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Table 1 Risk of bias tool

From: Descending pain modulation in irritable bowel syndrome (IBS): a systematic review and meta-analysis

Author and year of publication

  

Study identifier

  

Reviewer

Bias domain

Issues to consider for judging overall rating of “risk of bias”

Rating

Yes/no/unclear

1. Cases representative of population

Diagnosis of IBS

Diagnosis of IBS made according to the ROME criteria

 

2. Comparability of cases and controls

Inclusion/exclusion criteria for healthy controls specified

Ensure controls also use ROME criteria

 

Ensure controls are comparable to cases in terms of age and gender

3. Participants clearly defined

All clinical and demographical characteristics described

• Clinical and demographical characteristics were fully described (yes/no)

 

• Sample size (yes/no)

• Mean age (yes/no)

• Gender percentages (yes/no)

• Mean pain duration (yes/no)

• Mean pain intensity (yes/no)

Clinical setting

Clinical setting clearly specified

 

4. Quality of conditioned pain modulation (CPM) protocol

Testing explicitly described

• Testing protocol (CPM) explicitly described (yes/no)

 

• Number of examiners preforming assessments (yes/no)

• Equipment used (yes/no)

• Clear description of procedure including number of assessments and sites (yes/no)

5. Blinding

Assessor blinding

Assessors were blinded to participant group or condition

 

6. Statistical methods and study size

Method of determining study size described and appropriate

Method of determining study design was explicitly described and appropriate

 

Confounding variables controlled

Were confounding variables controlled? (e.g. through exclusion criteria, matched controls, statistical analysis)

 

• Medication (yes/no)

• Caffeine (yes/no)

• Day of testing (yes/no)

• Pain on test day (yes/no)

• Time of day testing was undertaken (yes/no)

• Menstrual cycle phase (yes/no)

• Other pain or sensory conditions (yes/no)

Presentation of analytical strategy

Statistical analysis explicitly described and appropriate