Table 2.
The rating and downgrading criteria of the appraisal approach components.
| Component | Levels | Rating criteria | Downgrading criteria |
|---|---|---|---|
| Study design | serious/not serious | Rate “serious” if any of the eight questions is answered “NO”. | Downgrade one level of evidence certainty if rated “serious”. |
| Risk of Bias | serious/not serious | Rate “serious” if more than half of the original studies had “high” or “some” risk of bias. | Downgrade one level of evidence certainty if rated “serious”. |
| Inconsistency | serious/not serious | Rate “serious” if more than half of the relevant results had high heterogeneity. | Downgrade one level of evidence certainty if rated “serious”. |
| Indirectness | very serious/serious/not serious | Rate “serious” if any one of the following descriptions were not met, and rate “very serious” if more than two descriptions were not met.
|
Downgrade one level of evidence certainty if rated “serious”, and two levels if rated “very serious”. |
| Imprecision | serious/not serious | Rate “serious” if more than half of the relevant results had confidence intervals across 1. | Downgrade one level of evidence certainty if rated “serious”. |
| Publication bias | serious/not serious | Rate “serious” if the authors mentioned concerns about publication bias. | Downgrade one level of evidence certainty if rated “serious”. |