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. 2014 Oct 30;2014(10):CD003039. doi: 10.1002/14651858.CD003039.pub2

Riikonen 1994.

Study characteristics
Methods Placebo‐controlled, public‐funded, multi‐center trial
Participants Children, mixed tumors; ANC < 0.2 x 109/L
Interventions GM‐CSF (Sandoz) 5 mcg/kg IV
ATB: Imipenen‐Cilastatin
Outcomes Overall mortality
Infection‐related mortality
Duration of hospitalization
Bone and joint pain or flu‐like symptoms
Notes Hospital discharge criteria: afebrile for at least 72 hours; ANC at least 500/mm3
Duration of grade IV neutropenia reported as days to absolute granulocyte recovery to > 0.5 x 109/L
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk We were not able to assess the adequacy of method of sequence generation based on the information provided in the article
Allocation concealment (selection bias) Unclear risk We were not able to assess the adequacy of allocation concealment based on the information provided in the article
Blinding (performance bias and detection bias)
All outcomes Low risk Double blinding was employed
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk We were not able to assess who were blinded based on the information provided in the article
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk We were not able to assess the outcomes for which blinding was employed based on the information provided in the article
Incomplete outcome data (attrition bias)
All outcomes High risk ITT analysis not used, withdrawals are described
Other bias Low risk Prespecified values of sample size, alpha and beta errors were provided