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. 2019 Jul 19;2019(7):CD002971. doi: 10.1002/14651858.CD002971.pub5

Costa 2018.

Methods Randomised controlled trial
Participants 70 infants (< 33 weeks') with insufficient maternal breast milk during the first 14 days after birth. One neonatal unit in Italy, 2015
Interventions Preterm formula (N = 35) versus donor breast milk (N = 35) given as a supplement to maternal breast milk
Outcomes Time to full enteral feeding (150 mL/kg/day), invasive infection, NEC, bronchopulmonary dysplasia (BPD), or mortality until 36 weeks' post‐menstrual age
Notes Fortification policy not described (author contacted June 2019 for clarification: simonetta.costa@policlinicogemelli.it)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Computer‐generated list of random numbers"
Allocation concealment (selection bias) Low risk "...sequence was concealed from researchers"
Blinding (performance bias and detection bias) 
 All outcomes High risk Families and clinicians not masked
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Complete assessment for primary outcome
Selective reporting (reporting bias) Unclear risk Protocol not available
Other bias Unclear risk Funder not stated