Adalatkhah 2007.
Study characteristics | ||
Methods | This study was carried out in a secondary care setting. This was a left‐right study. The blinding within this study was unclear. Intention‐to‐treat analysis was not carried out. This study was conducted in the USA. |
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Participants | 52 participants were recruited: 8 dropped out. Inclusion criteria of the trial
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Interventions |
Treatment was allocated up to 3 times if necessary. |
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Outcomes |
Outcomes of the trial
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Notes | The adequacy of cryotherapy was uncertain as 'the wart was sprayed until the ice ball formation had spread from the centre to include the edge of the wart and a 1 mm margin.' | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote (page 2): "Two treatment types were randomly allocated to either right sided or left sided warts", but the method of randomisation was unclear. Comment: There was insufficient information to permit judgement. |
Allocation concealment (selection bias) | Unclear risk | It was unclear if allocation was concealed. Comment: This was unclear; no details were given. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | No details were given, but as the treatments were very different, it would have been difficult to fully blind. Comment: This was unclear; no details were given. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No details were given; the treatment and assessment was done by different dermatologists. Comment: This was unclear; no details were given. |
Incomplete outcome data (attrition bias) All outcomes | High risk | Quote (page 2): "Most patients (44 of 52) continued participation." It was unclear if the dropouts were balanced across the groups, and no reasons were given for the dropouts. |
Selective reporting (reporting bias) | High risk | Quote (page 4): "Only five cases of significant adverse complications were encountered, three of which belonged to bleomycin. Minor complications were not recorded." There was risk of bias from incomplete adverse event reporting. |