Perkins 1956.
Methods | Allocation of tablets labelled A or B according to random list. It was not clear whether 1 or both eyes were included |
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Participants | Uveitis participants (n = 164) enrolled at first attendance at uveitis clinic, London, UK. Subgroup analyses presented for participants with a positive toxoplasma antibody dye test and posterior uveitis (n = 29). Varying age group from (1 to 19) years to 60+ | |
Interventions | Pyrimethamine (Daraprim) 25 mg daily for 4 weeks versus inert tablet | |
Outcomes | No improvement versus improvement in signs of intraocular inflammation at 4 weeks (in 29 people with posterior uveitis and toxoplasma antibodies). Adverse events: depressed leucocyte count (for all uveitis participants only; n = 113 treated and 70 untreated). Ophthalmic assessor unaware of treatment allocation and usually unaware of dye test result. Proportion receiving pyrimethamine (Daraprim) in dye test positive versus negative groups differs, raising the possibility of breaches of allocation concealment |
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Notes | Date study conducted: Not reported. Funding source: Not reported. Declaration of interest: Not reported. Trial registration: Not reported. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | “...distributed according to a random list.” |
Allocation concealment (selection bias) | Unclear risk | No statement relevant to allocation concealment |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | “The clinician in charge of the patient does not know which of the two tablets the patient has received.” |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | “The person making the assessment did not know whether the patient had received Daraprim or the inert tablets.” |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | “Some patients had to be excluded because of difficulty in follow‐up or interruption of treatment by intercurrent illness.” These participants do not appear to have been counted in the results |
Selective reporting (reporting bias) | Low risk | The only outcome report was improvement in symptoms |