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. 2016 Oct 31;2016(10):CD010683. doi: 10.1002/14651858.CD010683.pub3

Wu 2006.

Methods Randomised clinical trial
Participants Country: Taiwan
 Number randomised: 217
 Postrandomisation dropouts: 3 (1.4%)
 Revised sample size: 214
 Average age: 60 years
 Women: 57 (26.6%)
 Number of cirrhotics: 110 (51.4%)
 Number of major liver resections: 38 (17.8%)
 Number of right hepatectomies: 18 (8.4%)
 Follow‐up (months): until discharge
 Further details of methods of liver resection
1. Vascular occlusion: varied
 2. Parenchymal transection: clamp‐crush method
 3. Fibrin glue: not stated
 4. Pharmacological methods: factor being randomised
 5. Cardiopulmonary methods: not stated
 6. Autologous transfusion: not stated
 Inclusion criteria: patients undergoing liver resections
Interventions Participants were randomly assigned to 2 groups.
 Group 1: tranexamic acid (n = 108)
 Group 2: control (n = 106)
 Tranexamic acid: 500 mg just before the surgery followed by 250 4 times a day for 3 d
Outcomes The outcomes reported were: short‐term mortality, number of serious adverse events, proportion of people with any adverse events, number of adverse events, operative blood loss, proportion of people requiring blood transfusion, length of hospital stay, and operating time.
Notes Reasons for postrandomisation dropouts: liver resection not completed because of presence of more extensive disease
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: this information was not available.
Allocation concealment (selection bias) Unclear risk Quote: "The randomization was double‐blinded in a sealed envelope".
 Comment: further details of sealed envelope method were not available.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "Neither surgeons nor medical staffs knew whether patients were enrolled in group A or group B ".
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "Neither surgeons nor medical staffs knew whether patients were enrolled in group A or group B ".
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: although there were 3 postrandomisation dropouts, this was because liver resection could not be carried out.
Selective reporting (reporting bias) High risk Comment: severity of morbidity was not reported.
Vested interest bias Unclear risk Quote: "Supported in part by a grant from National Science Council, Taiwan (No. 92‐2314‐B‐075A‐006) ".
 Comment: only part of the funding information was available.
Other bias Low risk Comment: no other bias