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. 2016 Oct 24;2016(10):CD001446. doi: 10.1002/14651858.CD001446.pub5

Shukla 1988.

Methods Double‐blind randomised parallel‐group controlled trial
Participants 16 participants with GBS fulfilling diagnostic criteria of Asbury 1990
Interventions Prednisolone 60 mg daily in divided doses for 1 week, 40 mg daily for 1 week, 30 mg daily for 2 weeks, and thereafter at the discretion of the physician or identical appearing placebo tablets
Outcomes Changes in the disability grade of Hughes 1978 after 1, 4, and 6 weeks. After 4 weeks, 5 of 8 corticosteroid and 3 of 6 placebo participants had improved ≥ 1 grades. 2 placebo participants dropped out
Funding Not stated
Conflicts of interest among primary investigators Not stated
Notes Single centre
 Conducted in India
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Patients were randomised: packets of drugs had been prepared and numbered randomly well in advance"
Allocation concealment (selection bias) Unclear risk See above
Blinding of participants and personnel (performance bias) 
 All outcomes except death Low risk "Placebo tablets of the same size, shape and colour were given in the equivalent number and duration"
Blinding of participants and personnel (performance bias) 
 Death Low risk Reporting of death unlikely to be affected by blinding
Blinding of outcome assessment (detection bias) 
 All outcomes except death Low risk "Assessments were made...by a doctor who had no knowledge of the treatment schedule"
Blinding of outcome assessment (detection bias) 
 Death Low risk Reporting of death unlikely to be affected by blinding
Incomplete outcome data (attrition bias) 
 All outcomes except death High risk 3 of 8 corticosteroid and 1 of 8 control participants were omitted at 4‐week follow‐up, including 1 from each group who died
Incomplete outcome data (attrition bias) 
 Death Low risk Deaths were reported
Selective reporting (reporting bias) Low risk None identified
Other bias Unclear risk Insufficient information to judge