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      • Review authors should define the intervention effect in which they are interested, and apply the risk-of-bias tool appropriately to this effect. The effect of principal interest should be specified in the review protocol: most systematic reviews are likely to address the question of assignment rather than adherence to intervention.
      training.cochrane.org/handbook/current/chapter-08
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  2. In reaching final judgements, review authors should interpret ‘risk of bias’ as ‘risk of material bias’. That is, concerns should be expressed only about issues that are likely to affect the ability to draw reliable conclusions from the study.

  3. Dec 13, 2017 · We developed recommendations for assessing the risk of bias of studies of health care interventions specific to framing the focus and scope of risk-of-bias assessment; selecting risk of bias categories; choosing assessment instruments; and conducting, analyzing, and presenting results of risk-of-bias assessments.

    • Meera Viswanathan, Carrie D. Patnode, Nancy D. Berkman, Eric B. Bass, Stephanie Chang, Lisa Hartling...
    • 2017/12/13
    • 2017
  4. In addition, as an optional component in the revised risk-of-bias tool, review authors may reflect on the direction of bias (e.g. bias in favour of the experimental intervention). Information on conflicts of interest may inform the assessment of direction of bias.

  5. Overviews of reviews (also known as umbrella reviews, meta-reviews, or reviews of reviews) evaluate biases at the systematic review level, among others, but proper use of tools for this purpose require training, time, and an appreciation of their strengths and limitations.

  6. Aug 28, 2019 · RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l4898 (Published 28 August 2019) Cite this as: BMJ 2019;366:l4898. Article. Related content. Metrics. Responses. Peer review. Jonathan A C Sterne, professor 1 2, Jelena Savović, senior research fellow 1 3,

    • Jonathan A.C. Sterne, Jelena Savović, Jelena Savović, Matthew J. Page, Roy G. Elbers, Natalie S. Ble...
    • 2019
  7. Review authors planning a ROBINS-I assessment should list important confounding domains in their protocol. Relevant confounding domains are the prognostic factors (predictors of the outcome) that also predict whether an individual receives one or the other intervention of interest.

  8. Outline. risk of bias in systematic reviews. assessing sources of bias. putting it into practice: ‘Risk of bias’ tables. incorporating findings into your review. See Chapter 8 of the Handbook. What is bias? Systematic error or deviation from the truth. systematic reviews depend on included studies. incorrect studies = misleading reviews.

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