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. 2019 May 5;2019(5):CD007231. doi: 10.1002/14651858.CD007231.pub3

Chen 2014.

Methods Single‐blind, randomized, controlled clinical trial
Participants 30 participants with chronic MCA infarction and neurological deficits of intermediate severity
Treatment 15, control 15
Treated between 6 months and 5 years from stroke onset
Interventions Subcutaneous granulocyte‐colony stimulating factor injections (15 μg/kg/day) for 5 consecutive days, followed by stereotaxic implantation of autologous 3 to 8 million CD34+ immunosorted peripheral blood stem cells
Outcomes Improvements in stroke scales (NIHSS, European Stroke Scale, and European Stroke Scale Motor Subscale) and functional outcomes measure (mRS) from baseline to the end of the 12‐month follow‐up
Notes None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants were assigned randomly (1:1) via SAS software to either the peripheral blood stem cells or the control groups
Allocation concealment (selection bias) Low risk Participants were correctly allocated
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Experimental procedures (such as stereotaxic implantation) were not blinded
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk All clinical information was assessed by clinician raters in a single‐blinded fashion (at clinical evaluation, each participant wore a hat to mask the surgical scar on their skull)
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Outcome data were complete
Selective reporting (reporting bias) Low risk Primary outcomes listed in published protocols were adequately reported in the results
Other bias Low risk Granulocyte‐colony stimulating factor may be neuroprotective in the acute phase, but this trial included participants treated between 6 months and 5 years from stroke onset