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

Hargreaves 1989.

Methods Design: three group parallel trial 
 Purpose: examine the effect of transcutaneous electrical nerve stimulation (TENS) on acute pain associated with wound dressing
Participants Patients: postoperative patients needing surgical wound dressing. 
 Baseline comparability: NS
Interventions Placebo: TENS with no current passing to electrodes 
 Untreated: no TENS 
 Experimental: TENS with current passing to electrodes 
 (Co‐intervention: analgesics administered at the same rate for all groups)
Outcomes Pain (VAS)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk '...the experimenter was unaware of the assigned intervention during the initial preparation of each subject for the study'
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? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Low risk No variance inequality (F‐test not statistically significant) and no skewness (1.64 standard deviations does not exceed the mean)
Trial size > 49? Low risk N = 50
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS