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. 2012 Dec 12;2012(12):CD001894. doi: 10.1002/14651858.CD001894.pub5

Hagemann 2010.

Methods Randomised, single centre, crossover trial
Participants 103 women in the United States under 38 years of age with any embryo with a zona pellucida thickness > 13μm and more than 2 previous failed IVF cycles 
 Mean age: 32.1 years in the hatched group, 31.2 in the unhatched group
Interventions AH performed by acidic Tyrode's solution
AH: 49 women
Control: 54 women
Outcomes Clinical intrauterine pregnancy rate, implantation rate, spontaneous pregnancy loss and live birth rate
Notes Power calculation: study states it has inadequate power. The study as ultimately performed only had sufficient statistical power to identify a 30% absolute effect size with alpha = 0.05 and beta = 0.80 
 ITT analysis unclear
Published as full paper
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation was performed by the IVF lab staff by drawing 1 of 200 opaque envelopes from a box
Allocation concealment (selection bias) Unclear risk Opaque envelopes drawn, but not numbered
Blinding (performance bias and detection bias) 
 All outcomes Low risk The study arm to which participants belonged was blinded to care givers, with the exception of the IVF embryologyists, as well as to participants
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Unclear
Selective reporting (reporting bias) Low risk Live birth reported (but results not included in this study as results were only given for both cycles combined and not for just the first cycle, which is the data we are using). No other evidence of reporting bias