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

Lu 2002.

Study characteristics
Methods QRCT
Participants 60 people (from 6 years of age) having elective thoracic surgery in China between August and December 2001
Interventions Group 1: hair removal with clipper (n = 30)
Group 2: no hair removal (n = 30)
Product details: no details are given for the clipper. Timing of hair removal: the morning of the day before surgery. Hair removed by: not reported. Venue for hair removal: not reported.
Outcomes Primary outcome: skin bacterial culture taken on the operating table prior to skin preparation and 16 hours after surgery.
Secondary outcome: surgical site infection. Assessed by a trained person. Definition of infection or time when assessed not provided.
Notes No funding sources mentioned. No details of conflict of interest.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Randomisation by odd and even numbers.
Comment: inadequate randomisation technique.
Allocation concealment (selection bias) High risk Randomisation by odd and even numbers.
Comment: care provider could predict allocation by reference to hospital number.
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 Assessment used a "double blind method".
Comment: achieved.
Incomplete outcome data (attrition bias)
ITT analysis undertaken Unclear risk Not reported.
Comment: no discussion of whether participants were analysed in the 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: unclear whether participants failed to complete.
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.