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

Rossi 1982.

Methods Design: three group, three period cross‐over trial 
 Purpose: examine the effect of labetalol on hypertension
Participants Patients: in‐patients with essential hypertension 
 Baseline comparability: yes
Interventions Placebo: tablet without labetalol 
 Untreated: no tablet 
 Experimental: tablet with labetalol 
 (Co‐intervention: No)
Outcomes Diastolic blood pressure (mm Hg)
Notes The outcome data was not available from the first period only, and was calculated as deriving from a parallel group trial.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Unclear risk NS
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? Unclear risk The outcome data from this cross‐over trial was not available from the first period only, and was calculated as deriving from a parallel group trial.
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? High risk N = 12
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49