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. 2000 Apr 24;2000(2):CD003271. doi: 10.1002/14651858.CD003271

Boe 1989.

Methods Setting: multicentre study Sweden, hospital outpatient clinic 
 Randomisation: yes, using 4x4 Williams square 
 Allocation concealment: unclear 
 Masking: double blind 
 Design: crossover, no washout 
 Length of intervention period: 4 weeks 
 Excluded: not stated 
 Withdrawals: stated 
 Baseline characteristics: no baseline demographic data presented 
 Jadad score: 4
Participants 128 adults: 67M 61F 
 Age range 18‐77 years 
 Inclusion criteria: 
 Asthma as defined by ATS criteria 
 Requirement for inhaled steroids in a dose range of 400‐800 micrograms 
 Exclusion criteria: 
 Cardiovascular disease or diabetes mellitus
Baseline asthma control 
 Symptom frequency: not stated 
 FEV1 (% predicted): not stated
Interventions 1. BUD 200 mcg 2xdaily (400 mcg/d)
2.) BUD 400 mcg 2xdaily (800 mcg/d)
Delivery device: MDI
Outcomes FEV1 
 FVC 
 Morning PEFR 
 Evening PEFR 
 Daily asthma symptom score
Notes No reply from author to clarify if allocation concealment had been employed. 
 This study was designed as a four period crossover trial. Additional treatment periods with BDP 400 mcg/d and 1000 mcg/d were included: results not considered here.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear