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 |