Marshall 1989.
Methods | RCT Cross‐over |
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Participants | Any child with a paediatric malignancy on any chemotherapy protocol including BMT conditioning in 6 participants, who had a second course planned. Median age 7 years (4 to 15 years), with 17/26 male | |
Interventions | Chlorpromazine 0.825 mg/kg QDS IV for 4 doses Cocktail. Metoclopramide (IV) 2 mg/kg/dose 0, 2, 6, 12 hours. Dexamethasone (IV) 0.7 mg/kg 0 hours. Benzatropine (IV) 0.02 mg/kg/dose 0, 6 hours. Lorazepam (PO) 0.05 mg/kg/dose, 1 hour and 12 hours |
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Outcomes | Recorded number and duration of vomiting using ?structured interview ‐ unclear | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not stated |
Allocation concealment (selection bias) | Unclear risk | Not stated |
Blinding (performance bias and detection bias) Acute nausea | Unclear risk | Not reported |
Blinding (performance bias and detection bias) Acute vomiting | Unclear risk | "Double blinded" but unclear how effective the placebos would be Blinding of care provider: unclear Blinding of participant: unclear Blinding of outcome assessors: unclear |
Blinding (performance bias and detection bias) Other outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 2/26 did not complete the cross‐over |
Selective reporting (reporting bias) | Low risk | — |
Other bias | Unclear risk | 6/26 on conditioning regimens given after 24 hours ‐ could there be a carry‐over effect? |