Table 4

Bias and methodologic quality of the systematic reviews included in this review

StudyDesign of the included studiesQuality assessmentReason(s) for downgrading (if applicable)
Campbell et al. 2001 (45)RCT+++○
Moderate
Indirectness
Covarrubias-Gomez 2008 (48)*UnclearNot enough information
Deshpande et al. 2015 (41)RCT++○○
Low
Risk of bias, indirectness
Fitzcharles et al. 2016 (42)RCT++○○
Low
Risk of bias, indirectness
Hwang et al. 2016 (32)RCT++○○
Low
Risk of bias, inconsistency
Khaiser et al. 2016 (33)Observational+○○○
Very low
Risk of bias, indirectness
Kung et al. 2011 (49)*RCTNot enough information
Lynch and Ware 2015 (46)RCT+++○
Moderate
Risk of bias
MacFarlane et al. 2011 (47)RCT+++○
Moderate
Publication bias
Martín-Sánchez et al. 2009 (43)RCT++○○
Low
Risk of bias, indirectness
Stevens and Higgins 2017 (44)RCT++○○
Low
Inconsistency, indirectness
Wang et al. 2008 (40)Observational+○○○
Very low
Risk of bias, inconsistency, indirectness
  • RCT = randomized controlled trial.

  • * Abstract only.