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SDC table 3. Quality Assessment of the 18 Included Cohort Studies According to the Newcastle-Ottawa Scale (22)

Study

Selection of Study Participants Comparability of the Groupsa Assessment of the Outcome of Interest (1)

External Validity (Interve

ntion) Cohortb

(2) Selection

of the Nonexpose

d Cohortc

(3) Ascertainmen

t of the Interventiond

(4) Incident

Disease

e

Total Stars, No.f

(A) Unsatisfactor y Colposcopy

(B) Age, Parity, and

Dysplasia

Total Stars, No.f

(1) Assessment

of Outcomeg

(2) Length

of Follow-

uph

(3) Adequac

y of Follow-

upi

Total Stars, No.f

Bornstein et al (33) A* A* A* A* 4 ... 0 B* A* D 2

Bretelle et al (34) B* A* A* B 3 Yes* 1 B* A* A* 3

Fanning and Padratzik (35)

A* A* A* A* 4 0 A* B D 1

Hillemanns et al (36)

A* B A* A* 3 Yes* 1 B* B D 1

Huang and Hwang (37)

B* A* A* B 3 Yes* 1 B* A* A* 3

Husseinzadeh and Retting (38)

B* A* A* A* 4 Yes* 1 B* A* C* 3

Ioffe et al (39) A* A* A* A* 4 Yes* Yes* 2 A* B D 1

Kainz et al (40) B* B A* A* 3 Yes* 1 B* B D 1

Kim et al (41) B* A* A* A* 4 Yes* Yes* 2 D B D 0

Murta et al (42) A* A* A* A* 4 Yes* Yes* 2 B* A* C* 3

Oyesanya et al (43) B* A* A* A* 4 Yes* Yes* 2 B* A* A* 3

Petry et al (44) B* B A* A* 3 Yes* 1 B* A* D 2

Pires et al (45) B* A* A* A* 4 0 B* B D 1

Reinthaller et al (46)

B* A* A* A* 4 Yes* 1 B* B D 1

Saidi et al (47) A* A* D A* 3 Yes* Yes* 2 B* A* A* 3

Schermerhorn et al (48)

B* A* A* A* 4 Yes* 1 B* A* A* 3

Simmons et al (49) A* A* A* B 3 Yes* Yes* 2 B* A* A* 3

Zeng et al (50) A* A* A* B 3 0 B* A* B* 3

(2)

a Comparability of cohorts on the basis of the design or analysis: (A), study controls for the most important factor (unsatisfactory colposcopy in each group of treatment); and/or (B), study controls for any additional factor (age, parity, degree of CIN or dysplasia).

b A, Truly representative of the average histology-proven cervical intraepithelial neoplasia (CIN) patient at risk for progression and/or recurrence of the disease; B, somewhat representative of the average CIN patient at risk for recurrence and/or progression of the disease; C, selected group; D, no description of the derivation of the cohort.

c A, Drawn from the same source as the intervention cohort (concurrent controls); B, drawn from a different source (historical controls); C, no description of the derivation of the nonexposed cohort.

d A, Secure record (eg, surgical records); B, structured interview; C, written self-report; D, no description.

e Asterisks indicate stars. A study can be awarded 1 star for each item within the Selection category (maximum, 4 stars), the Comparability category (maximum, 2 stars), and the Outcome category (maximum, 3 stars).

f Demonstration that outcome of interest was not present at the start of the study: A, yes; B, no.

g A, Independent blind assessment; B, record linkage; C, self-report; D, no description.

h Follow-up was long enough for outcomes to occur: A, yes; B, no.

i A, Complete follow-up and all participants were accounted for; B, participants lost to follow-up were unlikely to introduce bias because small numbers were lost and more than 80% had follow-up, or description was provided of those lost; C, follow-up rate less than 80%, and there was no description of those lost; D, no statement.

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