Taylor 2005.
Study characteristics | ||
Methods | RCT | |
Participants | 156 people having day surgery for "a range of procedures including hernia and varicose veins removal" in England. Dates not given. | |
Interventions | Group 1: hair removal with a razor (n = 78) Group 2: hair removal with clippers (n = 78) Product details: razors were "standard hospital supply disposable razors", clippers were 3M with disposable heads. Timing of hair removal: the day of surgery. Hair removed by: perioperative staff. Venue for hair removal: day surgery unit. |
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Outcomes | Primary outcome: participant preferences and skin trauma, identified through interview immediately after hair removal by hospital staff and 2 weeks after surgery by the research team. Secondary outcome: SSI described by participant during follow‐up phone call with research study staff 2 weeks after surgery. Defined as red, pain, swelling, and discharge. |
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Notes | Study supported by an award from the NATN/3M Clinical Fellowship. No details of conflict of interest. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "random number tables" Comment: consider adequate approach. |
Allocation concealment (selection bias) | Low risk | Quote: "allocation cards placed inside sequentially numbered envelopes" Comment: consider adequate approach. |
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 | High risk | Not reported. Comment: interviews were carried out by perioperative staff and 1 of the research team who may have known participant allocation groups, plus participants self‐assessed. |
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 | Participants who dropped out are accounted for, and participants are distributed evenly across groups. Comment: the number of dropouts was judged to be unlikely to have altered the result, even in a worst‐case scenario (i.e. assuming that those that dropped out developed an SSI). |
Selective reporting (reporting bias) | Low risk | Main outcomes reported. Comment: unlikely to be affected by reporting bias. |
Other bias | Unclear risk | Comment: no information on the similarity of groups. |