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. 2025 Mar 5;37(3):328–338. doi: 10.4103/tcmj.tcmj_211_24

Supplementary File 4.

Results of study quality assessment using Newcastle-Ottawa Scale tools

Case control

First author, year of publication, country Selection 1: Is the case definition adequate? Selection 2: Representativeness of the cases Selection 3: Selection of controls Selection 4: Definition of controls Comparability of cases and controls on the basis of the design or analysis Exposure 1: Ascertainment of exposure Exposure 2: Same method of ascertainment for cases and controls Exposure 3: Nonresponse rate Overall risk of bias
Yang et al., 2015 [19] * * * * ** * 0 * Good quality
Astorri et al., 2010 [24] * * * * ** * * 0 Good quality
Albadr and Haddad, 2023 [21] * * 0 * ** * 0 * Good quality

Cross sectional

First author, year of publication, country Selection 1: Representativeness of the sample Selection 2: Sample size Selection 3: Nonrespondents Selection 4: Ascertainment of the exposure Comparability 1: Potential cofounding factor Outcome 1: Assessment of outcome Outcome 2: Statistical test Overall risk of bias
Li et al., 2017 [25] 0 * * ** ** ** * Very good quality
Zhu et al., 2020 [27] * 0 0 ** ** ** * Good quality
Sobajima et al., 1998 [23] * 0 0 ** 0 ** * Satisfactory quality
Zhi et al., 2016 [26] * 0 0 ** 0 ** * Satisfactory quality

All risk-of-bias evaluations were conducted according to the Newcastle-Ottawa Scale (NOS) adapted for cross-sectional or case-control study guidelines. Applied for both NOS types, 2 stars (**) are awarded if all or most of the requirements are fulfilled in each section, and 1 star (*) is given if only half of the requirements are fulfilled, or if the question is answered but not sufficiently. No star (0) is assigned if no information is provided or if there is no description at all.