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

Benedetti 1995.

Methods Design: eight group parallel trial 
 Purpose: examine the effect of placebo and proglumide on postoperative pain
Participants Patients: postoperative in‐patients after thoracotomy 
 Baseline comparability: yes (pain intensity)
Interventions Placebo: open infusion of saline 
 Untreated: hidden infusion of saline 
 Experimental: 
 ‐open infusion of proglumide (0.05 mg, 0.5 mg, 5 mg) 
 ‐hidden infusion of proglumide (0.05 mg, 0.5 mg, 5 mg) 
 (Co‐intervention: NS)
Outcomes Pain (VAS)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'double‐blind randomized study'
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 (not naturally positive continuous outcomes e.g. change)
Trial size > 49? High risk N = 24
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49