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. 2019 Dec 18;2019(12):CD011016. doi: 10.1002/14651858.CD011016.pub2

Papas 2007.

Methods Study design: randomized, parallel‐group, controlled trial
Study site(s): not reported if single‐ or multi‐center
Number randomized (total and per group): not reported
Unit of randomization (individual or eye): not reported
Exclusions after randomization: not reported
Losses to follow‐up: not reported
Number analyzed (total and per group): 41 participants in total
Unit of analysis (individual or eye): not reported
Reported power calculation? (Y/N): N
Reported subgroup analysis? (Y/N): N
Participants Baseline characteristics
Country: not reported
Age (mean ± SD, range): not reported
Gender: not reported
Inclusion criterion:
1. Sjögren’s syndrome as defined by the European Criteria and a positive blood rest or lip biopsy
Exclusion criteria: not reported
Equivalence of baseline characteristics? (Y/N): Y (salivary flow)
Interventions Intervention #1 (treatment group): omega‐3 supplement containing a flaxseed and fish oil blend; dose not reported (TheraTears Nutrition, Advanced Vision Research)
Intervention #2 (control group): placebo (germ seed oil); dose not reported
Length of follow‐up: 3 months
Notes: none
Outcomes Primary outcome(s): symptoms of dry eye; symptoms of dry mouth; unstimulated and stimulated salivary flow, all reported as data at study endpoint
Secondary outcome(s): gingival index; plaque index
Adverse events reported? (Y/N): N
Measurement time points (specify intervals at which outcomes were assessed): not reported
Other issues with outcome assessment (eg, quality control for outcomes, if any): none
Notes Study dates: not reported
Funding source(s): not reported
Conflicts of interest: not reported
Publication language: English
Registered on clinical trials registry? (Y/N): Y ‐ although not referenced in the abstract, this report appears to relate to the clinical trial registry entry: http://www.isrctn.com/ISRCTN10758297
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of random sequence generation was not reported
Allocation concealment (selection bias) Unclear risk Allocation concealment was not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk "Double‐masked" study, but details of masking were not reported
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk "Double‐masked" study, but details of masking were not reported
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Numbers randomized, lost to follow‐up, and excluded were not reported
Selective reporting (reporting bias) High risk Although not referenced in the record (abstract), this report appears to relate to the clinical trial registry entry: http://www.isrctn.com/ISRCTN10758297, which lists only "increased oral and ocular comfort at 3 months" as the primary outcome measure, which is different from that reported in the abstract
Other bias Unclear risk This study was published in abstract form only, and a follow‐up publication was not identified