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. 2023 Apr 13;22:15347354231164753. doi: 10.1177/15347354231164753

Table 4.

Inclusion of Literature Outcome Measure GRADE Score.

Closing indicators First author Evidence quality evaluation factors (points) Quality of Evidence
Risk of bias Inconsistency Indirectness Imprecision Publication bias
Clinical validity Zhang et al 18 −1a 0 0 0 −1d Low
Cardiotoxicity Yu et al 15 −1a 0 0 −1c −1d Extremely low
Zhang et al 18 −1a 0 0 0 −1d Low
Abnormal electrocardiogram rate Yu et al 15 −1a 0 0 0 −1d Low
Long et al 16 −1a 0 0 −1c −1d Extremely low
Ma et al 17 −1a 0 0 0 −1d Low
Ma et al 19 −1a 0 0 0 −1d Low
Yang et al 20 −1a 0 0 0 −1d Low
Li 21 −1a 0 0 0 0 Moderate
Left ventricular ejection fraction (LVEF) Yu et al 15 −1a 0 0 0 −1d Low
Long et al 16 −1a −1b 0 0 −1d Extremely low
Ma et al 17 −1a 0 0 0 −1d Low
Ma et al 19 −1a −1b 0 0 −1d Extremely low
Li 21 −1a −1b 0 0 −1d Extremely low
Left ventricular end-diastolic internal diameter (LVIDD) Ma et al 17 −1a 0 0 −1c −1d Extremely low
Yang et al 20 −1a 0 0 −1c −1d Extremely low
Left ventricular end-systolic internal diameter (LVISD) Ma et al 17 −1a −1b 0 −1c −1d Extremely low
Yang et al 20 −1a 0 0 −1c −1d Extremely low
Left ventricular short axis shortening rate (FS) Yang et al 20 −1a 0 0 −1c −1d Extremely low
Creatine kinase isoenzyme-MB (CK-MB) Yu et al 15 −1a 0 0 0 −1d Low
Long et al 16 −1a −1b 0 −1c −1d Extremely low
Ma et al 19 −1a 0 0 −1c −1d Extremely low
Li 21 −1a −1b 0 0 −1d Extremely low
Troponin I (cTnI) Yu et al 15 −1a 0 0 0 −1d Low
Ma et al 17 −1a −1b 0 0 −1d Extremely low
Li 21 −1a −1b 0 0 −1d Extremely low
B-type natriuretic peptide (BNP) Long et al 16 −1a −1b 0 −1c −1d Extremely low
Ma et al 19 −1a 0 0 −1c −1d Extremely low

a indicates the risk of bias in the random method, allocation concealment, blind method and loss of follow-up. b indicates that there was large heterogeneity between studies and no reasonable measures were taken to reduce heterogeneity, such as subgroup analysis or sensitivity analysis. c indicates that the sample size is small and the confidence interval is wide. d indicates that the funnel plot was asymmetric, or there were fewer than 9 included studies, or all of them were positive results, so the possibility of publication bias was high.