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

Steinsbekk 2004.

Methods Design: four group parallel trial 
 Purpose: examine the effect of homeopathy for upper respiratory infections (URTI) in children
Participants Patients: children with upper respiratory infection 
 Baseline comparability: yes (age, gender)
Interventions Placebo: lactose pill 
 Untreated: no pill 
 Experimental: 
 ‐Self‐selected ultramolecular homeopathic pill 
 ‐treatment by homeopath 
 (Co‐intervention: no)
Outcomes Total URTI score 
 Days with URTI 
 Days with antibiotics 
 Days with analgesic/antipyretic 
 Visits to medical doctor 
 Days with other illness, noises from the chest, or work absence due to ill child 
 (all outcomes also as binary: proportion of children with days of ...)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk 'computer'
Allocation concealment? Low risk 'central'
Blinding? 
 Treatment provider Low risk 'This trial was of double‐blind, randomized parallel group placebo controlled design'
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? High risk Either variance inequality (F‐test statistically significant) or skewness (1.64 standard deviations exceeds the mean)
Trial size > 49? Low risk N = 176
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS