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. 2021 May 28;11(5):e046532. doi: 10.1136/bmjopen-2020-046532

Table 2.

Quality assessment of included studies

Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Quality rating (good, fair or poor)
Marcenes and Sheiham27 Yes Yes NR Yes Yes No No Yes Yes No Yes Yes NA Yes Fair
Freeman and Goss23 Yes Yes NR No Yes No No Yes Yes No Yes Yes NA No Poor
Linden et al28 Yes Yes NR Yes Yes No No Yes Yes No Yes Yes NA No Poor
Genco et al29 Yes Yes NR No Yes No No Yes No No Yes Yes NA No Poor
Akhter et al30 Yes Yes NR No Yes No No NA No No Yes Yes NA No Poor
Talib Bandar22 Yes Yes NR No No No No NA No No Yes Yes NA No Poor
Mahendra et al31 Yes Yes NR Yes Yes No No NA Yes No Yes Yes NA No Poor
Ramji24 Yes Yes No Yes Yes No No NA No No Yes Yes NA No Poor
Islam et al32 Yes Yes NR Yes Yes No No NA No No Yes Yes NA No Poor
Hayashi et al33 Yes Yes Yes Yes Yes No No NA Yes No Yes Yes NA No Fair
Sato et al34 Yes Yes No Yes Yes No No NA Yes No Yes No NA Yes Fair

Q1. Was the research question or objective in this paper clearly stated?

Q2. Was the study population clearly specified and defined?

Q3. Was the participation rate of eligible persons at least 50%?

Q4. Were all the subjects selected or recruited from the same or similar populations (including the same time period)? Were inclusion and exclusion criteria for being in the study prespecified and applied uniformly to all participants?

Q5. Was a sample size justification, power description, or variance and effect estimates provided?

Q6. For the analyses in this paper, were the exposure(s) of interest measured prior to the outcome(s) being measured?

Q7. Was the timeframe sufficient so that one could reasonably expect to see an association between exposure and outcome if it existed?

Q8. For exposures that can vary in amount or level, did the study examine different levels of the exposure as related to the outcome (eg, categories of exposure, or exposure measured as continuous variable)?

Q9. Were the exposure measures (independent variables) clearly defined, valid, reliable and implemented consistently across all study participants?

Q10. Was the exposure(s) assessed more than once over time?

Q11. Were the outcome measures (dependent variables) clearly defined, valid, reliable and implemented consistently across all study participants?

Q12. Were the outcome assessors blinded to the exposure status of participants?

Q13. Was loss to follow-up after baseline 20% or less?

Q14. Were key potential confounding variables measured and adjusted statistically for their impact on the relationship between exposure(s) and outcome(s)?

NA, not applicable; NR, not reported.