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

Kerr 2003.

Methods Design: three group parallel trial 
 Purpose: study the effect of penicillin troches for recurrent aphthous ulcers
Participants Patients: outpatients with recurrent aphthous ulcers 
 Baseline comparability: yes (age, gender, ulcer age)
Interventions Placebo: sessions with TENS device not producing nerve stimulation 
 Untreated: no sessions 
 Experimental: sessions TENS device producing nerve stimulation 
 (Co‐intervention: installation of 4% lidocaine gel)
Outcomes Proportion of patients with healed ulcers 
 Proportion of patients with no pain
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk urn randomisation '...the subject drawing a single envelope from a pool of sealed blank envelopes'
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'Both the investigators and treatment group subjects were blinded'
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Unclear risk Not relevant (binary outcome)
Trial size > 49? Low risk N = 69
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Allocation not clearly concealed