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

Gunne 1981.

Methods Two group randomised clinical trial. Randomisation: after eligibility established subjects were randomly allocated to methadone maintenance or to drug‐free treatment. Foow up for two years.
Participants Geographic region: Sweden
Study setting: psychiatric research centre
n = 34, 76% male 
 Eligibility criteria: 20‐24 years, history of at least 4 years IV heroin use, withdrawal signs and positive urine on admission, a minimum of three completed detoxifications, not arrested or serving a sentence and no dominate abuse of non‐opiate drugs. Exclusion: active infectious disease.
Interventions Control: no treatment, could not apply for the methadone program for two years. 
 Treatment: methadone maintenance treatment, no dosage information reported.
Outcomes Illicit drug use / Urinalysis (3 x week) 
 Criminality 
 Vocational adjustment 
 Health 
 Mortality
Notes 2 controls obtained methadone from private practitioners and were excluded.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk "Randomly allocated"
Allocation concealment? Unclear risk B ‐ Unclear
Incomplete outcome data addressed? 
 All outcomes Low risk No missing data. All controls refused drug free treatment and asked for discharge.
Free of other bias? Low risk Only indiv 20‐24. Baseline groups similar except gender ‐ more women in MMT.