore it was impossible to determine which drug the subjects were receiving by observing capsule size, colour, or administration regimen"
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: Insufficient information
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comment: All participants were accounted for. Lost to follow‐up and withdrawals explained. However, authors do not report whether there were significant differences between completers and non‐completers.
Selective reporting (reporting bias) Unclear risk Quote: "all investigators used an identical protocol and case report forms"
Comment: No outcomes were not set out in the methods. Unable to locate protocol.
Size High risk Comment: Total participants = 99 (< 50 per treatment arm)
Other bias Low risk Comment: No other potential sources of bias found.