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

Alfano 2001.

Methods Design: five group parallel trial 
 Purpose: examine the effect of static magnetic fields for treatment of fibromyalgia
Participants Patients: subjects with fibromyalgia (American College of Rheumatology's diagnostic criteria) 
 Baseline comparability: yes
Interventions Placebo: pads that have no magnetic property inserted into the beds of the patients for 6 months 
 Untreated: no pads 
 Experimental: two types of pads with static magnetic properties 
 (Co‐intervention: NS)
Outcomes Pain (11 point numeric rating scale, 0 to 10) at six months 
 Number of tender points 
 Tender point pain intensity 
 Functional status (fibromyalgia impact questionnaire)
Notes Results from two placebo groups reported as deriving from one group.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk 'Computer‐generated treatment list'
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Unclear risk NS
Blinding? 
 Outcome assessor Unclear risk Not relevant as patients 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? 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 = 38
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49