Skip to main content
. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Levine 1984.

Methods Design: 8 group parallel trial (incomplete 3 x 3 factorial design) 
 Purpose: examine the effect of open and hidden infusion of placebo on pain
Participants Patients: postoperative in‐patients (after removal of impacted third molars) 
 Baseline comparability: NS
Interventions Placebo: open infusion of vehicle by bedside investigator 
 Untreated: patient unaware of infusion of vehicle (either by machine or hidden investigator) 
 Experimental: infusions of naloxone and morphine (8 and 12 mg) 
 (Co‐intervention: NS)
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 'Each patient was randomly assigned to receive, after surgery, a double‐blind injection...'
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? Unclear risk Not relevant (not naturally positive continuous outcomes e.g. change)
Trial size > 49? High risk N = 36
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49