One of the eight meta-analyses focussed specifically on the effectiveness of ECT for its primary target group, the “depressed elderly” (van der Wurff et al., 2003). This Cochrane Systematic Review again found no evidence of ECT being effective beyond the treatment period. It identified only one study comparing ECT and SECT (O’Leary et al., 1994). This was a re-analysis of data from a study, by three of the reviewers (Gregory et al., 1985), which the reviewers described as having “major methodological shortcomings”. It was concluded that “None of the objectives of this review could be adequately tested because of the lack of firm, randomised evidence”.