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. 2010 Jul 7;2010(7):CD001563. doi: 10.1002/14651858.CD001563.pub3

Reisman 1990.

Methods Double‐blind, cross‐over, randomised controlled trial
Participants 40 subjects with perennial allergic rhinitis and/or asthma and confirmed allergy to house dust mite
Interventions Group 1: HEPA loaded with an active Enviracaire filter for 4 weeks followed by placebo for 4 weeks
Group 2: same as Group 1 but order of active and placebo filters reversed
Outcomes Particulate counts in bedroom air
Symptom and medication scores
Patients' subjective response to treatment
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk The randomisation technique in this trial was not described
Allocation concealment? Low risk "A double‐blind study"
Blinding? Low risk Patients and investigators were both blinded to the order in which filters were deployed in the HEPAs
Incomplete outcome data addressed? 
 All outcomes Low risk The drop‐outs in both groups were described fully and intention‐to‐treat analysis was performed
Free of selective reporting? Low risk No evidence of selective reporting
Free of other bias? High risk It was unclear whether the decision to only compare data from the last 2 weeks of each intervention period was decided a priori or whether this constituted a post‐hoc analysis. Follow up was short and there were difficulties in disaggregating rhinitis and asthma responses