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One article scored 5, and the remaining four scored 4 out of 6 because the papers did not specify whether the assessors were blind to the patient's treatment programme, and there was no clear action to minimise the systematic bias.
Only one article scored excellent on hypothesis testing of the correlation between the MHHS and SF-36 [ 20].
Similar(58)
The item "validity" received an average score of 2.4 with only 1 article scoring a 5 for this item and 8 articles scoring a 1.
The item 'validity' received an average score of 2.7 with only one article scoring a 5 for this item and 7 articles scoring a 1.
In general, the description of the sample population was poor and none of the articles scored positively for item 1 due to the absence of a flow diagram describing the flow of patients in the selection process.
Most articles scored particularly low on blinding the assessor, the care provider, and the participant.
Only three articles scored a global rating of "strong" based on EPHPP criteria.
Based on careful review and pilot testing, our eventual agreement on scoring decisions across themes was 80percentt or higher for the 40 articles scored in the sample.
Three articles scored four or less out of ten on the PEDro scale and were excluded from quantitative analyses (Additional file 3) [ 25– 27].
All selected articles scored positive on the following QUADAS items: acceptable reference standard, partial and differential verification avoided, relevant clinical information, uninterpretable results reported and withdrawals explained.
Out of the 47 entries, 4 (8.5%) articles scored 40 or higher, described as Good as per our cut-off system, 39 (83%) articles scored 30 to 39, described as Moderate as per our cut-off system and 4 (8.5%) scored less than 30, described as Poor as per our cut-off system.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com