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. 2020 Dec 18;2020(12):CD008500. doi: 10.1002/14651858.CD008500.pub5

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)
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
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
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
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.