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. 2012 Oct 17;2012(10):CD001321. doi: 10.1002/14651858.CD001321.pub5

Avorn 1994.

Methods
  • Study design: quasi‐RCT

  • Power calculation: Yes

  • Intention‐to‐treat analysis: No

Participants Inclusion criteria
  • Setting: Recruited from a single long‐term care facility for the elderly, and 9 housing complexes for the elderly

  • Country: USA

  • Not clearly stated, but participants had to be willing to ingest at least 300 mL of cranberry juice daily for a 6 month period.

  • Number: 192 randomised, 153 analysed

  • Mean age: 78.5 years


Exclusion criteria
  • Terminal disease or severe dementia; men

Interventions Treatment group
  • Cranberry juice cocktail: 300 mL/d (30% cranberry concentrate)

  • PAC content: NS


Control group
  • Placebo beverage that looked and tasted similar but contained no cranberry juice


Treatment duration: 6 months
Outcomes
  • Presence of bacteriuria (bacteria in the urine ≥ 100,000/mL) with the presence of pyuria (white cells in the urine)

  • Presence of bacteriuria

  • Presence of bacteriuria with the presence of pyuria plus symptoms of a UTI

Notes
  • Data were presented for 153 subjects who provided a baseline urine sample and at least one additional sample after randomisation

  • Method of obtaining urine sample: mid‐stream clean‐voided

  • Definition of bacteriuria: organisms ≥ 100,000/mL regardless of organism

  • Definition of pyuria: NS

  • Exclusions post randomisation: None

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Odd versus even numbers in institutional identification number or telephone number (quasi‐RCT)
Allocation concealment (selection bias) High risk Inadequate, could subvert system by excluding people with certain number, or include more of those with a certain number
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Blinding stated
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk NS
Incomplete outcome data (attrition bias) 
 All outcomes High risk Absolute numbers not always provided; 39 patients lost to follow‐up/withdrawn
Selective reporting (reporting bias) Low risk Primary outcome is reasonable though symptomatic would be better
Other bias High risk Source of funding: Research grant from Ocean Spray Cranberries, Inc.