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. 2022 Jun 21;2022(6):CD006404. doi: 10.1002/14651858.CD006404.pub4
Potential bias Review authors' judgementa
Random sequence generation (selection bias) High: not randomized or quasi‐randomized
Unclear: states 'randomized', but does not report method
Low: describes method of randomization
Allocation concealment (selection bias) High: not concealed, open‐label trial for individually randomized, method of concealment not adequate
Unclear: details of method not reported or insufficient detail
Low: central allocation; sequentially numbered, opaque, sealed envelopes
Blinding (performance bias and detection bias) High: personnel, participants, or outcome assessors not blinded
Unclear: no details reported, insufficient details reported
Low: personnel, participants, and outcome assessors blinded
Incomplete outcome data (attrition bias) High: losses to follow‐up not evenly distributed across intervention and control group
Unclear: no details reported, insufficient details reported
Low: losses to follow‐up evenly distributed across groups, reasons for loss to follow‐up and exclusions clearly stated
Selective reporting (reporting bias) High: did not fully report measured or relevant outcomes
Unclear: insufficient information to permit judgement
Low: all stated outcomes reported
Other bias High: other source of bias identified by review authors
Low: no obvious other source of bias of concern to review authors
Adverse event monitoring (detection bias) High: passive methods relying on spontaneous patient report only, undefined adverse events
Unclear: insufficient information to permit judgement
Low: key adverse events defined, prespecified active detection method
Incomplete adverse event reporting (reporting bias) High: adverse event severity undefined, combination of treatment groups, post hoc cut‐offs for reporting adopted
Unclear: insufficient information to permit judgement
Low: clear reporting on important adverse events with numerical data by intervention group