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. 2018 Feb 6;2018(2):CD000459. doi: 10.1002/14651858.CD000459.pub3

Chouinard 1995.

Methods Allocation: "randomly assigned", not described
 Blindness: "double blind", partially described
 Design: post hoc analysis of parallel, 6‐group RCT
 Setting: inpatients, Canada
Duration: 8 weeks
Participants Diagnosis: chronic schizophrenia (DSM‐III R criteria)
 N = 135
 Age: mean 39 years, range 19‐60 years
 Sex: 34 men and 14 women
History: duration TD not reported; the most common pre‐study medications were haloperidol, procyclidine, lorazepam, benztropine and chlorpromazine; the most commonly used depot antipsychotic agents were haloperidol decanoate, fluphenazine decanoate, flupenthixol decanoate and pipothiazine palmitate.
Interventions Mean duration of washout phase 6 days.
1. Risperidone: dose 2 mg/d for 8 weeks. N = 8
2. Risperidone: dose 6 mg/d for 8 weeks. N = 6
3. Risperidone: dose 10 mg/d for 8 weeks. N = 6
4. Risperidone: dose 16 mg/d for 8 weeks. N = 11
5. Haloperidol: dose 20 mg/d. N = 6
6. Placebo: N = 11
"At the time of selection, all psychotropic and antiparkinsonism medications were discontinued"; "no other psychotropic medication was administered except for chloral hydrate or a benzodiazepine if a sedative/hypnotic was required.", "An antiparkinsonian medication (biperiden or procyclidine) was given in case of the emergence of clinically significant drug‐induced parkinsonism and dystonia"
Outcomes Adverse events: use of antiparkinsonism medication
Unable to use (data does not have variability measures, and only reports differences from baseline to worst scores) ‐
ESRS: dyskinesia symptoms total score, CGI severity dyskinesia, buccolinguomasticatory factor, choreoathetoid factor
Notes Sponsorship source: not reported.
Study author kindly replied to our request for data.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "randomly assigned", details not reported
Allocation concealment (selection bias) Unclear risk Allocation concealment not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk "identical tablets"
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Blinding of raters not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 33% of participants terminated the study early due to insufficient therapeutic response. All early terminations were included in the ITT analysis
Selective reporting (reporting bias) High risk Outcomes not fully reported
Other bias High risk Subgroup with TD