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. 2025 Jul 26;17(7):e88817. doi: 10.7759/cureus.88817

Table 2. The quality assessment of the included studies.

RCT: randomized controlled trial

Study Design Random Sequence Generation (Selection Bias) Allocation Concealment (Selection Bias) Blinding of Participants & Personnel (Performance Bias) Blinding of Outcome Assessment (Detection Bias) Incomplete Outcome Data (Attrition Bias) Selective Reporting (Reporting Bias) Overall Risk of Bias (RoB) or Newcastle-Ottawa Scale (NOS) Score
Ge et al., 2024 [10] RCT (double-blind, placebo-controlled) Low Low Low Low Low Low Low risk
Watanabe et al., 2022 [11] RCT (multicenter, open-label) Low Unclear High (open-label) Low Low Low Moderate risk
Watanabe et al., 2024 [12] RCT (multicenter, open-label, adjudicator-blinded) Low Low High (open-label) Low Low Low Moderate risk
Natsuaki et al., 2024 [13] RCT (multicenter, open-label) Low Low High (open-label) Low Low Low Moderate risk
Hong et al., 2024 [14] RCT (noninferiority, open-label) Low Unclear High (open-label) Low Low Low Moderate risk
Kim et al., 2020 [15] RCT (multicenter) Low Low High (open-label) Low Low Low Moderate risk
Min et al., 2024 [16] RCT (noninferiority, open-label) Low Low High (open-label) Low Low Low Moderate risk
Yang et al., 2023 [17] Post-hoc analysis of RCT Not applicable Not applicable Not applicable Unclear Low Low NOS: 7/9 (good quality); Selection: 4/4, Comparability: 1/2, Outcome: 2/3
Chichareon et al., 2020 [18] Post-hoc analysis of RCT Not applicable Not applicable Not applicable Unclear Low Low NOS: 7/9 (good quality); Selection: 4/4, Comparability: 1/2, Outcome: 2/3
Mehran et al., 2019 [19] RCT (double-blind) Low Low Low Low Low Low Low risk