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. 2003 Jul 21;2003(3):CD000008. doi: 10.1002/14651858.CD000008.pub2

Tashkin 1985.

Methods Design: cross‐over 
 Allocation concealment: unclear 
 Blinding: patients and evaluators 
 Drop‐outs/withdrawals: not given 
 Jadad score: 1‐0‐0 
 Study schedule: 4 weeks baseline, 4 weeks treatment 1, 3 weeks wash‐out, 4 weeks treatment 2, 3 weeks follow‐up
Participants N = 25 (15 female, 10 male) Age range 8 ‐ 70. 
 Diagnosis ‐ Moderate to severe stable chronic asthma. FEV1< 60% predicted. Most on oral and inhaled beta‐agonists and theophylline. Most also on oral steroids. 11 on cromoglycate.
Interventions Acupuncture group: Standardized acupuncture formula (n = 25) with 6 points bilateral (LI‐4, DU‐14, ST‐36, LU‐7, Ex‐W1, Ex Waitingchuan (???)). Acupuncture needles were 1,5 inch, 30 gauge, solid stainless needles manufactured in China that were sterilized by autoclave before use. Depth of insertion varied ranging from 4 to 20mm. Needles manipulation every 3 to 4 min.
Control group: Sham acupuncture (n = 25) was performed at non‐acupuncture points. 
 Needles manipulation every 3 to 4 min.
Treatment duration: 8 sessions (each 15 min) within 4 weeks.
Acupuncturist: Well‐ trained experienced practitioner.
TCM‐Diagnosis done/applied to intervention: (‐/‐)
Outcomes Pulmonary function, subjective measurements, drug use, number of attacks.
Notes Data presentation and crossover design unsuited for meta‐analysis. No significant differences were found between or within groups.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk No information available
Allocation concealment? Unclear risk No information available
Blinding? 
 All outcomes High risk Active and sham acupuncture not presented identically
Incomplete outcome data addressed? 
 All outcomes Unclear risk No information provided
Free of other bias? Low risk Qualified therapist

Jadad scores reflect the points awarded for the three component domains in the order of: randomisation (0,1 or 2), blinding (0, 1 or 2) and withdrawals (0 or 1).