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. 2020 Feb 28;18:106. doi: 10.1186/s12967-020-02270-7

Table 2.

The evidence quality for thiazide diuretics reducing the incidence of kidney stones and 24-h urinary calcium level

Quality assessment No of patients Effect Quality Importance
No of studies Design Risk of bias Inconsistency Indirectness Imprecision Other considerations UCa of thiazide diuretics Placebo Relative (95% CI) Absolute
Thiazide diuretics VS placebo in 24-h UCa
 4 Randomized trials No serious risk of bias No serious inconsistency No serious indirectness Seriousa None 145 171 SMD 18.59 lower (25.11 to 12.08 lower) Moderate Important
Thiazide diuretics VS placebo in incidence of new kidney stones
 8 Randomized trials No serious risk of bias Seriousb No serious indirectness Seriousa None 52/286 (18.2%) 119/285 (41.8%) 418 fewer per 1000 (from 418 fewer to 418 fewer) Low Critical

UCa urinary calcium

aThe sample size is not large enough and the event rate is not high enough

bThe outcome of 2 studies is no effect