Methods |
Randomized to decision aid vs usual care |
Participants |
66 + 67 breast cancer patients eligible for breast reconstruction in the USA |
Interventions |
DA: interactive software programme on options' outcomes, others' opinions
Comparator: standard patient education |
Outcomes |
Knowledge, anxiety, satisfaction with treatment choice, satisfaction with decision‐making ability |
Notes |
Primary outcome was not specified |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Low risk |
"upon study entry, the participants were randomized (computer generated) to one of two groups" (p 2) |
Allocation concealment (selection bias) |
Unclear risk |
Not enough information provided |
Blinding of participants and personnel (performance bias)
All outcomes |
Unclear risk |
No information provided |
Blinding of outcome assessment (detection bias)
All outcomes |
Unclear risk |
No information provided |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
Baseline anxiety and knowledge included in graphs. Participant numbers between study groups balanced (p 3). Reasons for incomplete questionnaires and study withdrawals mentioned. |
Selective reporting (reporting bias) |
Unclear risk |
No information provided re protocol |
Other bias |
Low risk |
Appears to be free of other potential biases |