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. 2002 Jul 22;2002(3):CD003901. doi: 10.1002/14651858.CD003901

Ekstrom 1998a.

Methods STUDY DESIGN: Parallel group, 3 treatment arms; multicentre, 28 centres Scaninavia. 12 wks. 
 RANDOMISATION: Yes, computer generated random order, balanced blocks.. 
 BLINDING: double blind, double dummy, matching devices. 
 WITHDRAWALS/DROP OUTS: 32 described, due to asthma. 
 COMPLIANCE: Not assessed/ reported. 
 CONFOUNDERS: Groups well balanced by characteristics. 
 QUALITY: Jadad 5. Cochrane A
Participants N = 343 Adults, M = 164 F = 179 Mean age 48 (RANGE 18 to 82) 
 BASELINE SEVERITY: moderate stable asthma. 
 INCLUSION : Diagnosis asthma by ATS criteria. Baseline FEV1 40 to 80% predicted, >15% FEV1 reversibility to SABA. 
 EXCLUSION: none stated in paper.
Interventions LONG ACTING BETA AGONIST: Formoterol 12 mcg BD 
 SHORT ACTING BETA AGONIST: Terbutaline 500mcg QDS 
 PLACEBO: Placebo QDS 
 DEVICE: Dry powder device‐ turbuhaler. 
 TREATMENT PERIOD: 12 weeks 
 RESCUE: Terbutaline 250 mcg via turbuhaler PRN 
 CO‐INTERVENTIONS: ICS 89%, cromones 2% ‐ stable doses OS 2 subjects
Outcomes OUTCOMES: FEV1, PEF, Rescue use, asthma symptom score, adverse events
Notes Symptom Score‐ breathlessness, chest tightness, wheezing, cough. Scale :0 ‐ 3
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk Study investigators unaware as to order of treatment group assignment (Cochrane Grade A)