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. 2020 Dec 28;2020:5181587. doi: 10.1155/2020/5181587

Table 4.

Summary of GRADE assessment.

Outcome Number of participants (n=) Number of studies (n=) Estimated effects (MD with 95% CI) Certainty of the evidence
Migraine frequency at the end of treatment 1567 21 MD: −1.23 (−1.69, −0.76) ⊕⊕○○
Lowa,b
Migraine frequency at the end of follow-up 345 5 MD: −0.96 (−1.70, −0.21) ⊕○○○
Very lowa,b,c

GRADE working group grades of evidence
High certainty: we are very confident that the true effect lies close to that of the estimate of the effect
Moderate certainty: we are moderately confident in the effect estimate. The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low certainty: our confidence in the effect estimate is limited. The true effect may be substantially different from the estimate of the effect
Very low certainty: we have very little confidence in the effect estimate. The true effect is likely to be substantially different from the estimate of the effect
Explanation:
aHigh risk of bias in blinding may limit the certainty of the results; bhigh heterogeneity may limit the certainty of the results; csmall sample size may limit the certainty of results

Note: CI, confidence interval; MD, mean difference; n, number.