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Table 3 Differentiation of justifications (causes) for risk judgments with tests and interpretations

From: Adequacy of risk of bias assessment in surgical vs non-surgical trials in Cochrane reviews: a methodological study

 

Risk judgment justification basis

Intervention

Domain I (random sequence generation)

Categorization of supporting comments

Non-surgical

Surgical

Randomization not described

5317 (57.0%)

389 (50.0%)

Random number table

815 (8.7%)

68 (8.7%)

Computerized randomization

2597 (27.8%)

253 (32.5%)

Mechanical randomization

326 (3.5%)

33 (4.2%)

Inappropriate randomization

270 (2.9%)

35 (4.5%)

Domain II (allocation concealment)

Type of allocation concealment

Non-surgical

Surgical

Central allocation

506 (5.3%)

32 (4.1%)

Incomplete SNOSE

1117 (11.8%)

147 (18.6%)

Not described/unclear

7200 (76.1%)

525 (66.5%)

Open / predictable allocation

386 (4.1%)

34 (4.3%)

SNOSE

250 (2.6%)

51 (6.5%)

Domain III + a (blinding of participants and personnel)

Blinding achieved

Non-surgical

Surgical

Achieved

1239 (12.1%)

38 (4.0%)

Not done or not possible

4318 (42.1%)

414 (43.8%)

Probably done

4709 (45.9%)

493 (52.2%)

Outcome influenced by lack of blinding

Non-surgical

Surgical

Influenced

472 (4.6%)

21 (2.2%)

Unknown

9340 (91.0%)

832 (88.0%)

Not influenced

454 (4.4%)

92 (9.7%)

Domain IV + a (blinding of outcome assessors)

Blinding achieved

Non-surgical

Surgical

Achieved

1722 (15.7%)

84 (9.1%)

Probably done

6695 (61.1%)

609 (65.9%)

Not done or not possible

2540 (23.2%)

231 (25.0%)

Outcome influenced by lack of blinding

Non-surgical

Surgical

Influenced

919 (8.4%)

31 (3.4%)

Unknown

9045 (82.5%)

839 (90.8%)

Not influenced

993 (9.1%)

54 (5.8%)

  1. aAlso includes data for joint domain of blinding of participants, personnel and outcome assessor; SNOSE = sequentially numbered sealed opaque envelopes