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. 2020 May 21;2020(5):CD011475. doi: 10.1002/14651858.CD011475.pub3

Andersen 1978.

Study characteristics
Methods Randomised, phase III trial
Treatment period: 1963–1967
Follow‐up: 3 years
Participants 108 adults with glioblastoma (grade IV astrocytoma) from 4 US medical centres; 73% aged 50–70 years; baseline performance status not described; 64% men and 36% women
Interventions Arm 1: postoperative radiotherapy: 4500 cGy in daily fractionation over 4.5–5.0 weeks
Arm 2: no postoperative radiotherapy
Outcomes Crude survival presented as survival curves up to 20 months
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Participants born on odd dates received postoperative radiotherapy whereas those born on even dates did not.
Allocation concealment (selection bias) High risk Randomisation was based on odd or even dates of birth. The protection of treatment allocation before and until assignment was deemed to be at high risk of bias.
Blinding of participants and personnel (performance bias)
All outcomes Low risk Blinding of participants and personnel was not possible due to the nature of radiation delivery. However, blinding would not have biased the outcome of survival.
Blinding of outcome assessment (detection bias)
All outcomes Low risk Although there was no blinding of the outcome (survival), blinding would not have biased the assessment of this outcome.
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Attrition not described.
Selective reporting (reporting bias) Low risk The study's prespecified outcome (survival) that was of interest in this review was reported in the prespecified way.
Other bias Unclear risk Size of study bias: 108 participants.