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. 2005 Jul 20;2005(3):CD004898. doi: 10.1002/14651858.CD004898.pub2

UK‐PDRG (RR) 1998.

Methods G: random number tables 
 C: central allocation 
 Patients/doctors/assessors all unblinded 
 Intention‐to‐treat
Participants UK 
 104 patients from arm 3 (bromocriptine) re‐randomised 
 51 to selegiline; 53 to control 
 Incl and excl criteria as for UK‐PDRG 2001
Interventions Treatment: selegiline 5 mg twice a day 
 Control: no selegiline 
 Both groups received levodopa
Outcomes Deaths
Notes Patients who initially could not tolerate bromocriptine were subsequently re‐randomised to selegiline or no selegiline 
 Mean duration of FU: 6.8 years 
 No washout
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "random number tables"
Allocation concealment (selection bias) Low risk Quote: "Randomization was carried out by an independent coordinator"
Quote: "the investigators telephoned the coordinator for the treatment code, which was subsequently confirmed in writing."
Blinding (performance bias and detection bias) 
 Doctors, All outcomes High risk Quote: “An open, randomised trial”
Comment: Not blinded. Unlikely to bias mortality data but may influence other more subjective outcomes.
Blinding (performance bias and detection bias) 
 Patients, All outcomes High risk  
Blinding (performance bias and detection bias) 
 Outcome assessors, All outcomes High risk  
Incomplete outcome data (attrition bias) 
 Mortality Low risk Rx: 51 re‐randomised, 51 analysed
C: 53 re‐randomised, 53 analysed
No reasons for loss documented.
Incomplete outcome data (attrition bias) 
 Parkinsonian impairment & disability Unclear risk Outcome not assessed
Incomplete outcome data (attrition bias) 
 Participants requiring levodopa Unclear risk Outcome not assessed
Incomplete outcome data (attrition bias) 
 Motor fluctuations & dyskinesias Unclear risk Outcome not assessed
Selective reporting (reporting bias) Unclear risk No protocol available.
Other bias Unclear risk Quote: "sponsorship from Britannia Pharmaceuticals and Sandoz Products"