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. Author manuscript; available in PMC: 2024 May 9.
Published in final edited form as: Adv Geriatr Med Res. 2024 Mar 20;6(1):e240002. doi: 10.20900/agmr20240002

Table 2.

The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) assessment on the quality of the evidence at the outcome level.

Study information Certainty assessment Sample size Effect Quality of the evidence
No. of studies Study design Risk of bias Inconsistency Indirectness Imprecision Publication bias Absolute (95% confidence interval)
Fall prevalence—Alzheimer’s disease
21 RCT S a S b NS NS NS N = 5071 43.55% fall prevalence (38.78 lower to 48.33 higher) ⊕⊕○○
OBS & NRS S a S b NS NS NS ⊕○○○
Fall prevalence—Mild cognitive impairment
12 RCT S a S b NS NS NS N = 2537 35.26% fall prevalence (25.61 lower to 44.91 higher) ⊕⊕○○
OBS & NRS S a S b NS NS NS ⊕○○○
Number of falls—Alzheimer’s disease
9 RCT S a S b NS NS NS N = 358 1.30 number of falls (0.74 lower to 1.86 higher) ⊕⊕○○
OBS & NRS S a S b NS NS NS ⊕○○○
Number of falls—Mild cognitive impairment
5 RCT S a S b NS S c NS N = 321 0.77 number of falls (0.39 lower to 1.16 higher) ⊕○○○
OBS & NRS S a S b NS S c NS ⊕○○○

Quality of the evidence legend: ⊕○○○: Very low; ⊕⊕○○: Low; ⊕⊕⊕○: Moderate; ⊕⊕⊕⊕: High. RCT: Randomized Control Trial. OBS: Observational Study. NRS: Non-randomized Controlled Study. S: Serious. NS: Not Serious. Explanations:

a

Majority of studies relied on self-report data.

b

High heterogeneity amongst studies as evidenced by χ2 and I2.

c

Small number of studies included.