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 |