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. 2019 Oct 30;69(Suppl 6):S435–S448. doi: 10.1093/cid/ciz477

Table 2.

Risk of Bias Assessment of Articles Selected for the Qualitative Analyses From the Systematic Literature Review (1990–2018)

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.