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. 2013 Jun 13;2013(6):CD002878. doi: 10.1002/14651858.CD002878.pub2

Sin 2007.

Methods Randomised, parallel, controlled study
Participants 23 people with COPD randomised; FEV1 0.86 L, PaCO2 44.2 mmHg. Raw data 17 people with COPD, FEV1 0.88 L, PaCO2 43 mmHg
Interventions 11 people received standard medical therapy plus nocturnal‐NIPPV (IPAP 16, EPAP 4) for 3 months while 12 people received standard medical therapy plus sham NIPPV
Outcomes After 3 months: BGA, lung function and 6MWD
Notes Funding: this project is supported by Canadian Institutes of Health Research (clinical trials), The Institute of Health Economics, and the University of Alberta Hospital Foundation
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Recruited patients were randomly assigned to..."
Allocation concealment (selection bias) Low risk Quote: "Randomization occurred at a central site by one individual who was unaware of patients' clinical status"
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Double‐blind design. Participants were blind to intervention treatment (NIPPV versus sham) and: "All outcome measurements were performed and interpreted by personnel who were blinded to treatment allocation of patients"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Quote: "Two out of eleven subjects refused any nocturnal therapy following randomisation and were excluded from the main analysis"
Selective reporting (reporting bias) Unclear risk All outcomes listed in the Methods were reported
Other bias Unclear risk At baseline no significant differences except for FEV1, which was significantly higher in the group that received NIPPV