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

Spanos 1990.

Study characteristics
Methods This study was carried out in a secondary care setting.
This study was blinded.
Intention‐to‐treat analysis was not applicable.
This study was conducted in Canada.
Participants 40 participants were recruited: None dropped out.
Inclusion criteria of the trial
  • Adults

  • Ordinary or refractory warts not specified

  • Warts on the hands or feet

Interventions
  • Hypnosis versus

  • SA (Dermacyl, aka 'Compound W' for up to 2 weeks) versus

  • Placebo versus

  • Nil (no intervention)


The duration of the intervention was unclear.
Outcomes Outcomes of the trial
  1. 'Loss of warts' at 6 weeks

Notes The strength and frequency of application of SA was not reported, so there may have been inadequate treatment.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk It was stated that participants were randomly assigned, but no details were given.
Allocation concealment (selection bias) Unclear risk This was unclear; no details were given.
Blinding of participants and personnel (performance bias)
All outcomes Low risk Salicyclic acid was compared with an identical placebo. Hypnosis was compared with a waiting list control. Therefore, this was probably done.
Blinding of outcome assessment (detection bias)
All outcomes Low risk Quote (page 110): "...all subjects had their warts recounted by a technician who was blind to their treatment."
Comment: This was assessed as 'low risk'.
Incomplete outcome data (attrition bias)
All outcomes Unclear risk No information is given about dropouts or reasons for dropout or loss to follow up.
Selective reporting (reporting bias) Low risk All outcomes were reported.