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. 2014 May 29;2014(5):CD011056. doi: 10.1002/14651858.CD011056.pub2

Dhaliwal 1995.

Methods Design: Randomised, double blind, two‐period cross‐over study
Duration: 2 x 7 days
Participants Chronic cancer pain
N = 35 participants (30 completers: 13 women, 17 men)
Mean age 64 years
Interventions
  1. Controlled‐release codeine at 100, 150 or 200 mg 2‐hourly

  2. Placebo


Rescue medication: paracetamol 300 mg plus codeine 30 mg once or twice every 4 hours
Outcomes PI: 100 mm VAS and five‐point NRS (0‐4)
Doses of rescue medication per day
Pain disability index
Withdrawals
Notes Oxford Quality Score: R = 1, DB = 2, W = 1. Total = 4/5
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method used to generate sequence not clearly stated
Allocation concealment (selection bias) Unclear risk Method not clearly stated
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk "matching placebos"
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk "matching placebos"
Incomplete adverse event outcome data‐ patient level Low risk > 90% of participants included
Selective reporting bias for adverse events Low risk All AEs included
Size Unclear risk < 50 participants per treatment arm