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Effectiveness of Laxatives in the Elderly - NIHR Health Technology ...

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Appendix 3<br />

<strong>Health</strong> <strong>Technology</strong> Assessment 1997; Vol. 1: No. 13<br />

Effect size by quality score for adult trials<br />

identified by Cochrane review (exclud<strong>in</strong>g trials<br />

<strong>in</strong> <strong>the</strong> elderly)<br />

4.0<br />

3.5<br />

3.0<br />

2.5<br />

2.0<br />

1.5<br />

1.0<br />

0.5<br />

0<br />

1<br />

Change <strong>in</strong> BMs per week<br />

2 3 4 5 6 7<br />

Quality score<br />

This graph <strong>of</strong> effect sizes (<strong>in</strong> bowel movements per week) from <strong>the</strong> trials <strong>of</strong> laxatives <strong>in</strong> adults shows<br />

an apparently higher effect size <strong>in</strong> higher quality trials. The implication is that poorer quality trials<br />

may underestimate <strong>the</strong> effects <strong>of</strong> treatment (but see page 27).<br />

49

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