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. 2013 Aug 23;3(8):e003342. doi: 10.1136/bmjopen-2013-003342

Table 3.

Presentation and incorporation of risk of bias assessment into the analysis in individual systematic reviews

Overall (n=200) Cochrane (n=100) Non-Cochrane (n=100) Difference between proportions (95% CI)
Presentation of risk of bias assessment
 Description or table only 39 (19.5%) 0 39 (39%) −39.0 (−48.6 to −29.4)
 Description and table 56 (28%) 38 (38%) 18 (18%) 20.0 (7.8 to 32.0)
 Description, table and figure/graph 66 (33%) 62 (62%) 4 (4%) 58.0 (47.8 to 68.3)
 Not reported 39 (19.5%) 0 39 (39%) −39.0 (−48.6 to −29.4)
Proportion of trials at risk of bias per systematic review *
 ≥1 Trial at high risk of bias 116/154 (75%) 81/100 (81%) 35/54 (65%)
Median proportion per review (IQR) 50% (31% to 89%) 57% (33% to 89%) 50% (25% to 100%)
  ≥1 Trial at unclear risk of bias 119/154 (77%) 99/100 (99%) 20/54 (37%)
Median proportion per review (IQR) 85% (57% to 100%) 91.5% (69.5% to 100%) 63.5% (41% to 100%)
 Not reported 46 0 46
≥1 Trial at high risk of bias and incorporated into interpretation of results
 Abstract 65/116 (56%) 51/81 (63%) 14/35 (40%)
 Plain language summary 34/81 (42%)
 Discussion 101/116 (87%) 78/81 (96%) 23/35 (66%)
 Conclusion 47/116 (41%) 40/81 (49%) 7/35 (20%)
Assessment incorporated into GRADE
 Yes 51 (25.5%) 45 (45%) 6 (6%) 39.0 (28.2 to 49.8)
 Not applicable (GRADE not used) 149 (74.5%) 55 (55%) 94 (94%)
How assessment was incorporated into the results
 Descriptive only 174 (87%) 89 (89%) 85 (85%) 4.0 (−5.3 to 13.3)
 Meta-analysis only 1 (0.5%) 0 1 (1%) −1.0 (−2.9 to 0.9)
 Both 18 (9%) 11 (11%) 7 (7%) 4.0 (−3.9 to 11.9)
 Not performed 7 (3.5%) 0 7 (7%) −7.0 (−12.0 to −1.9)

*Proportion of trials at risk of bias per systematic review: based on approach or scoring system used by authors of systematic review and where it was possible to evaluate (eg, Cochrane ≥ one key domain not adequate (high risk of bias) or not reported (unclear risk of bias); Jadad ≥ three high quality (low risk of bias) ≤ two low quality (high risk of bias); Pedro≥six high quality (low risk of bias)≤five low quality (high risk of bias).

GRADE, Grading of Recommendations Assessments, Development and Evaluation.