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

Dundee 1986.

Methods Design: three group parallel trial 
 Purpose: examine the prophylactic effect of acupuncture on perioperative nausea
Participants Patients: surgical in‐patients undergoing minor gynaecological procedures 
 Baseline comparability: 'broadly comparable', but no data presented
Interventions Placebo: needling on the lateral elbow crease, a point that is not on any recognized acupuncture line 
 Untreated: no needling 
 Experimental: needling at the P6 point (Neiguan) 
 (Co‐intervention: 10 mg nalbuphene as routine premedication)
Outcomes Number of patients with nausea
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk Not described as double‐blind (placebo/acupuncture)
Blinding? 
 Outcome assessor Low risk 'These assessments were performed by an observer who was unaware of which patients had undergone acupuncture'
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? Low risk N = 50
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS