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. 2014 May 13;2014(5):CD009941. doi: 10.1002/14651858.CD009941.pub2
Study ID (surname of first author and year published)  
Study characteristics Descriptions (include comparative information for each intervention or comparison group if available) Further details Source (pg and/ fig/table/other)
Single centre/Multi‐centre      
Start and end dates of data collection      
Duration of participation (from recruitment to last follow‐up)      
Power (e.g. power and sample size calculation, level of power achieved)      
Notes:      
 
Participant characteristics (record all reported measures)
Population description (from which study participants were drawn)      
Setting (include location)      
Inclusion criteria      
Exclusion criteria      
Method of recruitment (e.g. phone, mail, clinic patients)      
Total no. randomly assigned      
Baseline imbalances      
Withdrawals and exclusions      
Age      
Sex      
BMI      
No. of participants in each group Intervention 1:_____ ; Intervention 2:_____
Control 1: _____; Control 2: _____
   
No. of participants who received intended treatment Intervention 1: _____ ; Intervention 2:_____
Control 1:_____; Control 2:______
   
No. of participants who were analysed Intervention 1: _____; Intervention 2:_____
Control 1:______; Control 2:______
   
Notes:      
 
Interventions
Intervention group 1
FNB technique and type (i.e. continuous or single‐shot FNB)      
Additional blocks (i.e. sciatic or obturator)      
Description of FNB (include type of drug, dosage and regimen used)      
Duration of treatment period      
PCA opioid in FNB group?   Yes/No. If yes, describe    
Type of co‐analgesia/Supplemental analgesia      
Loss to follow‐up      
Others      
 
Intervention group 2
FNB technique and type (i.e. continuous or single‐shot FNB)      
Additional blocks (i.e. sciatic or obturator)      
Description of FNB (include type of drug, dosage and regimen used)      
Duration of treatment period      
PCA opioid in FNB group?   Yes/No. If yes, describe    
Type of co‐analgesia/Supplemental analgesia      
Loss to follow‐up      
Others      
 
Control group 1
Technique and type (i.e. PCA, epidural, infiltration +/‐ intra‐articular injection, oral or placebo)      
Drugs, dosage and regimen used      
Placebo block in PCA group?   Yes/No. If yes, describe    
Type of co‐analgesia/Supplemental analgesia      
Loss to follow‐up      
Others      
 
Control group 2
Technique and type (i.e. PCA, epidural, infiltration +/‐ intra‐articular injection, oral or placebo)      
Drugs, dosage and regimen used      
Placebo block in PCA group?   Yes/No. If yes, describe    
Type of co‐analgesia/Supplemental analgesia      
Loss to follow‐up      
Others