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Table 1 Summary of the bias domains and prompting items for risk of bias assessment

From: All-cause mortality after major gastrointestinal bleeding among patients receiving direct oral anticoagulants: a protocol for a systematic review and meta-analysis

 

Bias domains

1. Study participation

2. Study attrition

3. Outcome measurement

Optimal study or characteristics of unbiased study

The study sample adequately represents the population of interest

The study data available (i.e., participants not lost to follow-up) adequately represent the study sample

The outcome of interest is measured in a similar way for all participants

Criteria for assessment of risk of bias

Was there a representative and well-defined sample of patients?

- Who did not have the outcome of interest at the time of initial observation?

- Who were at a similar, identifiable, common, and possible early point in the course of the disease?

Was follow-up sufficiently complete?

Were objective and unbiased outcome criteria used?

 

• Definitely yes (low risk of bias)

• Probably yes

• Probably no

• Definitely no (high risk of bias)

• Definitely yes (low risk of bias)

• Probably yes

• Probably no

• Definitely no (high risk of bias)

• Definitely yes (low risk of bias)

• Probably yes

• Probably no

• Definitely no (high risk of bias)

Prompting items and considerations

a. Adequate participation in the study by eligible persons (i.e., based on inclusion/exclusion criteria)

a. Adequate response rate for study participants (less than 5% considered small loss to follow-up and more than 20% considered significant)

a. A clear definition of the outcome is provided

 

b. Description of the source population or population of interest

b. Unbiased and systematic attempts to collect information on participants who dropped out

b. Method of outcome measurement used is adequately valid and reliable

 

c. Description of the baseline study sample of enrolled/included patients

c. Reasons for loss to follow-up are provided

c. The method and setting of outcome measurement is the same for all study participants

 

d. Adequate description of the sampling frame and recruitment

d. Adequate description of participants lost to follow-up

d. The method and setting

 

e. Adequate description of the period and place of recruitment

e. There are no important differences between participants who completed the study and those who did not

 
 

f. Adequate description of inclusion and exclusion criteria

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