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. 2017 Aug 29;2017(8):CD004064. doi: 10.1002/14651858.CD004064.pub4

Loehrer 1994.

Methods Multicentre RCT
 3 arms
 Quality score: B
Participants n = 165
 Median age: 60 years
 Metastatic disease: 63%
 ECOG 2‐3: 27%
Interventions 5‐FU: 5‐FU 500 mg/m² d 1‐5 repeated at d 29
 versus
 E: epirubicin 90 mg/m² d 1, repeated at d 29 versus
 5‐FU+E: 5‐FU 400 mg/m² d 1‐5; epirubicin 90 mg/m² d 1, repeated at d 29
Outcomes Median survival
 Toxicity
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number tables
Allocation concealment (selection bias) Low risk Central allocation
Incomplete outcome data (attrition bias) 
 efficacy High risk Analysis for all randomised and screened patients
Incomplete outcome data (attrition bias) 
 safety Unclear risk Analysis for all randomised, screened and treated patients
Selective reporting (reporting bias) High risk No response rates are given
Other bias Low risk N/A
Blinded review of CT/MRI‐scans? High risk High risk