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. 2000 Apr 24;2000(2):CD002048. doi: 10.1002/14651858.CD002048

Bombardier 1986.

Methods Allocation: randomized in blocks of 8 stratified for steroid use. 
 Blinding: double blind 
 Design: parallel study 
 Sample size at entry: 311 
 Analysis: completers, 97% follow‐up; auranofin 154; placebo 149
Participants Country: Canada & US, Multicentre tial (K=14) 
 Patients with active RA 
 Age: mean 50.5 yr (SD 11.08) 
 Duration of disease: mean 8.05 yr (SD 8.0) 
 Females: 73% 
 RF: 74% 
 Concomitant use of steroids: oral 23.5% 
 Concomitant use of other DMARDS: none 
 Previous use of DMARDS: not in previous 6 mo.
Interventions Auranofin 6 (could increase to 9) mg /day vs identical placebo 
 Treatment duration: 6 months
Outcomes Tender joint count 
 Swollen joint count 
 Pain: 3 scales. Included only 10 cm pain line, 10=severe 
 Function: 4 scales. Included 2: Health Assessment Questionnaire (0 to 3, 3=worse) and Keitel function test (0‐98, 98=worse) 
 Patient assessment: 4 scales. Included only 10 cm line, 10 = perfect 
 Physician assessment: 3 scales. Included only 10 cm line, 10 = perfect 
 50 ft walk time in seconds (results in text only ) 
 Quality of life: quality of wellbeing scale (results in text only) 
 ESR
Notes Quality score: 4 
 Allocation concealment: adequate 
 Reported: baseline & SE, mean change scores & SE 
 Calculated baseline SD values & imputed them to end‐of‐trial results
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate