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

Alkaissi 2002.

Methods Design: three group parallel trial 
 Purpose: examine the preventive effect of acupressure on nausea and vomiting after surgery
Participants Patients: women undergoing minor gynaecological surgery 
 Baseline comparability: yes
Interventions Placebo: acupressure bands not on P6 for 24 hours 
 Untreated: no acupressure 
 Experimental: acupressure on P6 
 (Co‐intervention: anaesthetic agents, rescue medication)
Outcomes Proportion of patients with complete response (no nausea, vomiting or rescue medication), time NS 
 Apfel risk score 
 Satisfaction with treatment
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Low risk 'Sealed envelope'
Blinding? 
 Treatment provider High risk Described as double‐blind (Placebo/acupressure) but this referred to blinding of patient and outcome assessor.
Blinding? 
 Outcome assessor Unclear risk Not relevant as patients reported outcomes
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out <15%
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 = 275
Clearly concealed allocation + trial size > 49 + drop‐out max 15% Low risk All three categories fulfilled