| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | Randomly allocated: no details |
| Allocation concealment (selection bias) | Unclear risk | Unclear |
| Blinding of participants and personnel (performance bias) | High risk | Unlikely |
| Blinding of outcome assessment (detection bias) | Low risk | Outcome assessors (for POCD) were blinded to the anaesthetic technique |
| Incomplete outcome data (attrition bias) | Low risk | Four participants lost to follow‐up |
| Selective reporting (reporting bias) | High risk | Mortality given up to one year (although exact group not given). Presence/absence of complications related to the anaesthetic techniques not reported |
| Other bias | Unclear risk | Higher proportion of Ischaemic heart disease (18 vs 11) and of cerebrovascular disease (four vs two) in the epidural group |