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. 2020 Jul 10;2020(7):CD013600. doi: 10.1002/14651858.CD013600.pub2
'Risk of bias' assessment of Li 2020
Domain Assessed outcomes Authors' judgement Support for judgement
Random sequence generation (selection bias) Mortality
Clinical improvement
Adverse events
 
Low Quote: "Patients were randomly assigned via computer‐generated random numbering (1:1) to receive standard treatment coupled with convalescent plasma transfusion or standard treatment alone (control group) (Figure 1). The randomization was stratified based on the severity of COVID‐19 (severe or life‐threatening) and a randomization schedule was generated using block randomization with block size of 4 for each type of COVID‐19 by SAS software."
Allocation concealment  (selection bias) Mortality
Clinical improvement
Adverse events
 
Low Quote: "This random number will connect the subject to the designated treatment group (experimental group or control group) for treatment. [...] Staff responsible for randomization will only be responsible for the assignment of random groups and will not be involved in any specific trial operations."
Blinding of participants and personnel (performance bias) Mortality
Clinical improvement
Adverse events 
High
  Quote: "open‐label"
Co‐interventions not balanced across arms
Blinding of outcome assessment (detection bias) Mortality Low Quote: "To avoid assessment bias, the evaluation of clinical outcomes was performed by an investigator who was blind to the study group allocation."
Clinical improvement
Adverse events
Low Quote: "To avoid assessment bias, the evaluation of clinical outcomes was performed by an investigator who was blind to the study group allocation."
Selective reporting (reporting bias) Mortality Low Reported as determined at protocol stage
Clinical improvement Unclear Quote: "A post hoc analysis was added to compare rates of improvement at days 7, 14, and 28."
Adverse events High Only transfusion‐related adverse events reported
 
Incomplete outcome data (attrition bias) Mortality Low ITT population reported
Clinical improvement Low ITT population reported
Adverse events High No safety data for control group available
Other bias Mortality
Clinical improvement
Adverse events
Unclear Quote: "Due to the containment of the COVID‐19 epidemic in Wuhan, China, the numbers of patients with COVID‐19 decreased in late March 2020. [...] The trial was terminated early after 103 of a planned 200 patients were enrolled."
The study expressed effect estimates as odds ratios. Therefore we recalculated relative effects as risk ratios. We noticed that our calculation arrived at the same numerical values, and therefore highlight that effect estimates, which are indicated as odds ratios in the primary study, are in fact risk ratios.