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. 2023 Feb 16. Online ahead of print. doi: 10.1016/j.idh.2023.01.004

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.
  • 1.

    The outcome is COVID-19 infection.

  • 2.

    The original studies were conducted in healthcare settings.

  • 3.

    Comparison is N95 respirator vs. medical mask.

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”.