Wong 2012.
Methods | Design: randomised, placebo‐controlled, parallel‐group trial | |
Participants |
Number assigned: 141 adults and elderly (macrolide n = 71, placebo n = 70) Age in years (mean ± SD): macrolide: 60.9 ± 13.6, placebo: 59.0 ± 13.3 Setting: secondary care |
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Interventions |
Indication: non‐cystic fibrosis bronchiectasis Type of macrolide: azithromycin Route: per oral Dose: 500 mg 3 times a week Duration of treatment: 6 months Total treatment dose: 39,000 mg |
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Outcomes |
Adverse events stated as an outcome in trial registration/protocol/paper: yes Adverse events ascertainment: participant asked Adverse events: data reported Antimicrobial resistance: reported on participants diagnosed with macrolide‐resistant Streptococcus pneumoniae following macrolide treatment Death: not reported |
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Funding sources | Study funded by the Health Research Council of New Zealand and the Auckland District Health Board Charitable Trust. | |
Notes | Concomitant medication: yes | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated randomisation |
Allocation concealment (selection bias) | Low risk | Central allocation |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Identical‐appearing placebo |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Participants, clinicians, and investigators blinded. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 6% in macrolide group versus 10% in placebo group withdrew. However, reasons for dropout are clearly presented. |
Selective reporting (reporting bias) | Unclear risk | Adverse events stated as an outcome, standardised ascertainment, and adverse events reported. Note that only adverse events with an incidence of more than 2.5% in either group were presented. |
Other bias | Low risk | None were identified. |