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. 2021 Aug 26;2021(8):CD004122. doi: 10.1002/14651858.CD004122.pub5

Celik 2007.

Study characteristics
Methods RCT
Participants 789 people undergoing spinal surgery in Turkey between January 2000 and September 2004
Interventions Group 1: surgical site shaved with a razor immediately prior to surgery (n = 371)
Group 2: no hair removal (n = 418)
Product details: no details are given for the razor. Timing of hair removal: immediately before surgery. Hair removed by: theatre staff. Venue for hair removal: on the operating table.
Outcomes Primary outcome: SSI defined by pus, pain, tenderness or redness, plus haematological evidence.
Secondary outcome: meningitis and abscess defined by haematological evidence.
Data regarding the wound and presence of infection were collected continuously (wounds were assessed at 1‐ and 3‐month follow‐up visits, though it is not known who carried out the follow‐up ‐ personal communication).
Notes No funds were received to support the study. No details of conflict of interest.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Patients were randomly allocated on a 1:1 ratio on a randomisation sheet"
Comment: method of generation of randomisation sequence unclear.
Allocation concealment (selection bias) Unclear risk Not reported.
Comment: not clear whether the person responsible for allocation to groups would have been able to predict to which group a potential participant would be allocated.
Blinding (performance bias and detection bias)
Care providers blinded Unclear risk Not reported.
Comment: unclear whether care providers were blinded to intervention allocation.
Blinding (performance bias and detection bias)
Participants blinded High risk Not reported.
Comment: participants would have been aware of hair removal method.
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported.
Comment: unclear whether assessors were blinded to intervention allocation.
Incomplete outcome data (attrition bias)
ITT analysis undertaken Unclear risk Not reported.
Comment: insufficient detail provided to enable a judgement regarding whether there was full analysis of all participants in their randomised groups.
Incomplete outcome data (attrition bias)
Drop out rate acceptable High risk Personal communication with the author revealed that the dropout rate for the non‐shaved group was unknown, participants not evenly distributed across groups.
Comment: participants were not evenly distributed across groups.
Selective reporting (reporting bias) Low risk Main outcomes reported.
Comment: unlikely to be affected by reporting bias.
Other bias High risk Comment: a higher number of complex operations were reported for 1 group.