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. 2018 Apr 10;2018(4):CD009877. doi: 10.1002/14651858.CD009877.pub2

Summary of findings 7. Computer glasses versus Ergonomic assessment plus habitual (computer) glasses.

Computer glasses adapted to need compared with ergonomic assessment plus habitual (computer) glasses
Patient or population: computer workers
Settings: workplace
Intervention: computer glasses
Comparison: ergonomic assessment plus habitual glasses
Outcomes Illustrative comparative risks* (95% CI) Relative Effect (RR 95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk2 Corresponding risk
Ergonomics Computer glasses
Asthenopia, summed score
scale 1 to 140
3 weeks' follow‐up
The mean asthenopia score in the control group was 24 The mean asthenopia score in the intervention group was
 8.9 score points lower (16.47 lower to 1.33 lower)   24
 (1) ⊕⊝⊝⊝
 very low1 Cross‐over trial, paired analysis
Asthenopia Change score
3 weeks' follow‐up
The mean asthenopia change score in the control group was 20.4 The mean asthenopia change score in the intervention group was
 17.5 score points lower (23.5 lower to 11.5 lower   24
 (1) ⊕⊝⊝⊝
 very low1 Change scores calculated based on correlation of 0.7. Sensitivity analysis did not reveal big differences
Eyestrain (yes/no) 3 weeks' follow‐up 690 per 1000 657 per 1000 (463 to 927) RR 0.95 (95% CI 0.67 to 1.34) 24
 (1) ⊕⊝⊝⊝
 very low1 Cross‐over trial
Headache (yes/no) 3 weeks' follow‐up 461 per 1000 424 per 1000 (240 to 752) RR 0.92 (95% CI 0.52 to 1.63) 24
(1)
⊕⊝⊝⊝
 very low1 Cross‐over trial
Upset stomach (yes/no) 3 weeks' follow‐up 115 per 1000 57 per 1000 (16 to 206) RR 0.50 (95% CI 0.14 to 1.79) 24
(1)
⊕⊝⊝⊝
 very low1 Cross‐over trial
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: Confidence interval
GRADE Working Group grades of evidence
 High quality: further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: we are very uncertain about the estimate.

1 We downgraded the quality of evidence with two levels because of high risk of bias and with one level because of imprecision (less than 300 participants).

2 This is the mean change score in the control group.