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. 2015 Apr 29;(4):CD008138. doi: 10.1002/14651858.CD008138.pub2

Altmeyer 2004

Methods Individual randomised controlled trials
Participants Diagnosis (Dx): seborrhoeic dermatitis of the scalp (physician diagnosis implied from text)
Exclude if patient has psoriasis, atopic dermatitis, long hair, pregnancy and others (see Table 1, page 10)
Interventions Intervention (Int): ciclopirox 1% shampoo applied twice weekly to scalp for 28 days (n = 51)
Control:
  • Vehicle shampoo applied similarly (n = 51)


  • Ciclopirox 0.3% shampoo applied similarly (n = 51)


  • Ciclopirox 0.1% shampoo applied similarly (n = 51)


We combined second and third control groups into a single meta-analysis
Outcomes Total clearance
Notes Country: Germany; conflict of interest (COI): none
This study randomly assigned 203 participants to 4 groups, but the number of participants in each group is not given. We therefore assumed that they were equally shared among the groups. We assigned a total of 50 to the intervention (ciclopirox 1%) group and 51 to each of the control groups
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "... were randomised into four parallel groups"
Allocation concealment (selection bias) Unclear risk Not reported
Baseline comparable? Low risk Duration and sex similar, but age not reported
Patient blinded? Unclear risk "... double-blind ..."
Provider blinded? Unclear risk "... double-blind ..."
Outcome assessor blinded? Unclear risk "... double-blind ..."
Co-interventions avoided? Low risk "... concomitant medications were not allowed"
Compliance acceptable? Unclear risk Not reported
Drop-out acceptable? Unclear risk Not reported
Selective outcome reporting acceptable? Low risk All proposed outcomes were reported
ITT? Unclear risk Unclear from analysis