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. 2003 Jul 21;2003(3):CD003570. doi: 10.1002/14651858.CD003570

Rak 2001.

Methods DESIGN: double‐blind, randomised, comparative, parallel study 
 METHOD OF RANDOMISATION: not specified 
 CONCEALMENT OF RANDOMISATION: not specified 
 PATIENT, PROVIDER AND OUTCOME ASSESSOR BLINDING: stated double‐blinded 
 WITHDRAWALS/DROP‐OUTS: 0
Participants ELIGIBLE: not specified 
 ENROLLED: 41 
 COMPLETED: 41 
 AGE (MEAN): 29 
 SEX (male/female): 22/19 
 NUMBER IN THE TREATMENT GROUP: 20 
 NUMBER IN THE CONTROL GROUP: 21 
 RECRUITMENT: Ear, nose and throat department, Uppsala, Sweden 
 ASTHMA DIAGNOSIS: history, need for B2 agonists, PC20 methacholine < 8 mg/ ml outside the pollen season 
 ASTHMA SEVERITY: not sated: but 20 had no asthma and 21 had asthma 
 RHINITIS DIAGNOSIS: 
 history 
 RHINITIS CLASSIFICATION: seasonal allergic rhinoconjonctivitis 
 ATOPY MARKERS: SPT and IgE for birch 
 INCLUSION: birch pollen allergic patients with some having only rhinoconjonctivitis and other having rhinoconjonctivitis and asthma. 
 EXCLUSION: perennial rhinitis symptoms, SPT to house dust mites or moulds
Interventions SETTING: Ear, nose and throat department, Uppsala, Sweden 
 TREATMENT GROUP: intranasal budesonide 200 per nostril daily = 400 ug ug/d + specific immunotherapy to placebo 
 (concomitant drugs: local antihistamine, decongestant drops, antihistamine tablets) 
 PLACEBO GROUP: intranasal placebo 2 puffs every nostril daily + specific immunotherapy to birch 
 (concomitant drugs: local antihistamine, decongestant drops, antihistamine tablets) 
 DURATION: 6 weeks
Outcomes ‐mean weekly PEF (% pred) at week 6 
 ‐B2 agonist use (number of puffs) at week 6 ‐methacholine challenge (mg/ml) at week 6
Notes Jadad score 3
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk Information not available