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Table 2 Grading of Recommendations, Assessment, Development, and Evaluations

From: Effectiveness and safety analysis of titanium mesh grafting versus bone grafting in the treatment of spinal Tuberculosis: a systematic review and meta-analysis

No of studies

Certainty assessment

Effect

Certainty

Study design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

No of individuals

Rate

(95% CI)

surgical duration

8

observational studies

not serious

not serious

not serious

not serious

none

523

-28.06 to 13.67

High

intraoperative blood loss

8

observational studies

not serious

not serious

not serious

not serious

none

523

-40.62 to 73.06

High

graft fusion time

4

observational studies

not serious

not seriousa

not serious

Seriousb

none

231

-0.88 to 2.81

Moderate

ASIA(E)

5

observational studies

not serious

not serious

not serious

not serious

none

288

0.97 to 1.09

High

VAS score

7

observational studies

not serious

Seriousb

not serious

not serious

none

487

-5.23 to -3.24

Moderate

lumbar pain score

3

observational studies

not serious

not serious

not serious

not serious

none

155

-45.54 to -34.96

High

post-graft kyphotic angle

4

observational studies

not serious

Seriousc

not serious

not serious

none

303

-36.50 to -6.89

Moderate

postoperative complications

6

observational studies

not serious

Seriousb

not serious

not serious

none

429

 

Moderate

  1. Explanations
  2. a. Apart from three studies, most of the point estimates were closely clustered and the confidence intervals overlapped most of the time. As such, we did not
  3. rate down for inconsistency
  4. b.The confidence interval is large with respect to the pooled estimate. As such, this was a borderline decision to rate down for imprecision
  5. c. Point estimates were rather sparsely distributed, and confidence intervals only overlapped occasionally