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Table 9 Costa et al., 1985

From: Antidepressants in the treatment of depression/depressive symptoms in cancer patients: a systematic review and meta-analysis

Domain

Description

Review author’s judgement

Sequence generation

The randomization method is not described.

“Unclear”

Allocation concealment

Exact method is not described.

“Unclear”

Blinding of participants, personnel, and outcome

Double blind trial. The issue is not adequately addressed.

“Unclear”

Incomplete outcome data

The main outcome was the HDRS score. 7 dropout in the mianserin group (MG) and 15 in the placebo group (PG). Reasons for withdrawal: 1 in each group due to AEs, 2 in PG due to lack of efficacy, the treatment by one patient in the PG was interrupted by the investigator, 2 in MG and 4 MG ended the anticancer treatment, 2 in MG due to cancer complications, 1 in MG and 2 in PG due to temporary withdrawal from the anticancer treatment, 2 in PG refused anticancer therapy and were dismissed, 3 in PG had problems at home and 1 in MG died. The authors used an ITT analysis. Missing data imputation method: LOCF approach. Proportionally about one third (30%) of the patients were dropouts, which can induce bias in intervention effect estimate.

“No”

Selective outcome reporting

No study protocol available. All pre-specified outcomes are reported in the pre-specified way. The response criteria are not pre-specified.

“No”

Other sources of bias

The study seems to be free of other sources of bias.

“Yes”