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

De Sanctis 2001.

Methods Design: three group parallel trial 
 Purpose: examine the effect of Essaven gel in patients with venous microangiopathy and venous ulceration
Participants Patients: out‐patients with microangiopathy and venous ulcers 
 Baseline comparability: yes (age, gender ratio)
Interventions Placebo: Gel not containing Essaven 
 Untreated: no gel 
 Experimental: Gel containing Essaven 
 (Co‐intervention: elastic stockings)
Outcomes Ulcer healing rates 
 Total symptom score (based on Pain, edema, alternation in social life and working handicaps, cost of care, deambulation) 
 Microcirculatory parameters (flux, CO2, O2)
Notes No patient in either group had healed ulcers. For computing reasons we have entered data as one patient in each group had a healed ulcer.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Low risk 'The randomization process was controlled by an external statistical controller according to GCP rules'
Blinding? 
 Treatment provider Low risk 'Operators were unaware of the contents of the tube, which was numbered'
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? Unclear risk Not relevant (binary outcome)
Trial size > 49? High risk N = 19
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49