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. 2023 Feb 14;20(4):3341. doi: 10.3390/ijerph20043341
Item No Recommendation Achieved? Section No.
Title and abstract 1 (a) Indicate the study’s design with a commonly used term in the title or the abstract Yes Abstract
(b) Provide in the abstract an informative and balanced summary of what was done and what was found Yes Abstract
Introduction
Background/rationale 2 Explain the scientific background and rationale for the investigation being reported Yes Section 1
Objectives 3 State specific objectives, including any prespecified hypotheses Yes Section 1 and Section 2.6
Methods
Study design 4 Present key elements of study design early in the paper Yes Section 2.1
Setting 5 Describe the setting, locations, and relevant dates, including periods of recruitment, exposure, follow-up, and data collection Yes Section 2.2
Participants 6 (a) Cohort study—Give the eligibility criteria, and the sources and methods of selection of participants. Describe methods of follow-up
Case-control study—Give the eligibility criteria, and the sources and methods of case ascertainment and control selection. Give the rationale for the choice of cases and controls
Cross-sectional study—Give the eligibility criteria, and the sources and methods of selection of participants
Yes Section 2.2
(b) Cohort study—For matched studies, give matching criteria and number of exposed and unexposed
Case-control study—For matched studies, give matching criteria and the number of controls per case
Not applicable (NA) NA
Variables 7 Clearly define all outcomes, exposures, predictors, potential confounders, and effect modifiers. Give diagnostic criteria, if applicable Yes Section 2.3
Data sources/ measurement 8 For each variable of interest, give sources of data and details of methods of assessment (measurement). Describe comparability of assessment methods if there is more than one group Yes Section 2.2 and Section 2.3
Bias 9 Describe any efforts to address potential sources of bias Yes Section 2.3 and Section 2.6
Study size 10 Explain how the study size was arrived at Yes Section 2.2
Quantitative variables 11 Explain how quantitative variables were handled in the analyses. If applicable, describe which groupings were chosen and why Yes Section 2.3
Statistical methods 12 (a) Describe all statistical methods, including those used to control for confounding Yes Section 2.6
(b) Describe any methods used to examine subgroups and interactions Yes Section 2.6
(c) Explain how missing data were addressed Yes Section 2.6
(d) Cohort study—If applicable, explain how loss to follow-up was addressed
Case-control study—If applicable, explain how matching of cases and controls was addressed
Cross-sectional study—If applicable, describe analytical methods taking account of sampling strategy
Yes
(e) Describe any sensitivity analyses Yes Section 2.6
Results
Participants 13 (a) Report numbers of individuals at each stage of study—eg numbers potentially eligible, examined for eligibility, confirmed eligible, included in the study, completing follow-up, and analysed Yes Section 2.2 and Section 2.5
(b) Give reasons for non-participation at each stage Yes Section 2.5
(c) Consider use of a flow diagram Yes Section 2.1
Descriptive data 14 (a) Give characteristics of study participants (eg demographic, clinical, social) and information on exposures and potential confounders Yes Section 2.1 and Section 3
(b) Indicate number of participants with missing data for each variable of interest Yes Section 2.6 and Section 3
(c) Cohort study—Summarise follow-up time (eg, average and total amount) NA
Outcome data 15 Cohort study—Report numbers of outcome events or summary measures over time NA
Case-control study—Report numbers in each exposure category, or summary measures of exposure NA
Cross-sectional study—Report numbers of outcome events or summary measures Yes Section 2.6 and Section 3
Main results 16 (a) Give unadjusted estimates and, if applicable, confounder-adjusted estimates and their precision (eg, 95% confidence interval). Make clear which confounders were adjusted for and why they were included Yes Section 2.6 and Section 3
(b) Report category boundaries when continuous variables were categorized Yes Section 2.3 and Section 3
(c) If relevant, consider translating estimates of relative risk into absolute risk for a meaningful time period NA
Other analyses 17 Report other analyses done—eg analyses of subgroups and interactions, and sensitivity analyses Yes Section 2.6 and Section 3
Discussion
Key results 18 Summarise key results with reference to study objectives Yes Section 4
Limitations 19 Discuss limitations of the study, taking into account sources of potential bias or imprecision. Discuss both direction and magnitude of any potential bias Yes Section 4.2
Interpretation 20 Give a cautious overall interpretation of results considering objectives, limitations, multiplicity of analyses, results from similar studies, and other relevant evidence Yes Section 4.1
Generalisability 21 Discuss the generalisability (external validity) of the study results Yes Section 4.2
Other information
Funding 22 Give the source of funding and the role of the funders for the present study and, if applicable, for the original study on which the present article is based Yes Appendix A, Appendix B and Appendix C