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. 2013 Mar 28;2013(3):CD005028. doi: 10.1002/14651858.CD005028.pub3

Grattan 1997 (H).

Methods DESIGN 
 Within‐patient
 Delivery unclear
 ALLOCATION 
 Random
 Method of randomisation: pre‐determined randomisation schedule
 Concealment: unclear
 BLINDING 
 Open
 WITHDRAWAL/DROPOUT 
 Described
Participants N: 25
Treatment duration: 4 wks; FU: 16 weeks
LF: not reported
BC: yes
Age: 44.0 (range = 20 to 72)
Gender (per cent men): 52.0%)
Severity: BSA = 16.1% (range = 4.1% to 47.8%); TSS (target sites) = 6.3 (range = NR)
INCLUSION CRITERIA
  • Bilateral stable chronic plaque psoriasis

  • Adult

  • Hospitalised for routine dithranol treatment


EXCLUSION CRITERIA
  • Intolerance of dithranol

  • Unstable or pustular psoriasis

  • Calcium metabolism disorders

  • Systemic psoriasis treatment

  • Recent UVB or PUVA therapy

  • Pregnancy or lactation

Interventions
  • Calcipotriol ointment 0.005% BD (C)

  • Dithranol in aqueous gel (dose titration 0.1% to 2.0%) BD (D)

Outcomes
  1. Severity (erythema; scaling; palpability)

  2. Total Severity Score

  3. Patient assessment of irritation (VAS)

  4. Investigator assessment of skin staining (none, mild, moderate, or severe)

Notes There was inpatient treatment to ensure high level of compliance.
 Dermal Laboratories sponsored the trial.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk The trial reported insufficient details.
Blinding (performance bias and detection bias) 
 All outcomes High risk The trial was open.
Randomisation method reported Unclear risk The trial did not report this.
Loss to follow up Unclear risk The trial did not report this.
Baseline assessments Low risk These were reported.
Baseline comparability demonstrated Low risk This was demonstrated.