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. 2005 Jan 24;2005(1):CD002738. doi: 10.1002/14651858.CD002738.pub2

Riordan 1974.

Methods Setting: UK, hospital outpatient clinic 
 Length of intervention period: 2 weeks 
 Randomisation: yes, method not stated 
 Allocation concealment: not stated 
 Design: crossover, no washout 
 Masking: double blind 
 Excluded: not stated 
 Withdrawals: not stated 
 Baseline characteristics: no data for patients randomised to each treatment sequence 
 Jadad score: 2
Participants 25 children and adults: 8M 17F 
 Age range: 12‐77 years 
 Inclusion criteria: 
 Asthma with significant reversibility of airway obstruction 
 Stable symptoms 
 Exclusion criteria: 
 Not stated
Interventions BDP: 50 mcg 2 pfs 4x daily (400 mcg/d)
Placebo: 2 pfs 4xdaily
Delivery device: MDI
Outcomes FEV1 
 FVC 
 Morning PEFR 
 Evening PEFR 
 Clinic PEFR 
 Daily symptom score 
 Use of additional beta2 agonists
Notes No reply from author to clarify details of method of randomisation. 
 No numerical data presented in a form suitable for meta‐analysis. 
 Overall finding of significant improvements in PEFR and symptom scores for BDP group compared to placebo, no difference in spirometry or beta2 agonist use. 
 Study also included a betamethasone valerate treatment arm: results not considered
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear