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. 2013 Mar 28;2013(3):CD002106. doi: 10.1002/14651858.CD002106.pub4

Fang 1987.

Methods RCT. Method of randomisation, allocation concealment not reported. Blinding of outcome assessors recorded. Patients served as their own controls (i.e. one area of the same patient was treated with intervention while another similar area was taken as a control)
Participants 27 patients (mean age 18.6 years) with second‐degree burns (mean %TBSA: 24.1)
Interventions Antimicrobial release biosynthetic dressing (Hydron) versus once or twice‐daily application of SSD
Outcomes Wound appearance 
 Number of dressing changes 
 Need for surgery 
 Incidence of infection
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Patients acted as own control and 2 sites per patient were selected "at random" for the 2 different therapies
Allocation concealment (selection bias) Unclear risk Not reported
Blinding (performance bias and detection bias) 
 All outcomes High risk Different care protocols ‐ blinding of patients and investigators very unlikely but assessors were reported as blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No reported withdrawals or dropouts
Selective reporting (reporting bias) Low risk All prespecified outcomes reported
Other bias High risk (1) Materials for trial provided by pharmaceutical company and no description provided or methods used to prevent bias; (2) patients acted as own control, giving rise to potential unit of analysis errors