Dai 2010.
Methods | Generation of allocation sequence: Not stated. Allocation concealment: Not stated. Blinding: Not stated. Inclusion of all randomised patients: Not stated. |
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Participants | Number: 250 (134M:116F) Age: Cap group mean 49.4 years (range 22‐77). Regular group mean 53.3 years (range 18‐78). Source: Renji Hospital, Shanghai. Inclusion criteria: Patients undergoing outpatient colonoscopy. Exclusion criteria: Prior colonic surgery, IBD, colonic stricture or tumour, poor bowel preparation. |
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Interventions | Colonoscope: CF‐240 (Olympus, Tokyo, Japan). Bowel Preparation: 2L polyethylene glycol/electrolyte lavage solution (Shenzhen Wanhe, Shenzhen, China) 6hours before. Intra‐porcedure medication: 10mg Scopolamine, 10mg Diazepam I.M. Colonoscopists: 2 subgroups ‐ experienced (at least 5 years experience) and inexperienced (1 year experience). Caps: D‐201‐13404 (Olympus, Tokyo, Japan) transparent plastic cap: 13.7mm outer diameter, 11.7mm inner diameter, depth 8mm, protruding 4mm ahead of scope. |
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Outcomes | Included in review: Caecal intubation time, pain during procedure Excluded from review: Distension, total procedure time. |
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Notes | Location: China Source of funding: Not stated Attempts to clarify information: Not required. Language of Publication: English |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not stated |
Allocation concealment (selection bias) | High risk | Not blinded to endoscopist |
Blinding (performance bias and detection bias) All outcomes | High risk | Not stated but not blinded to endoscopist. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | All data appears complete. |
Selective reporting (reporting bias) | Low risk | Appropriate outcomes reported. |
Other bias | Unclear risk | Source of funding not stated. |