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Nursing Systematic Reviews: Risk of Bias & Quality Assessment

Created by Health Science Librarians

Cochrane Risk of Bias questions

What do Cochrane's Risk of Bias questions mean?

  • Sequence Allocation: Is it random? Is it convenience?  How were they selected?
  • Allocation Concealment:  Was it blind?
  • Blinding of Participants/Personnel: Did the participants or person conducting the intervention or collecting the data know who received which intervention?
  • Blinding of Outcome Assessors: Did those interpreting the data know who received the interventions?
  • Incomplete Outcome Data:  Did they report all participant #s (for characteristics, for interventions, for attrition, for exclusion)?
  • Selective Reporting of Outcome Data:  Did they report both positive and negative data? Did they admit any limitations or problems with their study design?  Did they fail to report a part of data about that pertains to their research question?
  • Other Sources of Bias: Conflicts of interest ($ or affiliations of researchers), if study was localized to one region/state/setting, if diversity was lacking, etc.

What data do I extract?

If you are unsure of what data would be useful in your summary tables, try finding a systematic review on a similar topic and look at what details they use to summarize their included studies.