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. 2014 Apr 29;2014(4):CD010071. doi: 10.1002/14651858.CD010071.pub3

Castricini 2011.

Methods Randomised controlled trial: participants followed for at least 16 months. It is not clear if clinical assessors and participants were not blinded to the procedure. MRI assessors were blinded to the procedure
Trial conducted: Department of Orthopaedic and Trauma Surgery, Ospedale Civile, Jesi, Italy; recruitment: from January 2007‐April 2008
Participants Participants: 88 undergoing arthroscopic repair of rotator cuff tears
Included participants: participants with repairable small or medium rotator cuff tears (supraspinatus), as assessed in the operative procedure
Excluded participants: presence of inflammatory joint disease; irreparable or partial lesions; acromioclavicular arthritis; rotator cuff arthropathy; subscapularis tendon abnormalities; workers' compensation claims; prior surgery on the affected shoulder
Age: 
 PRT group mean (range): 55.2 years (37‐69)
 No PRT mean (range): 55.5 years (41‐72)
Gender:
PRT group(number of men:women):23:22
 No PRT (number of men:women): 17:26
Sports activity: not available
Interventions All patients underwent arthroscopic repair with double row fixation. PRT was applied as an augmentation procedure
PRT (number of participants = 43): single platelet‐rich fibrin matrix ‐ 9 mL blood centrifuged for 6 minutes PRP separated and CaCl2 was added for a 2‐phase centrifugation
PRT preparation: kit: Cascade Autologous Platelet System
Quantification of platelet concentrates after preparation: not assessed
No PRT (number of participants = 45): no platelet‐rich therapy controls
Co‐interventions: same rehabilitation protocol
Outcomes Constant Score
MRI (integrity of the rotator cuff repair, retear)
Other quality issues Sample size: adequate power for Constant
Validation of PRT: PRT concentration/validation was not reported
Notes The authors have provided the study protocol/trial registration details, ID: ISRCTN49643328
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation Low risk The authors used a random numbers table to allocate study participants
Allocation concealment Low risk Used sequentially‐numbered, opaque and sealed envelopes
Blinding 
 All outcomes Unclear risk Clinical assessors and participants were probably not blinded to the procedure, but MRI assessors were blinded to the procedure
Incomplete outcome data addressed 
 All outcomes Low risk No missing outcome data
Free of selective reporting Low risk The study protocol was available and all of the study’s prespecified (primary and secondary) outcomes that are of interest in the review have been reported in the pre‐specified way
Free of other bias Low risk The study appears to be free of other sources of bias