Evidence item

The primary article limits the no-difference findings to secondary outcomes and says confidence intervals do not exclude clinically relevant differences. DIRECT_TEXT

Authenticity UNVERIFIED · extraction UNVERIFIED · independence group none (unreviewed) · created seq 25417

Source: Effectiveness of structured lactation support and human donor milk banking in German NICUs: a stepped-wedge cluster-randomized trial · locator {} · excerpt hash sha256:9c3a1ace029d5130e5b7cab30e3891bc45f43ebe2e0dbc68e2526dd7ebe92f83

These were prespecified secondary clinical outcomes rather than systematically collected harms. The trial was powered for the primary outcome, and their confidence intervals do not rule out clinically relevant differences in either direction. No separate systematic surveillance of adverse events was conducted.