Table 3.
Reported associations between socio-economic factors and non-adherence in quantitative research.
Reference | Number and age of participants | Reported association between socio-economic risk factors and non-adherence | Risk of bias |
---|---|---|---|
Behera 2021 | 384 children with a median age of 3 months | Drop-out: male sex (p = >0.005), child was born at home instead of a hospital (p = >0.005), distance to the clinic >50 km (p = >0.005) | Selection bias: all children enrolled at the clinic within the selected timeframe were included in the study Information bias: not reported Data interpretation bias: not reported |
Limpaphayom 2019 | 34 children with clubfoot between 0 and 58 weeks of age | relapse: female sex (p = 0.61), living outside of the capital metropolitan area (p = 0.23), not living with biological parents (p = 0.53) | Selection bias: not reported Information bias: Adequately addressed. Sample only includes children operated and treated by the main researcher Data interpretation bias: only crude odds ratio and confidence intervals reported |
Mootha 2011 | 86 children with clubfoot between 0 and 1 years of age | relapse: living below the poverty line (p = 0.00) | Selection bias: not reported Information bias: not reported Data interpretation bias: not reported |
Muzzammil 2020 | 153 children with clubfoot between 0 and 3 years of age | non-compliance during bracing: malnutrition 18.19% vs no malnutrition 5.36% relapse: malnutrition 16.02% vs no malnutrition 10.22% |
Selection bias: Representative sample based on background and social class of parents Information bias: data assessor not reported Data interpretation bias: not reported |
Qudsi 2019 | 168 children with clubfoot between 0 and 4.4 years of age | Relapse: female sex RR 1.54 (p = 0.04), child is the first-born child RR 1.02, child is a native of the capital metropolitan area RR 1.27, child was born at home instead of a hospital RR 1.14 | Selection bias: inclusion of all children with foot abnormalities to avoid accidental exclusion based on wrong classification of patient file. Representative sample of clubfoot population of the larger population around the capital Information bias: usage of standardized International Clubfoot Registry forms for data collection Data interpretation bias: usage of adjusted relative risk ratios and confidence interval to adjust for confounding |