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

Killeen 2004.

Methods Design: three group parallel trial 
 Purpose: study the effect of naltrexone for alcohol dependence
Participants Patients: outpatients with alcohol dependence 
 Baseline comparability: yes (age, gender)
Interventions Placebo: NS (12 weeks) 
 Untreated: no placebo or naltrexone 
 Experimental: naltrexone 
 (Co‐intervention: various individual or group programs)
Outcomes Alcohol consumption (time line follow‐back: average drinks per day, percent days drinking, drinks per drinking days, heavy drinking days) 
 Percentage with at least one heavy drinking episode 
 Craving (obsessive compulsive drinking scale) 
 Various explorative analyses
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk urn randomisation
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Unclear risk NS
Blinding? 
 Outcome assessor Unclear risk NS
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? Unclear risk Not relevant (not naturally positive continuous outcomes e.g. change)
Trial size > 49? Low risk N = 59
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS