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. 2012 Oct 4;345:e5945. doi: 10.1136/bmj.e5945

Table 2.

 Risk of bias in included studies assessed with criteria drawn from Newcastle-Ottawa scale and EPOC group, adapted for assessment of randomised controlled trials, case-control trials, and prospective observational studies according to criteria recommended by Cochrane Drugs and Alcohol Review Group28 29

Study Selection bias Performance bias* Detection bias† Attrition bias‡ Other bias Ascertainment bias¶
Random sequence generation Allocation concealment Comparability of cohorts§ Selection of non-exposed Contamination
Bruneau et al, unpublished High High Low Low High Low Unclear Unclear Low
Chitwood, 199539 High High Low Low Low Unclear Low Unclear Low
Deren et al, unpublished High High Low Low High Low Low Unclear Low
Judd et al, unpublished High High Low Low High Low Unclear Unclear Low
Kerr, 200637 High High Low Low Low Low Low Low Low
Metzger, 199344 High High Low High Low High Low Unclear Low
Moss, 199443 High High Low Low High High High High High
Nelson, 20028 High High Low Low High High Low Unclear Low
Ruan, 200738 High High Low Low High High Unclear Unclear Low
Serpelloni, 199448 High High Low Low Unclear Low Low Unclear Unclear
Suntharasamai, 200917 High High Low Low Low Low Low Low Low
Van den Berg, 200745 High High Low Low High High Low Unclear Low
Vanichseni, 200111 High High Low Low Unclear High Low Unclear Low
Williams, 199246 High High Low Unclear High High Low Unclear Unclear
Zangerle, 199247 High High Low Low High High Low Unclear Low

*Outcome unlikely to be biased by lacking of blinding.

†Objective outcomes, record linkage.

‡Incomplete outcome data.

§Studies deemed at high risk if there was no matching or no adjustment for most important confounding factors.

¶Ascertainment of exposure.