Domain |
Judgement |
Support for judgement |
Bias due to confounding |
Serious |
Plausible other events could have affected outcomes and no attempt to adjust for such confounding. Limited number (5) of pre‐intervention time points to determine trend. |
Bias in selection of participants into the study |
Low |
Risk of selection bias is unlikely as comprehensive sales data was used. |
Bias in classification of interventions |
Serious |
Joinpoint regression was used to determine pre‐ and postintervention time points, which selects interruption based on outcome data. They also present post‐trend, after 2016 identified as key point, but no analysis of change in that trend. |
Bias in deviations from intended interventions |
Low |
No particular deviations from intended intervention (introduction of heated tobacco to market). |
Bias due to missing data |
Low |
Sales data were reasonably complete. |
Bias in measurement of outcomes |
Low |
Recording of sales data and associated measurement error unrelated to introduction of heated tobacco to market. |
Bias in selection of reported result |
Moderate |
Outcome measures and analyses unregistered, but clearly defined and consistent. |