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. 2010 Jan 20;2010(1):CD006094. doi: 10.1002/14651858.CD006094.pub2

Winkens 1995.

Methods Type of targeted behaviour: modifying test ordering (various)
Study design: cluster RCT (balanced incomplete block design)
Country: The Netherlands
Participants Setting: primary care
79 providers
Condition: various conditions potentially requiring diagnostic tests, including cervical smear, electrocardiography, endoscopy, allergy tests, radiography (chest, cervical spine, pelvis, knees, ankles, sinuses) and ultrasound (kidneys, liver/biliary tract)
Interventions 1. Professional intervention (audit and feedback for one set of tests)
2. Professional intervention (audit and feedback for another set of tests)
Due to study design and that musculoskeletal conditions only included in one arm of trial, this study represented as single intervention vs a no‐intervention control
Outcomes Professional practice: number of diagnostic tests ordered within 2 years; diagnostic tests concordant with guideline
Patient level: none
Notes Justification for intervention type: not clear
Intervention fidelity: not clear
Data not available. Data not presented for individual tests
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Not reported
Allocation concealment? Unclear risk Not reported
Blinding? 
 All outcomes Unclear risk Not reported
Incomplete outcome data addressed? 
 All outcomes Unclear risk Not reported
Free of selective reporting? Unclear risk Insufficient information provided
Free of other bias? Unclear risk Not reported

BMD: bone mineral density; CCT: controlled clinical trial; CT: computerised tomography; ITS: interrupted time series; LBP: low back pain; MRI: magnetic resonance imaging; NSAIDs: non‐steroidal anti‐inflammatory drugs; RCT: randomised controlled trial; UK: United Kingdom; USA: United States of America