Table 6:

Risk of bias: Newcastle–Ottawa Scale quality-assessment summary

PublicationStudy designSelection*ComparabilityAssessmentFollow-up§Statistical
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Ames et al.,9 2019Retrospective cohortLow riskLow riskLow riskHigh riskLow riskLow riskLow riskLow riskNA
Ray et al.,18 2018Cross-sectionalLow riskLow riskLow riskHigh riskLow riskLow riskNANALow risk
Newgard et al.,19 2021Retrospective cohortLow riskLow riskLow riskHigh riskLow riskLow riskLow riskLow riskNA
Lieng et al.,20 2021aCross-sectionalLow riskLow riskLow riskHigh riskLow riskLow riskNANALow risk
Lieng et al., 2021b21Cross-sectionalLow riskLow riskLow riskHigh riskLow riskLow riskNANALow risk
Newgard et al.,22 2022aRetrospective cohortLow riskLow riskLow riskHigh riskLow riskLow riskLow riskLow riskNA
Newgard et al.,23 2023Cross-sectionalLow riskLow riskLow riskHigh riskLow riskLow riskNANALow risk
Balmaks et al.,24 2020Prospective cohortLow riskLow riskLow riskHigh riskLow riskLow riskLow riskLow riskNA
  • Note: NA = not applicable.

  • * Selection: 1. Representativeness of the exposed sample (selection bias); 2. Selection of the non-exposed sample (selection bias); 3. Ascertainment of exposure (selection bias); 4. Demonstration that outcome of interest was not present at start of study (selection bias).

  • Comparability: 5. Comparability of samples on the basis of the design or analysis (comparability bias).

  • Assessment: 6. Assessment of outcome (assessment bias).

  • § Follow-up: 7. Was follow-up long enough for outcomes to occur (follow-up bias); 8. Adequacy of follow-up of cohorts (follow-up bias).

  • Statistical: 9. Statistical test (statistical bias).