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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Medici 2002.

Methods Design: three group parallel trial 
 Purpose: examine the effect of real and sham acupuncture on bronchial asthma
Participants Patients: out‐patients with chronic asthma 
 Baseline comparability: yes
Interventions Placebo: needling at 11 sites not regarded true acupuncture sites 
 Untreated: no needling 
 Experimental: needling at 11 sites 'believed to have an anti‐asthmatic effect'. 
 (Co‐intervention: standard pharmacological inhalation therapy)
Outcomes Proportion of patients scoring 1 to 4 on a VAS for nausea 
 Proportion of patients scoring 1 to 4 on a VAS for difficulty of swallowing gastroscopy 
 Proportion of patients scored 1 to 4 by gastrocopist on a VAS for nausea/retching 
 Proportion of patient who accept re‐gastroscopy
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Unclear risk NS
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Unclear risk Not relevant (not naturally positive continuous outcomes e.g. change)
Trial size > 49? High risk N = 41
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49