Goëau‐Brissonnière 1987.
Study characteristics | ||
Methods | RCT | |
Participants | 100 people undergoing elective surgery, excluding amputation, vaginal, proctological, urological, and gynaecological procedures, in France between January and July 1986 | |
Interventions | Group 1: preoperative hair removal with a razor (n = 51)
Group 2: preoperative hair removal with depilatory cream (n = 49) Product details: the razor was used with a wet shave, the cream was Immac. Timing of hair removal: the evening before surgery. Hair removed by: nursing staff. Venue for hair removal: not reported. |
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Outcomes | Primary outcome: clinical evidence of wound infection assessed by a doctor at day 2 and day 5 postoperatively. Infection defined as redness, swelling, pus, and positive swab culture. Secondary outcome: quality of skin preparation assessed by the surgeon, the theatre nurse, and the participant. |
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Notes | Paper published in French. No funding sources mentioned. 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 taken at random using a table of random numbers" Comment: probably suitable randomisation technique. |
Allocation concealment (selection bias) | Unclear risk | Not reported. Comment: unclear whether allocation was concealed. |
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 | Low risk | Quote: "Infection was noticed. . . by a doctor who was not aware of which type of skin preparation was used" Comment: blinding of assessors reported. |
Incomplete outcome data (attrition bias) ITT analysis undertaken | Unclear risk | Not reported. Comment: no discussion of whether participants were analysed in groups to which they had been allocated. |
Incomplete outcome data (attrition bias) Drop out rate acceptable | Low risk | No participants appeared to have dropped out from the study. Comment: 100 participants reported in results. |
Selective reporting (reporting bias) | Low risk | Main outcomes reported. Comment: unlikely to be affected by reporting bias. |
Other bias | Low risk | Comment: participant groups were equal or similar. |