Hewett 2010.
Methods | Generation of allocation sequence: computer generated. Allocation concealment: Not applicable as not blinded Blinding: Not stated but not blinded to endoscopist Inclusion of all randomised patients: Yes |
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Participants | Number: 100 (57M:43F) Age: group 1: mean age 61.0 years +/‐ 1.0. Group 2: 62.9 +/‐1.2. Source:Indiana University Hospital, USA. Inclusion criteria: Patients 50 years of age or older and able to give informed consent, scheduled for elective colonoscopy. Exclusion criteria: ASA III or more, previous surgical resection of colon or rectum, IBD, current anticoagulant use. |
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Interventions | Colonoscope: High‐definition videocolonoscopes CF‐H180AL (Olympus, America). Bowel preparation: not stated. Intra‐procedure medication: propofol sedation "endoscopist‐directed". Endoscopist: "experienced". Caps: Soft, transparent plastic cap 13.4mm outer diameter, 4mm protrusion. (D‐201‐12704, Olympus). |
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Outcomes | Included in review: Caecal intubation time, Polyp detection rate Excluded from review: propofol dose, missed adenomas |
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Notes | Location: USA 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) | Low risk | Computer generated |
Allocation concealment (selection bias) | High risk | Not blinded |
Blinding (performance bias and detection bias) All outcomes | High risk | Not blinded to endoscopist. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | All data used for analysis |
Selective reporting (reporting bias) | Low risk | Appropriate outcomes measured |
Other bias | Unclear risk | Source of funding not stated. |