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. 2024 Sep 7;16(9):e68872. doi: 10.7759/cureus.68872

Table 2. Summary of Risk of Bias Across Studies.

Refs. [6,15-27]

Study Study Type Bias Domain Risk of Bias Details
Stosich et al. [18] Experimental Study Confounding Low Potential confounding controlled; no post-intervention variables affected.
Selection of Participants Low Participants selected before intervention; follow-up coincides with intervention start.
Classification of Interventions Low Intervention groups well-defined; no classification bias.
Deviations from Intended Interventions Low No deviations from intended intervention beyond usual practice.
Missing Data Low Outcome data available for nearly all participants.
Measurement of Outcomes Low Outcome measures were not influenced by knowledge of intervention received.
Selection of Reported Results Low No selective reporting based on results from multiple outcomes.
Overall Risk of Bias Low -
Ochi et al. [19] Clinical Trial Randomization Process Low Allocation sequence was random and concealed.
Deviations from Intended Interventions Low Participants and providers aware of assigned intervention, no deviations from trial context.
Missing Outcome Data Low Data available for all or nearly all participants.
Measurement of Outcome Low No inappropriate outcome measurement; assessors unaware of interventions.
Selection of Reported Results Low Data analysed per pre-specified plan.
Overall Risk of Bias Low -
Alonzo et al. [15] Review Article AMSTAR 2 Criteria High Comprehensive search strategy, selection and data extraction in duplicate.
Reporting and Analysis High Appropriate statistical methods and consideration of risk of bias in results interpretation.
Overall Methodological Quality High -
Gjerde et al. [20] Clinical Trial Randomization Process Low Proper randomization and allocation concealment.
Deviations from Intended Interventions Low No deviations due to trial context; participants aware of intervention.
Missing Outcome Data Low Data available for nearly all participants.
Measurement of Outcome Low No bias in outcome measurement or ascertainment.
Selection of Reported Results Low Results reported according to pre-specified analysis plan.
Overall Risk of Bias Low -
Tavelli et al. [21] Review Article AMSTAR 2 Criteria High Strong adherence to AMSTAR 2 criteria; comprehensive and high-quality methods.
Reporting and Analysis High Consideration of risk of bias, heterogeneity, and publication bias in results interpretation.
Overall Methodological Quality High -
Muylaert et al. [16] Review Article AMSTAR 2 Criteria High Adherence to AMSTAR 2 with a comprehensive search and accurate risk of bias assessment.
Reporting and Analysis High Appropriate statistical methods and consideration of bias in result interpretation.
Overall Methodological Quality High -
Tan et al. [22] Experimental Study Confounding Low Confounders controlled; no post-intervention variables affected.
Selection of Participants Low Selection based on pre-intervention characteristics; follow-up aligns with intervention start.
Classification of Interventions Low Clear definition and classification of interventions.
Deviations from Intended Interventions Low No unexpected deviations beyond usual practice.
Missing Data Low Data available for almost all participants.
Measurement of Outcomes Low Outcome measures not influenced by intervention knowledge.
Selection of Reported Results Low No selective reporting based on results from multiple outcomes.
Overall Risk of Bias Low -
Jeon et al. [23] Review Article AMSTAR 2 Criteria High Strong adherence to AMSTAR 2 with detailed methodology and analysis.
Reporting and Analysis High Consideration of heterogeneity, bias, and comprehensive statistical analysis.
Overall Methodological Quality High -
Kwon et al. [27] Review Article AMSTAR 2 Criteria High Adherence to comprehensive literature review standards and risk of bias analysis.
Reporting and Analysis High Appropriate statistical combination and consideration of bias.
Overall Methodological Quality High -
Feinberg et al. [17] Review Article AMSTAR 2 Criteria High Comprehensive search and risk of bias consideration in a high-quality review.
Reporting and Analysis High Accurate methods and in-depth consideration of potential biases.
Overall Methodological Quality High -
DiMuzio et al. [25] Review Article AMSTAR 2 Criteria High Comprehensive and methodologically strong review with clear bias considerations.
Reporting and Analysis High Adequate methods for statistical combination and bias consideration.
Overall Methodological Quality High -
Sterodimas et al. [6] Review Article AMSTAR 2 Criteria High High methodological quality, including duplicate study selection and data extraction.
Reporting and Analysis High Appropriate methods for risk of bias assessment and interpretation.
Overall Methodological Quality High -
Roddy et al. [26] Review Article AMSTAR 2 Criteria High Adherence to high standards in literature review, bias assessment, and reporting.
Reporting and Analysis High Comprehensive statistical and methodological considerations.
Overall Methodological Quality High -
Miron et al. [27] Clinical Trial Randomization Process Low Proper randomization and allocation concealment with no issues.
Deviations from Intended Interventions Low No deviations, participants aware of intervention, and no bias in context.
Missing Outcome Data Low Data available for almost all participants.
Measurement of Outcome Low No inappropriate measurement or bias in ascertainment.
Selection of Reported Results Low Data analysed according to a pre-specified plan.
Overall Risk of Bias Low -