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

Karunakaran 1997.

Methods Design: three group parallel trial 
 Purpose: examine the effect of sulfonylurea therapy on patients with increased fasting plasma glucose
Participants Patients: out‐patients with increased but not diabetic fasting plasma glucose 
 Baseline comparability: yes
Interventions Placebo: tablets containing no sulfonylurea 
 Untreated: no tablets 
 Experimental: tablets containing sulfonylurea 
 (Co‐intervention: reinforced or basic health advice in a factorial design)
Outcomes Fasting plasma glucose (mmol/l) 
 Haemoglobin A1c 
 Plasma insulin 
 Beta‐cell function 
 Weight 
 Blood lipids 
 Arterial blood pressure
Notes Data from placebo and no‐treatment groups pooled in the original trial report. Contact with researchers provided unpooled data.
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 '... double‐blind placebo...'
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? High risk Data from placebo and no‐treatment groups pooled in the original trial report. Contact with researchers provided unpooled data.
Free of other bias? High risk See notes
No signs of variance inequality or skewness? High risk Either variance inequality (F‐test statistically significant) or skewness (1.64 standard deviations exceeds the mean)
Trial size > 49? Low risk N = 115
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS