Table 2.
RoB Assessment Criteria (All That Apply) | Study, First Author [Reference] | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Parry [19] | Malik [20] | Limpitikul [21] | Kadhiravan [22] | Abucejo [23] | Kabra [10] | Rajajee [12] | Khosla [24] | Walia [16] | Song [25] | Feasey [26] | Wongsawat [27] | Van den bergh [9] | Khan [28] | Rao [29] | Rasaily [30] | Ollé-Goig [31] | Seçmmer [32] | Sharma [33] | Mishra [34] | Mukherjee [35] | |
Selectiona | L | L | M | M | M | M | M | M | H | M | M | H | L | L | M | H | L | M | H | M | M |
Selection/recruitment of TF culture-confirmed cases | |||||||||||||||||||||
From overall hospital visits/lab records (L) | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | ||||
From patients with suspected typhoid fever /other criteria (M) | X | X | X | ||||||||||||||||||
Selection/ recruitment not described (H) | X | ||||||||||||||||||||
Exclusion of typhoid fever culture-confirmed cases | |||||||||||||||||||||
Exclusion criteria reported (L) | X | X | X | X | X | ||||||||||||||||
Exclusion criteria not reported (M) | X | X | X | X | X | X | X | X | X | X | X | X | X | ||||||||
Based on AMR, pretreatment, or incomplete medical file (H) | X | X | X | ||||||||||||||||||
Identification and measurment of complicationsa | L | L | L | L | M | L | M | M | L | L | L | L | L | L | M | H | M | M | M | M | H |
Definition of reported complications | |||||||||||||||||||||
All/some complications defined (L) | X | X | X | X | X | X | X | X | X | X | X | X | |||||||||
No complications defined (M) | X | X | X | X | X | X | X | X | X | ||||||||||||
Complications measured from | |||||||||||||||||||||
All selected typhoid fever cases included for analysis (L) | X | X | X | X | X | X | X | X | X | Xb | X | X | X | X | X | X | X | X | X | ||
Subset of selected typhoid fever cases included for analysis (H) | X | X | |||||||||||||||||||
Reportinga | L | L | L | L | M | L | M | M | L | M | M | M | M | M | H | L | H | H | H | M | H |
Complications reported | |||||||||||||||||||||
All observed complications counted and reported (L) | X | X | X | X | X | X | X | X | X | X | X | X | X | X | |||||||
All observed complications counted but not all reported (M) | X | X | |||||||||||||||||||
Some complications counted and reported (H) | X | X | X | X | X | ||||||||||||||||
Key risk factors/information to interpret result | |||||||||||||||||||||
AMR analysis and days of disease before admission/recruitment reported (L) | X | X | X | X | X | X | X | X | X | X | |||||||||||
AMR analysis not reported (M) | X | X | X | X | |||||||||||||||||
Days of disease before admission/recruitment not reported (M) | X | X | X | X | X | X | X | X | X | ||||||||||||
Overall RoBa | L | L | M | M | M | M | M | M | H | M | M | H | M | M | H | H | H | H | H | M | H |
Abbreviations: AMR, antimicrobial resistance; H, high; L, low; M, medium; RoB, risk of bias.
aFor each subgroup (Selection, Detection, Reporting) and for the overall RoB assessment, RoB was decided based on the following criteria: All criteria evaluated with a “low” RoB, then RoB for that section is “low”; 1 criterion evaluated with a “medium” RoB, then RoB for that section is “medium”; 1 criteria evaluated with a “high” RoB, then RoB for that section is “high.” The results from each subgroup assessment were used for the overall RoB.
bComplications are not reported for 31% (39/127) of culture-confirmed typhoid fever cases identified during the study. However, the cases from which complications were reported were randomly selected (88/127) and for this reason, considered not biased and included in the meta-analysis.