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. 2013 Aug 1;2013(8):CD003989. doi: 10.1002/14651858.CD003989.pub5

Akerlund 1993.

Methods Six sites in Norway, two in Sweden and one in Denmark.
 12 treatment cycles.
 Double‐blinded but did not specify who was blinded.
Participants Women aged 18 to 35 (Norway sites) or 18 to 40 (Sweden and Denmark sites) years.
 Excluded heavy smoking among women 35 years of age; risk factors for or history of certain diseases; lactation; and certain antibiotics.
Interventions EE 20 µg and desogestrel 150 µg (N=500) versus EE 30 µg and desogestrel 150 µg (N=500).
Outcomes Contraceptive efficacy, cycle control, and side effects.
 'Withdrawal' bleeding defined as bleeding that began within the pill‐free period and did not exceed eight days. 'Irregular' bleeding defined as any other bleeding.
Notes Allocated with simple random table. 
 Excluded randomized women from the analysis.
 67% (672/1000) completed study.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Allocation concealment not reported.