Birgegard 2010.
Methods |
Type of study: parallel, 2‐arm randomised controlled trial Country of study: Sweden Study setting: single blood donation unit Number of participants randomised: Treatment arm 1: 60 Treatment arm 2: 60 Number of participants analysed (at 12 months): Treatment arm 1: 57 Treatment arm 2: 55 Follow‐up time points: 3 (female) or 4 (male) donations subsequent to baseline donation. Final donation is at least 1 year after first donation Hb threshold for deferral from donation: not reported Source of funding: supported by an unrestricted grant from Renapharma AB |
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Participants | Regular donors with at least 5 previous donations within the past 1 to 2 years Mean age (years): Treatment arm 1: 50.3 (SD 8.0) years Treatment arm 2: 50.3 (SD 8.0) years Sex (male/female): 41.7%/58.3% |
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Interventions | Treatment arm 1: oral iron (Fe2+) sulphate corresponding to Fe2+ 100 mg (Duraferon): one 100 mg tablet taken daily for 20 days after each blood donation. Total dose: 200 mg after each donation Treatment arm 2: intravenous iron (III) sucrose (Venofer); 200 mg (10 mL of 20 mg/mL iron (III) as iron sucrose, corresponding to 200 mg iron (III), given after each blood donation. Total dose: 200 mg after each donation |
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Outcomes | Iron status at end of study (primary outcome); iron status at other time points as well as in men versus women and younger versus older women; RLS frequency and severity | |
Notes | This study performed intention‐to‐treat analysis | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Central randomisation was performed via a web‐based system using the minimisation method to ensure baseline balance for age and blood B‐Hb" |
Allocation concealment (selection bias) | Unclear risk | "Central randomisation was performed via a web‐based system using the minimisation method to ensure baseline balance for age and blood B‐Hb" |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Study participants were not blinded |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Blinding of outcome assessors was not reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | The number of randomised participants with missing data was similar in each group (3/60 versus 5/60 after 12 months) with less than 5% difference in attrition rate between treatment arms) |
Selective reporting (reporting bias) | Unclear risk | All outcomes listed in the manuscript were reported, but no study protocol was available to determine the full list of pre‐specified outcomes |
Other bias | Low risk | "The study was supported by an unrestricted grant from Renapharma AB" |