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. 2017 May 18;2017(5):CD003650. doi: 10.1002/14651858.CD003650.pub4

Burbano 2002 USA.

Methods Country: USA
Setting: community‐based clinic
Duration of recruitment: 1998 to 2000
Duration of follow‐up: 12 months
Design: randomized placebo‐controlled trial
Participants Inclusion criteria: confirmed HIV, past or present use of illegal drugs, ≥ 18 years, adequate selenium status (> 85 µg/L)
Exclusion criteria: selenium deficient (< 85 µg/L)
Participants randomized: 259
112 female
Median age = 40 years (range 24 to 54)
Loss to follow‐up/withdrawal: 73 at 12 months
Exclusions postrandomization: 0
Interventions 200 microgram selenium or placebo daily for 12 months.
Outcomes Primary outcomes
  • Number of hospital admissions

  • Type of hospital admissions

  • Risk of hospitalization


Secondary outcomes
  • CD4 count

  • Hospitalization cost

  • Plasma selenium

Adverse events None reported
Notes Number of participants on ART:
 Selenium group: 64 (76%)
 Control group: 60 (53%)
Number, type, and duration of hospital admissions recorded 2 years prior and during study period. Medical records reviewed by team of physicians.
Source of funding: research grant and commercial (materials)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The trial authors did not describe how they performed sequence generation.
Allocation concealment (selection bias) Unclear risk The trial authors did not describe how they performed allocation concealment.
Blinding (performance bias and detection bias) 
 All outcomes Low risk Participants and investigators were blinded.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Exclusions from the analysis (73/259 (28%)) not reported by treatment group.
Selective reporting (reporting bias) Unclear risk Insufficient information; the trial protocol was unavailable
Other bias Unclear risk The trial authors did not declare on any conflicts of interest, if any.