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. 2017 Dec 13;2017(12):CD000467. doi: 10.1002/14651858.CD000467.pub2

Kinney 1982.

Methods Double‐blind randomized placebo‐controlled trial
 Cross‐over design
Participants 16 patients ‐ 10 progressive systemic sclerosis, 2 mixed connective tissue disease, 2 with systemic lupus erythematosus, 2 with Raynaud's disease
 2 dropouts
Interventions No vasoactive drug other than the one being tested (verapamil)
All study participants non‐smokers except for 1 participant who continued to smoke 4 cigarettes a day throughout the duration of the experiment
Concomitant medications not changed during this study
Verapamil administered orally for 3 weeks followed by increased dosage for 3 weeks
Last 6 weeks of study ‐ treatment groups crossed over
 Total study duration 12 weeks
Outcomes Participants interviewed and examined at start of the study and every 3 weeks thereafter
Diary analysis to ascertain whether participants had at least 1 episode of Raynaud's phenomenon on a given day
Pulse volume, total blood flow in the tip of the finger, skin temperature, and cold pressor testing measured
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "computer‐generated randomization schedule"
Allocation concealment (selection bias) Low risk Likely occurred on the basis of computer generation
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk "The study was double‐blinded."
"Placebo‐treated patients received equivalent numbers of capsules."
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Participant diary used to record subjective assessments and to check compliance
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 2/16 participants with completed diary excluded from analysis
Selective reporting (reporting bias) Low risk None detected
Other bias Unclear risk Evidence insufficient for judgement of risk