Article / Study design Random sequence generation Allocation concealment Blinding of participants and personnel Blinding of outcome assessment Incomplete outcome data Selective reporting  Other bias Directness Precision
Edman Tynelius et al. [13] / RCT + + - - + + + ? +
Artun et al. [11] / RCT ? ? - - + + + - ?
Cerny et al. [12] / CT Na Na - - + + ? - -
Levin et al. [16] / CT Na Na - - + + ? ? -
Rody et al. [15]  /CT Na Na - - + + ? - -
Artun [14] / CT Na Na - - + + ? - -
+ = low risk/no problems; ? = unclear risk/some problems; -= high risk/major problems; CT = non-randomised controlled study; Na=Not applicable; RCT = Randomised controlled trial
Table 3:Study limitations in controlled studies.