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

Erkens 1992.

Study characteristics
Methods This study was carried out in a primary care setting, and it was open.
Intention‐to‐treat analysis was carried out.
This study was conducted in Netherlands.
Participants 93 participants were recruited: 18 dropped out.
Inclusion criteria of the trial
  • Adults and children

  • Ordinary warts

  • Warts on the hands

Interventions
  • Monthly cotton wool bud cryotherapy versus

  • Bimonthly Histofreezer


Treatment continued for up to 2.5 months.
Outcomes Outcomes of the trial
  1. Cure at 2.5 months

Notes Cryotherapy was applied with a cotton tip.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk This was described as randomised; no details were given.
Allocation concealment (selection bias) Unclear risk This was adequate; sealed envelopes were used. It was unclear if they were sequentially numbered and opaque.
Blinding of participants and personnel (performance bias)
All outcomes Low risk Quote (page 193): "Neither the doctor nor the patient knew beforehand which treatment was to be used."
Comment: This was blinded.
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No details were given.
Incomplete outcome data (attrition bias)
All outcomes Low risk 17/93 participants withdrew (7/17 in the cryotherapy group and 10/17 in the Histofreezer group): The reason given was that they 'did not comply fully with protocol'.
Comment: Reasons for dropouts were given; there was equal distribution between the groups.
Selective reporting (reporting bias) Low risk All outcomes were reported.