Methods |
Open parallel‐group controlled trial with alternate allocation |
Participants |
20 mostly adults with GBS defined according to criteria of Asbury 1990
|
Interventions |
Intravenous methylprednisolone 1500 mg daily for 5 days versus supportive care |
Outcomes |
Time to recovery: not significantly different between the 2 groups. After 6 months, 7 of 10 corticosteroid‐treated participants had returned to work or resumed domestic duties at 95% of normal. No adverse effects attributable to corticosteroids were reported |
Funding |
Not stated |
Conflicts of interest among primary investigators |
Not stated |
Notes |
Single centre
Conducted in Mexico |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
High risk |
Alternate allocation |
Allocation concealment (selection bias) |
High risk |
Alternate allocation |
Blinding of participants and personnel (performance bias)
All outcomes except death |
High risk |
Control group received supportive care and no placebo |
Blinding of participants and personnel (performance bias)
Death |
Low risk |
Reporting of death is unlikely to have been affected by inadequate blinding |
Blinding of outcome assessment (detection bias)
All outcomes except death |
High risk |
Control group received supportive care and no placebo |
Blinding of outcome assessment (detection bias)
Death |
Low risk |
Reporting of death is unlikely to have been affected by inadequate blinding |
Incomplete outcome data (attrition bias)
All outcomes except death |
Low risk |
No drop‐outs were reported |
Incomplete outcome data (attrition bias)
Death |
Low risk |
No drop‐outs were reported |
Selective reporting (reporting bias) |
Low risk |
The only outcome described in the methods, the recovery curve, was reported |
Other bias |
Unclear risk |
Insufficient information to judge |