| Bias domain |
Issues addressed |
| Risk of bias arising from the randomisation process |
Was the allocation sequence random?
Was the allocation sequence concealed until participants were enrolled and assigned to interventions?
Did baseline differences between intervention groups suggest a problem with the randomisation process?
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| Risk of bias due to deviation from the intended intervention (effect of assignment to intervention) |
Whether:
When interest is in the effect of assignment to intervention:
(if applicable) deviations from the intended intervention arose because of the experimental context, and if so, whether they were unbalanced between groups and likely to have affected the outcome;
an appropriate analysis was used to estimate the effect of assignment to intervention.
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| Bias due to missing outcome data |
Whether:
data for this outcome were available for all, or nearly all, randomised participants;
(if applicable) there was evidence that the result was not biased by missing outcome data;
(if applicable) missingness in the outcome was likely dependent on its true value (e.g. proportion of missing outcome data, or reasons for missing outcome data, differ between intervention groups).
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| Bias in measurement of the outcome |
Whether:
the method of measuring the outcome was inappropriate;
measurement or ascertainment of the outcome could have differed between intervention groups;
outcome assessors were aware of the intervention received by study participants;
assessment of the outcome was likely to have been influenced by knowledge of intervention received.
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| Bias in selection of the reported results |
Whether:
trial was analysed in accordance with a prespecified plan that was finalised before unblinded outcome data were available for analysis;
the numerical result being assessed is likely to have been selected, on the basis of the results, from multiple outcome measurements (e.g. scales, definitions, time points) within the outcome domain;
the numerical result being assessed is likely to have been selected, on the basis of the results, from multiple analyses of the data.
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