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Table 2 Summary of the Risk of Bias Assessment based on the Newcastle-Ottawa Scale (NOS) for the Cohort Studies

From: A systematic literature review of spinal brace/orthosis treatment for adults with scoliosis between 1967 and 2018: clinical outcomes and harms data

  

Selection

Comparability

Outcome

 

Primary Author

Year

Study Design

Study Limitations

Q1

Q2

Q3

Q4

Q5

Q6

Q7

Q8

Risk of Bias

Weiss

2006

Prospective cohort study

Female participants only, no control cohort, no a priori sample size calculations discussed, no discussion of blinded assessment, poor brace compliance, poor reporting quality

✓

✗

✓

✓

✗

✓

✓

✓

High

Weiss

2009

Prospective cohort study

No control cohort, no a priori sample size calculations discussed, no discussion of brace compliance, no discussion of blinded assessment, poor reporting quality

✓

✗

✓

✓

✗

✓

✓

✓

High

De Mauroy

2011

Retrospective cohort study

Retrospective design, no control cohort, non-blinded assessment, ill defined/non-standardised follow-up periods, unable to account for potential confounding factors, poor reporting quality

✓

✗

✓

✓

✗

✓

✓

✓

High

De Mauroy

2016

Prospective cohort study

No control cohort, no a priori sample size calculations discussed, analysis restricted to a small compliant subset of the sample, non-specific diagnosis used, no discussion of blinded assessment, poor reporting quality

✓

✗

✓

✓

✗

✓

✓

✓

High

Palazzo

2017

Retrospective cohort study

Retrospective design, no control cohort, female participants only, no blinded assessment, unable to account for potential confounding factors

✗

✗

✓

✓

✗

✓

✓

✓

High

Zaina

2018

Prospective cohort study

Pilot study, no control cohort, very short-term follow-up

✗

✗

✓

✓

✗

✓

✓

✓

High

  1. Abbreviations: Q Question, ROB Risk of Bias
  2. Symbols: ✓ = Criteria satisfied, ✗ = Criteria not satisfied
  3. NOS Criteria:
  4. 1) Representativeness of the intervention cohort
  5. 2) Selection of non-intervention cohort
  6. 3) Ascertainment of intervention
  7. 4) Demonstration that outcome of interest was not present at start of study
  8. 5) Comparability of cohorts on the basis of the design or analysis
  9. 6) Assessment of outcome
  10. 7) Was follow up long enough for outcomes to occur?
  11. 8) Adequacy of follow up of cohorts