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

Creaney 2011.

Methods Randomised controlled trial: randomisation held in sealed envelopes. Not clear how the allocation sequence was generated. Participants followed for 6 months. Participants were blinded to the procedure. Assessors were independent
Trial conducted: no details available; recruitment: no details available
Participants Participants: 150 with elbow tendinopathy
Included participants: adults with elbow tendinopathy (< 6 months' duration) that had failed to respond to physical therapy exercises
Exluded participants: previous injection therapies (e.g. Corticoid)
Age: 
 PRT group mean (range):53 years (not available)
 No PRT mean (range): 48 years (not available)
Gender:
PRT group (number of men:women): 46:34
 No PRT (number of men:women): 45:25
Sports activity: not available
Interventions All participants underwent 2 injections (at 0 and 1 month) with previous local anaesthesia (2 mL bupivacaine). Injections performed by ultrasound guidance by an musculoskeletal radiologist
PRT (number of participants = 80): 8.5 mL blood sample, tube with citrate anticoagulant
PRT preparation: no kit. Preparation: 15 minutes of centrifugation, 1.5 mL platelet‐rich plasma siphoned from buffy coat layer
Quantification of platelet concentrates after preparation: 10 random samples of blood demonstrated a 2.8‐fold (CI 2.3‐3.5) elevation from baseline for the platelet concentration
No PRT (number of participants = 70): autologous blood injections ‐ details not reported
Co‐interventions: same rehabilitation protocol for both groups
Outcomes PRTEE
Other quality issues Sample size: powered for PRTEE
Validation of PRT: quantification reported
Notes Participants who did not improve with the proposed intervention (failure) had the option to undergo surgical treatment. This study was included using an inclusion criterion that differed from the published protocol: autologous whole blood was considered as a control intervention
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation Unclear risk Not reported
Allocation concealment Low risk Used sequentially‐numbered, opaque and sealed envelopes
Blinding 
 All outcomes Low risk Participants and outcomes assessors were blinded
Incomplete outcome data addressed 
 All outcomes High risk Missing outcome data were balanced in numbers across intervention groups. In addition, intention‐to‐treat analyses were performed. However, the data available for PTREE did not include 7 versus 12 participants who had subsequent surgery
Free of selective reporting High risk The study protocol is not available and the authors evaluated only 1 primary outcome (PRTEE). In addition, the clinical follow‐up period was short for participants who underwent elbow tendinopathy treatment
Free of other bias Low risk Participants were permitted to receive other treatments. However, authors performed analysis as intention‐to‐treat