Table 11.
Bias domain | Source of bias | Support for judgment | Review authors’ judgment (low, unclear or high risk of bias) | |
---|---|---|---|---|
R1: Ulusoy et al (2019) | R2: Kandemir Demirci et al (2019) | |||
Selection bias | Random sequence generation | The allocation sequence was random. No baseline difference between the intervention groups could be detected | Low | Low |
Allocation concealment | Low | Low | ||
Performance bias | Blinding of participants and personnel |
R1: Blinding was not possible for obvious reasons R2: blinded participants but not personnel |
High | Unclear |
Detection bias |
Blinding of outcome assessment |
R1: Outcome assessors aware of the intervention received by study participants. Unclear if outcome assessment was influenced by knowledge of intervention received R2: radiological assessment by two independent blinded investigators |
Unclear | Low |
Attrition bias | Incomplete outcome data | R1 and R2: Data available for all, or nearly all, participants randomised | Low | Low |
Reporting bias | Selective reporting | R1 and R2: no information if results were analysed in accordance with a prespecified analysis plan that was finalised before unblinded outcome data were available for analysis | Unclear | Unclear |
Overall bias | Some concerns | Some concerns |