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

Asmar 1996.

Methods Design: two period, two group, cross‐over trial 
 Purpose: examine the effect of placebo on arterial hypertension
Participants Patients: out‐patients with untreated mild‐to‐moderate hypertension
Interventions Placebo: NS 
 Untreated: no placebo 
 (Co‐intervention: NS)
Outcomes Diastolic blood pressure (mm Hg) 
 Systolic blood pressure (mm Hg)
Notes The outcome data was not available from the first period only, and was calculated as deriving from a parallel group trial. The results from the trial were reported in two publications (without cross reference). In the original report there were 36 included patients, but in the subsequent report there appears only 26. The reported effect of placebo on diastolic blood pressure was higher in the second trial report. We decided to include the results from the original publication.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Unclear risk NS
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes Low risk Drop out < 15%
Free of selective reporting? High risk No protocol available. Authors were contacted. They shared data after request from the involved journal.
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 = 68
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Not clearly concealed allocation