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

Classen 1983.

Methods Design: two group, four period cross‐over trial with a third untreated group assessed after the first period 
 Purpose: examine the relationship between sensory suggestibility and treatment effect
Participants Patients: out‐patients suffering from chronic intermittent headaches 
 Baseline comparability: pretreatment headache scores
Interventions Placebo: tablet without metamizole 
 Untreated: no tablet 
 Experimental: tablet with metamizole 
 (Co‐intervention: NS)
Outcomes Pain (headache scores, 4‐item 6‐point scale) 
 Sensitivity values (d')
Notes The first period was considered a parallel trial. Results from later periods were disregarded.
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  
Blinding? 
 Outcome assessor Unclear risk NS
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? High risk Either variance inequality (F‐test statistically significant) or skewness (1.64 standard deviations exceeds the mean)
Trial size > 49? High risk N = 30
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49