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. 2018 Apr 3;2018(4):CD010597. doi: 10.1002/14651858.CD010597.pub2

Zhang 2009c.

Methods
  • Study design: parallel RCT

  • Study duration: January 2005 to June 2007

  • Duration of follow‐up: not reported

Participants
  • Setting: National, dialysis units

  • Country: China

  • Participants > 18 years and suffered from ESKD that required HD treatment, with a newly inserted, well‐positioned permanent tunnelled cuffed HD catheter

  • Number (participants/catheters): treatment group (71/71); control group (69/69)

  • Mean age ± SD (years): treatment group (52 ± 16.3); control group (52.1 ± 16.7)

  • Sex (M/F): treatment group (51/20); control group (50/19)

  • Exclusion criteria: systematic bacterial infection; local infection requiring systemic antibiotics; pregnancy; dizziness; tinnitus; immunosuppressive treatment

Interventions Treatment group
  • Gentamicin: 4 mg/mL

  • Heparin: 5500 IU/mL


Control group
  • Heparin: 5500 U/mL

Outcomes
  • CRI

  • Thrombosis

  • Adverse effects (bleeding, tinnitus and vertigo)

Notes
  • Funding source:

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information to permit judgement
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk The participants and dialysis nurses were blinded of the treatment assignments
Blinding of outcome assessment (detection bias) 
 All outcomes High risk The study investigators who assessed outcomes were not blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All patient data reported
Selective reporting (reporting bias) Low risk Describes the outcome according to objective
Other bias Unclear risk Insufficient information to permit judgement