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. 2016 Aug 25;2016(8):CD003540. doi: 10.1002/14651858.CD003540.pub3

Morrell 1986.

Methods NRCT. Non‐randomised to surgery sessions with 5‐, 7.5‐, or 10‐minute appointments
Participants 1 practice; 5 doctors; 60 surgery sessions; 780 consultations
Interventions 5‐, 7.5‐, and 10‐minute appointments (usual appointment length 6.7 min)
Outcomes Consultation length, examination, prescribing and referral, investigation rates, number of problems and psychological problems identified, language content; re‐consultation in 4 weeks
Notes Analysis: Logistic regression allowing for age and sex of patient. As case mix varied between groups, doctor‐ and patient‐initiated consultations were analysed separately for several outcomes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Sequential allocation of patients to 1 of 3 arms
Allocation concealment (selection bias) High risk Sequential allocation of patients to 1 of 3 arms
Blinding (performance bias and detection bias) 
 All outcomes High risk Non‐blinded assessment
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Blinding for personnel implementing the intervention not possible
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Objective outcome (consultation length)
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Data obtained for 96% of consenting participants
Selective reporting (reporting bias) Low risk No protocol found; all prespecified outcomes are reported
Other bias High risk No baseline measurements (pre‐clinical data for patient characteristics)
Selection bias ‐ more acute illness