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. 2017 May 11;2017(5):CD001159. doi: 10.1002/14651858.CD001159.pub2

Jones 1985.

Methods RCT
Informed consents obtained
Setting: United Kingdom
Funding: unspecified
Participants Orthopaedic hospital in London, UK
 19 participants with an extracapsular hip fracture treated with a pin and plate or a sliding hip screw
 Mean age: 82 years (range 67‐93)
 Percentage female: 95%
 Lost to follow‐up: none
Excluded: other painful lesions, signs of moderate or severe dementia, < 65 years of age, systemic disease indicating an alternative method of anaesthesia (e.g. spinal)
Interventions Tretament group: lateral cutaneous nerve of thigh block with 15 mL 0.5% bupivacaine and adrenaline (n = 10)
 Control group: no block (control) (n = 9)
All participants had general anaesthesia with fentanyl, thiopentone, suxamethonium, nitrous oxide, halothane. Blocks performed at completion of surgery
Outcomes Death (24 hours)
Notes One participant died within 24 hours of surgery, and results for this participant were not given
Length of follow‐up: not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk 'Random envelopes'
Allocation concealment (selection bias) Low risk 'Random envelopes' opened at completion of surgery
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not mentioned
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Postoperative analgesia was prescribed before allocation to respective groups, with administration performed at the discretion of the nursing staff, who were unaware of whether a block had been performed. The dose of pethidine was 25 or 50 mg intramuscularly, depending on the participant's estimated weight ‐ not on general condition
Incomplete outcome data (attrition bias) 
 All outcomes Low risk One lost to follow‐up
Results for 1 participant who died are not included: "One patient in Group 2 who died within the 24‐hour period is not included in analysis of the results: there are thus nine patients in each group"
Selective reporting (reporting bias) Low risk All measurements mentioned in methods section given in results section
Other bias Low risk Groups well balanced