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Most notably, methodological quality did not contribute to the model.
The studies with the best methodology did not show an effect of SMBG on HbA1c, the studies with the worst methodological quality did.
Specifically, the results of the two clinical studies of moderate to high methodological quality did not establish a greater risk with FGM/C (OR=1.3, 95% CI 0.7, 2.7; OR=1.05, 95% CI 0.65 to 1.67. Of eight adjusted estimates, two reached significance. These are not shown here because the CIs were not provided in the publications).
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Good methodological quality does not necessarily indicate good-quality recommendations (Burgers, 2006).
23 24 Some important components of methodological quality do not relate to bias (eg, reporting of a sample size calculation).
All were of poor methodological quality and did not produce any significant results [ 24].
The reported studies were noted to be of "poor methodological quality", and did not control for potential confounding factors such as age, parity and clinical risk factors.
In contrast with the findings reported in systematic reviews evaluating dietary interventions in overweight or obese pregnant women, 17 18 19 which included smaller randomised trials, often of low methodological quality, we did not identify differences in mean gestational weight gain.
Methodological quality was done for each article without blinding to the authors.
Screening, data extraction and assessment of methodological quality were done in duplicate.
Study selection and assessment of methodological quality were done by 3 independent investigators (KV, MP, and VR).
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