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Table 2 The grade evidence quality of acupuncture or migraine

From: Effects of acupuncture on mental health of migraine patients: a systematic review and meta-analysis

Quality assessment

No of patients

Effect

Quality

Importance

No of studies

Design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

Acupuncture

Control

Relative (95% CI)

Absolute

SAS (Better indicated by lower values)

 5

randomised trials

no serious risk of bias

Seriousa

Seriousb

very seriousc

none

193

186

-

MD 5.64 lower (10.89 to 0.39 lower)

Ã…OOO

VERY LOW

IMPORTANT

SAS—A vs SA (Better indicated by lower values)

 3

no methodology chosen

    

none

118

111

-

MD 1.13 lower (3.5 lower to 1.24 higher)

  

SAS—A vs WM (Better indicated by lower values)

 2

no methodology chosen

    

none

75

75

-

MD 10.58 lower (13.69 to 7.47 lower)

  

VAS (Better indicated by lower values)

 9

randomised trials

no serious risk of bias

Seriousa

Seriousb

very seriousc

none

479

471

-

MD 1.06 lower (1.72 to 0.39 lower)

Ã…OOO

VERY LOW

 

VAS—A vs SA (Better indicated by lower values)

 6

no methodology chosen

    

none

367

359

-

MD 0.89 lower (1.76 to 0.02 lower)

  

VAS—A vs WM (Better indicated by lower values)

 3

no methodology chosen

    

none

112

112

-

MD 1.39 lower (2.29 to 0.49 lower)

  

SDS (Better indicated by lower values)

 5

randomised trials

no serious risk of bias

Seriousa

Seriousb

very seriousc

none

99

95

-

MD 4.65 lower (9.25 to 0.045 lower)

Ã…OOO

VERY LOW

 

SDS—A vs SA (Better indicated by lower values)

 3

no methodology chosen

    

none

24

20

-

MD 0.72 lower (3.76 lower to2.23 higher)

  

SDS—A vs WM (Better indicated by lower values)

 2

no methodology chosen

    

none

75

75

-

MD 9.5 lower (15.6 to3.4 lower)

  

SF-MH (Better indicated by lower values)

 6

randomised trials

no serious risk of bias

Seriousa

Seriousb

very seriousc

none

505

532

-

MD 3.87 higher (1.49 to 6.25 higher)

Ã…OOO

VERY LOW

 

SF-MH—A vs SA (Better indicated by lower values)

 2

no methodology chosen

    

none

360

387

-

MD 1.42higher (1.69 lower to 4.54 higher)

  

SF-MH—A vs WM (Better indicated by lower values)

 4

no methodology chosen

    

none

145

145

-

MD5.3 higher (1.82 to 8.78 higher)

  

MSQ (Better indicated by lower values)

 3

randomised trials

no serious risk of bias

Seriousa

Seriousb

serious

none

262

258

-

MD 0.57 higher (0.21 to 0.93 higher)

Ã…OOO

VERY LOW

IMPORTANT

  1. aThe 95% confidence interval crosses the equivalence line
  2. bTwo-thirds come from medium bias
  3. cI2 > 75%