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Ivermectin for onchocercal eye disease (river blindness) (Review)

Ivermectin for onchocercal eye disease (river blindness) (Review)

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Abiose 1993 (Continued)<br />

Blinding?<br />

All outcomes<br />

Incomplete outcome data addressed?<br />

All outcomes<br />

Yes See above<br />

30 identical containers, numbered 1-30, to<br />

which ivermectin (6 mg per tablet) or a visually<br />

indistinguishable placebo tablet had<br />

been randomly allocated. Each participant<br />

received tablets from the container with the<br />

same number as his or her card.<br />

Staff conducting the trial were unaware<br />

which containers held ivermectin.” Abiose<br />

1993, page 131, first paragraph.<br />

Unclear “....3522 individuals examined at the first<br />

examination were re-examined at least<br />

once-an overall follow-up rate of 82%. The<br />

mean duration of follow-up <strong>for</strong> these individuals<br />

was 2-54 (range 1.41-3.25)years.<br />

There were no differences between the ivermectin<br />

and placebo groups in the mean duration<br />

of follow-up or in the proportions<br />

of participants re-examined at each examination.”<br />

Abiose 1993, page 131, results, first<br />

paragraph.<br />

Communities endemic <strong>for</strong> onchocerciasis<br />

were treated i.e. everyone aged 5 years<br />

and above received ivermectin or placebo.<br />

However, as very few people aged less than<br />

15 years will experience significant <strong>onchocercal</strong><br />

<strong>eye</strong> <strong>disease</strong> children under the age<br />

of 15 years were not examined at followup.<br />

Although this means that not everyone<br />

treated was examined, as this was an a priori<br />

decision at study design stage, and intervention/control<br />

groups were treated the<br />

same it is unlikely to have lead to any bias<br />

in estimating the effect of the intervention.<br />

Free of selective reporting? No No in<strong>for</strong>mation on pre-specified outcomes<br />

and only optic nerve <strong>disease</strong> and visual field<br />

loss reported.<br />

<strong>Ivermectin</strong> <strong>for</strong> <strong>onchocercal</strong> <strong>eye</strong> <strong>disease</strong> (<strong>river</strong> <strong>blindness</strong>) (<strong>Review</strong>)<br />

Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

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