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

Tsay 2003.

Methods Design: three group parallel trial 
 Purpose: examine the effect of acupressure on quality of sleep
Participants Patients: in‐patients with end stage renal disease 
 Baseline comparability: yes
Interventions Placebo: acupressure on sites not regarded acupressure sites 
 Untreated: no acupressure 
 Experimental: acupressure on sites regarded acupressure sites 
 (Co‐intervention: standard medical care)
Outcomes Pittsburgh sleep quality index 
 Sleep log
Notes The trial report does not state the number of patients allocated to each group. We assumed that out of 98 patients in the three‐armed trial 32 patients entered the placebo group and 32 patients the no‐treatment group
Risk of bias
Bias Authors' judgement Support for judgement
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? High risk No protocol available. The trial report does not state the number of patients allocated to each group. We assumed that out of 98 patients in the three‐armed trial 32 patients entered the placebo group and 32 patients the no‐treatment group
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? Low risk N = 64
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Allocation not clearly concealed