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QUOROM (quality of reporting of meta‐analyses) flow‐chart of study selection
Figuras y tablas -
Figure 1

QUOROM (quality of reporting of meta‐analyses) flow‐chart of study selection

Table 1. Risk of bias

Characteristic

Beser 2004

Du 2004

Duhamel 2000

Strand 2002/2003

Intervention 1 (I1) / intervention 2 (I2) / control 1 (C1)

I1. vitamin D 400 IU/day per os
C1. no placebo or other intervention

I1: fortified milk, averaged calcium 245 mg/day per os
I2: fortified milk, averaged calcium 245 mg/day per os, vitamin D3 133 IU/day per so
C1: no placebo or other intervention

I1. vitamin D3 100,000 IU every 3 months per os
C1. placebo

I1: promoting of exclusive breastfeeding from birth, supplementation of solid foods at age 5 months, weaning at 12 to 18 months, vitamin D 300 IU/day per os during the first 12 months, calcium 378 mg/day per os from age 5 months to 24 months
C1: no placebo or other intervention.

Randomised controlled clinical trial (RCT)

N

Y

Y

Y

Controlled clinical trial

?
(presumed Y)

N

N

N

Prospective cohort study

N

N

N

N

Method of randomisation (specify)

N/A

?

?

?

Unit of randomisation (individuals, cluster ‐ specify)

N/A

cluster (pupils of matched 3 x 3 schools)

individuals

cluster (children of 16 matched villages )

Randomisation stratified for centres

N/A

N/A

?

N/A

Randomisation ratio

N/A

?

?

?
(intervention group: 14 villages, control group: 2 villages)

Concealment of allocation (specify)

N/A

?

?

?

Study population representative of population

Y

?

?
(recruited from hospital)

Y

Method of selection of controls (specify) (*)

N/A

N/A

N/A

N/A

Patients in different groups form same population (*)

N/A

N/A

N/A

N/A

Exposed/unexposed over same period of time (*)

N/A

N/A

N/A

N/A

Ascertainment of group determination (specify) (*)

N/A

N/A

N/A

N/A

Ascertainment of outcome (specify)

direct measurement

direct measurement

direct measurement

direct measurement

Stated blinding (open; single, double, triple blind)

?

?

double

?

Actual blinding: participant/parents

N/A

?

Y

N/A

Actual blinding: caregiver / treatment administrator

N/A

?

?

N/A

Actual blinding: outcome assessor

?

?

?

N

Actual blinding: others

?

?

?

?

Blinding checked: participant

?

?

?

?

Blinding checked: caregiver / treatment administrator

?

?

?

?

Blinding checked: outcome assessor

?

?

?

?

Primary endpoint defined

Y

N

N

Y

[n] of primary endpoint(s)

1

?

?

1

[n] of secondary endpoints

0

?

?

2

Total [n] of endpoints

1

12
(no distinction made between primary and secondary outcomes)

8
(no distinction made between primary and secondary outcomes)

3

Prior publication of study design

?

?

?

?

Power calculation

?

?

?

?

[n] participants per group calculated

?

?

?

?

Intention‐to‐treat analysis (ITT)

Y
(no summary statistic in analysis)

Y
(no summary statistic for rickets in analysis)

Y
(no summary statistic for rickets in analysis)

N
(based on analysed patients)

Per‐protocol‐analysis

N

N

N

N
(based on analysed patients)

ITT defined

N

N

N

N

Dealing with missing data

?

?

?

?
(imputing for birth weight which is not relevant for this review)

[n] of screened participants (I1/ I2 / C1 / total)

?

?

?

?

[n] of randomised/included participants (for primary endpoint)

I1: 302
C1: 374

I1: 238
I2: 260
C1: 259

I1: 32
C1: 34

Total: 259

[n] of participants finishing the study

I1: 293
C1: 369

I1: 209
I2: 242
C1: 247

I1: 32
C1: 31

Total: 245

[n] of patients analysed (for primary endpoint)

no summary statistic provided

no summary statistic for rickets provided

no summary statistic for rickets provided

I1: 183
C1: 46
Total: 229

Description of discontinuing participants

N

Y

N

N

Drop‐outs (reasons explained)

N

Y

N

N

Withdrawals (reasons explained)

N

Y

N

N

Losses‐to‐follow‐up (reasons explained)

N

Y

N

N

[n] of participants who discontinued

14

59

3

14

[%] discontinuation rate

2

8

5

5

Discontinuation rate similar between groups

Y

Y

Y

Y

Differences [n] calculated to analysed patients

N/A

N/A

N/A

N/A

Adjustment for multiple outcomes / repeated measurements

N/A
no summary statistic provided

Y
no summary statistic for rickets provided

N/A
no summary statistic provided

Y

Baseline characteristics: clinically relevant differences

?

?

?

Y
(more preterm born children in intervention group)

Treatment identical (apart from intervention)

?

?

?

?

Compliance measured

?

Y

Y

Y

Other important covariates measured (specify)

?

?

?

?

Co‐morbidities measured

?

?

?

?

Co‐medications measured

?

?

?

?

Different length of follow‐up (taken into account) (*)

N/A

N/A

N/A

N/A

Loss of study patients taken into account

Y

Y

Y

Y

Specific doubts about study quality

N

N

N

N

Funding: commercial

?

N

?

N

Funding: non‐commercial

?

Y

?

Y

Publication status: peer review journal

Y

Y

Y

Y

Publication status: journal supplement

N

N

N

N

Publication status: abstract

N

N

N

N

Publication status: other

N

N

N

N

Symbols & abbreviations: Y = yes; N = no; ? = unclear; N/A = not applicable; I = intervention; C = control
(*) for prospective cohort studies only

Figuras y tablas -
Table 1. Risk of bias