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Table 4 Level of evidence according to PD and CAL

From: Is the use of contraceptives associated with periodontal diseases? A systematic review and meta-analyses

Certainty assessment

No. of patients

Effect

Certainty

№ of studies

Study design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

With contraceptive

Without contraceptive

Relative (95% CI)

Absolute (95% CI)

CAL

           

5

Observational studies

Not serious

Seriousa

Not serious

Seriousb

None

197

200

MD 0.24 higher (0.09 higher to 0.4 higher)

very low

PD

           

3

Observational studies

Seriousc

Seriousa

Not serious

Very seriousb,d

None

91

89

MD 1.15 higher (0.29 lower to 2.59 higher)

very low

  1. CI: confidence interval; MD: mean difference
  2. aConsiderable heterogeneity
  3. bTotal number of participants is lower than 400
  4. cThe inclusion of high risk of bias study change the effect significance
  5. dUpper and lower CI is greater than 0.5