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. 2018 Dec 19;26(4):3208–3225. doi: 10.1007/s11356-018-3769-1

Table 5.

Risk of bias assessment tool (Newcastle-Ottawa scale)

Domain (source of bias) Assessment Risk of bias
Selection (representativeness of the sample) Adequate case definition with independent validation (A) Low
Consecutive or obviously representativeness (B) Moderate
Selection of community participants (C) High
No description of sampling strategy (D) Unclear/high
Selection (sample size) Justified and satisfactory (A) Low
Not justified (B) High
Detection (exposure) Validated measurement tool (A) Low
Tool described but non-validated (B) High
Tool not described (C) Unclear/high
Confounding Adjusted for confounders (A) Low
No adjustment for confounders (B) High
(Detection) Outcome assessment Syndromic (A)
Presumptive (B)
Both (C)
No description (D)