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. 2009 Jul 8;2009(3):CD002209. doi: 10.1002/14651858.CD002209.pub2

Newman 1979.

Methods Double blind randomised clinical trial 
 Randomisation: subjects randomly allocated on discharge from hospital after 2 week stabilisation on 60mg methadone to detoxification or continued maintenance.
Participants Geographic region: Hong Kong 
 Study setting: Hospital and outpatient clinic
n = 100 males 
 mean age = 38 years 
 Eligibility criteria: male, 22‐58 years, history of heroin dependence for at least 4 years and at least one previous treatment, current heroin dependence by three consecutive positive urine samples, voluntary application for admission (criminal justice referrals excluded), resident with fixed address, absence of past or present major psychiatric or medical illness.
Interventions Treatment: methadone maintenance ‐ flexible dose (average 97 mg / day). 
 Control: detoxification from 60mg methadone at 1mg/day for 60 days, placebo thereafter.
Outcomes Illicit drug use / Urinalysis (daily collection, analysed 2 x week for morphine only) 
 Retention 
 Criminal activity 
 Mortality
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk 'Randomly assigned'
Allocation concealment? Low risk A ‐ Adequate 'neither patients nor clinic staff knew which group' 'pharmacist only staff aware'.
Incomplete outcome data addressed? 
 All outcomes Low risk No missing data. Report ITT.
Free of other bias? Low risk No difference between group at baseline