Table 21:
# Studies (Design) | Risk of Bias | Inconsistency | Indirectness | Imprecision | Publication Bias | Upgrade Considerations | Quality |
---|---|---|---|---|---|---|---|
1 RCT | No serious limitations | No serious limitations | No serious limitations | Serious limitations (−1)a | Undetected | None | ⊕⊕⊕ Moderate |
4 non-RCTs | Serious limitations (−1)b | No serious limitations | No serious limitations | Serious limitations (−1)a | Undetected | None | ⊕ Very low |
Abbreviations: GRADE, Grading of Recommendations Assessment, Development, and Evaluation; RCT, randomized controlled trial.
Not powered to detect differences. Difficulties in accurately measuring blood loss.
GRADE starts at low for nonrandomized studies. Differences in baseline patient characteristics and surgeon experience may impact estimated blood loss.