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

Tuncer 2003.

Methods RCT
Approved by the ethics committee and informed consents obtained
Setting: Turkey
Funding: unspecified
Participants Orthopaedic hospital in Konya, Turkey
 40 participants with a hip fracture undergoing surgery for a trochanteric hip fracture
 Mean age: 59 years (range not stated)
 Percentage male: not stated
 Lost to follow‐up: none
Excluded: coagulation abnormality, age < 18 or > 80 years, weight < 50 or > 100 kg, known allergy to bupivacaine or opioids, previous analgesic treatment with opioids, inability to understand pain scales or use a patient‐controlled analgesia device
Interventions All participants had general anaesthesia with fentanyl, propofol atracurium, nitrous oxide, isoflurane. At completion of the operation, participants had:
Treatment group: femoral (3‐in‐1) nerve block with 30 mL 2% lidocaine with 2% epinephrine 1:200,000, followed by continuous infusion with 0.125% bupivacaine for 48 hours (n = 20)
Control group: patient‐controlled analgesia with morphine (control) (n = 20)
Outcomes Participant satisfaction (rated as excellent, good, moderate or poor; we attributed scores from 1 to 4 to compare the data)
Notes Length of follow‐up: 48 hours
Email sent to study authors on 24 May 2015, to ask for additional information; no reply
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomized at completion of surgery, method unspecified
Allocation concealment (selection bias) Low risk Randomized after inclusion
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not mentioned
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not mentioned
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Two missing results for participant satisfaction
Selective reporting (reporting bias) Low risk All measurements mentioned in methods section given in results section
Other bias Low risk Groups well balanced