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Supplemental Table 3: Jadad scoring for the included randomised controlled trials (n = 22)

Study; first author & year of publication

Randomisation (2, 1, 0 pts)

Blinding (2, 1, 0 pts)

Accounting for all patients (1 pt)

Total modified Jadad score (max 3 pts)

Low quality (0, 1 or 2 pts) or high quality (3 pts)

Andrews 2015 2 0 1 3 High

Clifton 1993 2 0 1 3 High

Clifton 2001 0 0 0 0 Low

Clifton 2011 2 0 1 3 High

Gal 2002 1 – inadequate 0 0 1 Low

Guo 2004 0 0 1 1 Low

Hashigushi 2003 1 – method not stated

0 1 2 Low

Hirayama 1994 0 0 0 0 Low

Jiang 2000 0 0 0 0 Low

Lee 2010 0 0 0 0 Low

Liu 2006 2 0 0 2 Low

Maekawa 2015 2 0 1 3 High

Marion 1993 2 0 1 3 High

Marion 1997 2 0 1 3 High

Qui 2005 0 0 1 1 Low

Qiu 2007 1 – unclear if adequate

0 1 2 Low

Shiozaki 1993 1 - inadequate 0 1 2 Low

Shiozaki 1999 1 – inadequate 0 1 2 Low

Smrcka 2005 0 0 1 1 Low

Tang 2017 2 0 0 2 Low

Zhao 2011 0 0 0 0 Low

Zhi 2003 0 0 1 1 Low

(2)

A modified Jadad score was used to assess the quality of the included RCTs. Blinding was not possible due to the nature of the intervention. Regarding randomisation: 1-point was awarded for randomisation being

mentioned, a further 1-point if randomisation was appropriate. No points were awarded if randomisation was not stated. Then, 1-point was given if all patients entered into the trial are accounted for at the end of the trial.

This gave a maximum modified quality score of 3 points per RCT. Studies scoring 0, 1 or 2 points were considered low quality, with those scoring 3 points considered high quality. The quality of included RCTs was also assessed using the Cochrane Collaboration’s tool for assessing the risk of bias.

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