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. 2023 May 16;381:e074349. doi: 10.1136/bmj-2022-074349

Table 2.

Primary outcome: Acne-QoL symptom subscale score

Spironolactone (n=201) Placebo (n=209) Mean difference
Time Participants Mean score Participants Mean score Unadjusted* Adjusted* Adjusted† (100 imputations)
Week 6 176 17.0 (6) 179 15.6 (6) NA NA NA
Week 12 176 19.2 (6) 166 17.8 (6) 1.48 (0.30 to 2.67) 1.27 (0.07 to 2.46) 1.26 (0.04 to 2.48)
Week 24 163 21.2 (6) 136 17.4 (6) 3.77 (2.50 to 5.03) 3.45 (2.16 to 4.75) NA
Week 52 95 21.7 (6) 81 20.0 (6) NA NA NA

Data are number, mean (standard deviation), or mean difference (95% CI). CI=confidence interval; IGA=investigator’s global assessment; NA=not applicable; QoL=quality of life.

*

Week 6 data are not presented as participants were not yet on full dose of spironolactone. Week 52 data not presented as participants were unmasked at 24 weeks and both groups could seek any treatments after that point, including spironolactone.

Adjusted for stratification factors (site and baseline severity (IGA <3 versus 3 or more)), baseline Acne-QoL symptom subscale score, topical treatment use (yes/no to using any topical treatment), hormonal treatment, age, and polycystic ovary syndrome status.