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

Limoges 2004.

Methods Design: three group parallel trial 
 Purpose: study the effect of TENS during sigmoidoscopy
Participants Patients: out‐patients needing screening endoscopy 
 Baseline comparability: yes
Interventions Placebo: session with TENS machine off 
 Untreated: no session 
 Experimental: session with TENS machine turned on 
 (Co‐intervention: NS)
Outcomes Pain intensity (1‐5) 
 Bloating 
 Nausea 
 Pain or burning or tingling at electrode site 
 Pain compared with previous sigmoidoscopy
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk (but endoscopist and patients were blinded)
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
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? 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 = 60
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Unclear allocation concealment