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. 2012 Sep 12;2012(9):CD001781. doi: 10.1002/14651858.CD001781.pub3

de Haen 2006.

Study characteristics
Methods The study was carried out in a primary care setting (in the participants' homes).
This study was blinded.
Intention‐to‐treat analysis was carried out.
This study was conducted in Netherlands.
Participants 103 participants were recruited: 11 dropped out.
Inclusion criteria of the trial
  • Children

  • Ordinary or refractory warts not specified

  • Warts at any site

Interventions
  • Duct tape

  • Placebo


All participants (both groups) were asked to soak and rub the wart with a pumice stone once a week. Treatment continued for up to 6 weeks.
Outcomes Outcomes of the trial
  1. Cure at 6 weeks

Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote (page 1122): "Randomization was performed in blocks of 10 stratified in 2 groups (single or multiple warts)." No further information was given on the method of randomisation.
Comment: This was probably done.
Allocation concealment (selection bias) Low risk Quote (page 1122): A "central randomisation office that assigned the intervention and kept the randomisation key" was used in the study.
Comment: This was adequate.
Blinding of participants and personnel (performance bias)
All outcomes Low risk Participants and personnel were blinded.
Quote (page 1122): "Patients were blinded to the hypothesis of the study." "Because it is unknown how duct tape achieves its possible effect, it was impossible to fabricate a placebo copy. Therefore, participants were not informed about the specific treatment investigated in this study." "To blind the assessor a second researcher who was not involved in the follow‐up measurements, applied the first treatment."
Blinding of outcome assessment (detection bias)
All outcomes Low risk Quote (page 1122): "One researcher performed the outcome measurements at school." This researcher was blind to the intervention.
Incomplete outcome data (attrition bias)
All outcomes Low risk From 103 randomised participants, 11 children discontinued treatment: 8 in the duct tape group and 3 in the placebo group. Reasons were given; 3 in the treatment group stopped because of adverse effects.
Comment: Table 3 on page 1124 of the study report reports adverse effects for only 47 out of 51 randomised to duct tape because of "missing values". All 52 participants in the placebo group were accounted for. This was not thought to introduce significant bias into the study.
Selective reporting (reporting bias) Low risk All prespecified outcomes were reported.