Zacharski 1981.
Study characteristics | ||
Methods | Trial acronym: Veterans Administration Study No. 75 Design: multicentre RCT, type of analyses not reported Median duration of follow‐up: not reported, maximum follow‐up was approximately 95 weeks in warfarin group and 94 weeks in control group (approximated from figure) |
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Participants | Patients with small‐cell lung carcinoma treated with chemotherapy and radiotherapy Mean age: 58.9 (SD not reported) in warfarin group: 59.8 (SD not reported) in control group Gender, n (%) males: 50 (100%) Metastatic disease: extensive cancer in 13 (52%) in warfarin group; 12 (48%) in control group Previous VTE: not reported |
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Interventions | Intervention: warfarin at doses to prolong the prothrombin time to approximately 2 times the control value Control: no warfarin Median duration of warfarin administration: 27 weeks |
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Outcomes | Primary efficacy outcomes: survival and cancer response to treatment | |
Notes | Funding: VA Cooperative Studies Program Disclosure of potential conflicts of interest: not reported, no COI forms available Publication format: full‐text publication |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "subjected to computer randomization." Comment: adequate method of sequence generation. |
Allocation concealment (selection bias) | Low risk | Quote: "subjected to computer randomization." Comment: adequate method of allocation concealment. |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Comment: it is not reported whether participants, physicians, and outcome assessors were blinded. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Quote: "No patient has been lost to follow‐up." Comment: all enrolled participants were included in the analysis. |
Selective reporting (reporting bias) | Unclear risk | Comment: bleeding was addressed in the results section, but not mentioned in the methods section. |