‘Strong evidence’ for causal link between parental smoking, childhood asthma
Parental smoking is associated with symptoms of asthma in exposed children, report researchers who found the more parents smoked, the greater the risk to their children.
In conclusion, it is important when reporting a clinical trial to be transparent about who was blinded and how the blinding was performed; if the design is open-label, additional efforts must be made to minimise risk of bias. If these recommendations are followed, and the data are considered in the full knowledge of any potential sources of bias, results with tiotropium suggest that data from open-label studies can provide valuable and credible evidence of the effects of therapy.