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

Tarcin 2004.

Methods Design: three group parallel trial 
 Purpose: examine the effect of acustimulation in patients undergoing gastroscopy
Participants Patients: out‐patients undergoing gastroscopy 
 Baseline comparability: yes (age, gender)
Interventions Placebo: 
 ‐electrical device attached to electrodes and acustimulation performed on a site not regarded acupuncture site 
 ‐electrical device attached to electrodes but no acustimulatiuon performed 
 Untreated: no electrical device attached nor acustimulation performed 
 Experimental: acustimulation on point P6 
 (Co‐intervention: no)
Outcomes Proportion of patients scoring 1 to 4 on a VAS for nausea 
 Proportion of patients scoring 1 to 4 on a VAS for difficulty of swallowing gastroscopy 
 Proportion of patients scored 1 to 4 by gastrocopist on a VAS for nausea/retching 
 Proportion of patient who accept re‐gastroscopy
Notes The results from the two placebo groups were combined
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 Not described as double‐blind (placebo/acustimulation)
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 (binary outcome)
Trial size > 49? Low risk N = 235
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Allocation not clearly concealed