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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Gracely 1979.

Methods Design: three group parallel trial 
 Purpose: examine the effect of placebo medication and naloxone on acute pain
Participants Patients: postoperative in‐patients after extraction of molars 
 Baseline comparability: NS
Interventions Placebo: injection with naloxone vehicle 
 Untreated: no injection 
 Experimental: injection with naloxone 
 (Co‐intervention: NS)
Outcomes Pain
Notes Data reported in a way not extractable for meta‐analysis. Original data lost (personal communication Gracely RH)
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk 'random table generated by a shuffle program'
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'Two groups of 12 subjects received double‐blind intravenous injections of either 10mg naloxone or naloxone vehicle (placebo)...'
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? High risk No protocol available. Data reported in a way not extractable for meta‐analysis. Original data lost (personal communication Gracely RH)
Free of other bias? Low risk  
Trial size > 49? High risk N = 24
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49