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. 2015 May 11;2015(5):CD008788. doi: 10.1002/14651858.CD008788.pub3

Kumar 2007.

Methods Randomised clinical trial with parallel design
 Generation of the allocation sequence and allocation concealment: were not clearly described in the original article
 Follow‐up: adequate
 Duration of follow‐up: 4 weeks
Participants Patients who were diagnosed with gastric cancer
 Country: Nepal
 Year of study: between January 2001 and December 2005
 Number randomised: 108
 Mean age (years): Group 1 (54.3 ± 11.2), Group 2 (57.5 ± 13.4)
 Sex (M/F): Group 1 (36/20), Group 2 (33/19)
 Inclusion criteria: not clearly record in the article
Interventions Group 1: drain (n = 56), a single tube drain (28‐F) was used
 Group 2: no drain (n = 52)
 Antibiotic use: not stated
All patients underwent subtotal gastrectomy, regardless whether it was radical or palliative, or D1 or D2 lymph node dissection. All surgical procedures were performed by consultant surgeons in the Surgical Department, Patan Hospital. Splenectomy or pancreatectomy was not clearly described
Outcomes Mortality (30‐day mortality)
Post‐operative complications
Operation time
Length of post‐operative hospital stay
Initiation of soft diet
Notes Drains were removed when the total output < 50 ml/24 hours
Liquid diet was started after confirmation of bowel sound with passage of flatus and advanced to soft diet when the patients tolerated the liquid diet for at least 12 hours
Patients were discharged from the hospital after tolerating a soft diet for at least 2 days
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Unclear
Allocation concealment (selection bias) Unclear risk Unclear
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk The authors did not record whether or not the drain was placed by a second surgeon
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Yes
Selective reporting (reporting bias) Low risk Yes
Other bias Low risk Yes