Skip to main content
. 2012 Oct 17;2012(10):CD001321. doi: 10.1002/14651858.CD001321.pub5

Walker 1997.

Methods
  • Study design: cross‐over RCT

  • Power calculation: no

  • Intention‐to‐treat analysis: no

Participants Inclusion criteria
  • Setting: single centre

  • Country: USA

  • Non pregnant, sexually active women between the ages of 18 and 45 years with a recurrent UTI (4 UTIs during the past year or at least one during the previous 3 months); sexually active women

  • Number: 19 randomised; 10 analysed

  • Age range (median): 28‐44 years (37)


Exclusion criteria: NS
Interventions Treatment group
  • Cranberry capsules: 400 mg of cranberry solids (number/d NS)


Control group
  • Placebo capsule


Duration of treatment: each patient had 3 months of active treatment and 3 months placebo
Outcomes
  • Symptomatic UTI

Notes
  • Method of obtaining urine sample: NS

  • Dedfinition of symptomatic UTI

  • Women notified the physician and then submitted a urine sample (method: NS)

  • To ensure a consistent entry point into the study, each participant was held in a queue until suffering a symptomatic UTI

  • Each subsequent UTI episode was treated with antibiotics

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk NS
Allocation concealment (selection bias) Low risk States clinicians unaware of allocation
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk States double blinding and opaque matching bottles
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk States double blind, likely that culture results read without knowledge of treatment arm
Incomplete outcome data (attrition bias) 
 All outcomes High risk Unclear reporting of results, culture appears the units rather than patients
Losses to follow‐up/withdrawals: 9
Selective reporting (reporting bias) Low risk Symptomatic UTI most appropriate outcome
Other bias Unclear risk Not well reported, difficult to assess
Source of funding: NS (capsules provided by Solaray, Inc)