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. 2017 Jul 12;2017(7):CD011821. doi: 10.1002/14651858.CD011821.pub2

Subrahmanyam 1993b.

Methods Country where data collected: India
Parallel‐group RCT
Unit of randomisation: participant
Unit of analysis: participant
Duration: NR
Participants Inclusion criteria: partial‐thickness burns < 40% TBSA
Exclusion criteria:
Participants: 92 people attending a general hospital
Mean age (years): 42.8 (3‐65)
Male participants: 44
Burn type: NR
Burn degree: NR (partial‐thickness)
Burn size (%TBSA): 22.7 (15‐35) groups 22.8 vs 22.6
Burn location: NR
Interventions Intervention arm 1: honey‐impregnated gauze prepared by dipping sterile gauze in unprocessed and undiluted honey, covered with pad and bandage, changed on alternate days unless signs of infection
Intervention arm 2: bio‐occlusive, moisture‐permeable polyurethane dressing (OpSite) kept in place until day 8 if no sign of infection, leakage etc
Cointerventions: washed with normal saline
Outcomes Primary outcome: wound healing
Primary outcome: infection
Notes Funding NR; information on allocation method, allocation concealment, blinding, mean TBSA, mean time to healing and standard deviation for mean time to healing provided by author to Jull et al (Jull 2015)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "After initial management, patients were allotted at random to two groups."
Comment: no further information on methods of sequence generation; study author information that the sequence was generated by the "chit method", which is a method of drawing lots however the detail provided by the authors was minimal and not sufficient to reassure us that the sequence was truly random
Allocation concealment (selection bias) Unclear risk Quote: "After initial management, patients were allotted at random to two groups."
Comment: study author provided information to Jull et al that allocation concealment was by means of sequentially‐numbered, sealed envelopes but not known whether these were opaque
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "In both groups bacterial culture and sensitivity determinations were performed from swabs taken from the surface of the wound.... until the wound healed. The time required for complete healing was noted in both groups." Study author provided a statement to Jull et al that outcome assessors were blinded
Comment: despite author information that assessors were blinded, honey is known to cause discolouration of periwound skin making blinded outcome assessment very difficult; therefore judgement unclear
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: no specific quote but the outcomes cited were subsequently reported
Selective reporting (reporting bias) Low risk Comment: no specific quote but all randomised participants were included in the analysis (shown in tables)
Other bias Unclear risk Comment: no specific quote but no evidence of other sources of bias but reporting insufficient to be certain