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. 2016 Jan 12;2016(1):CD005340. doi: 10.1002/14651858.CD005340.pub4

Kirmani 1994.

Methods Study duration: 01/1988 ‐ 02/1992
 Includes data to 15 Sept 1993
 Type of trial: Single centre RCT
 Number ineligible: 10 (pathology review) + 7 (refused assigned treatment, 4 IP, 3 IV) + 8 (not evaluable) = 25
Participants Stage: IIC to IV
 Residual disease status: ≤ 1 cm or > 1 cm
 Performance status: ECOG 1‐2
 Number randomised: 87
 Number evaluable: 62 evaluable for survival data, 67 evaluable for toxicity
Interventions Arm 1: IV cisplatin 100 mg/m² + IV cyclophosphamide 600 mg/m². Repeated every three weeks for a total of six cycles
 Arm 2: IP cisplatin 200 mg/m² + IP etoposide 350 mg/m². Repeated every four weeks for a total of six cycles
Outcomes Overall survival
 Disease‐free survival
 Adverse effects: leukopenia, GI, neurologic, renal, IP catheter‐related complications
Notes Survival = time from randomisation to death (any cause) or last follow‐up
 Methodological quality = low
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No details provided
Allocation concealment (selection bias) Unclear risk No details provided
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias) 
 All outcomes High risk > 20% incomplete data for disease‐free survival and response to treatment
Selective reporting (reporting bias) Unclear risk Expected outcomes reported; ITT not described
Other bias Unclear risk More women in the IV group had ECOG performance status of 0 (14 vs 5)