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The interpretation of the findings of this review was difficult due to varying methods used in the included studies.
Recently, a Cochrane review was conducted by Lous et al. [ 1], but the relevant evidence that is available from this review was difficult to amalgamate due to the heterogeneous nature of identified studies covering a wide range of ages, a variety of outcome measures and small sample sizes.
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Open discussion and review were difficult.
An objective external review is difficult for the National Institutes of Health because almost every qualified biomedical scientist is a stakeholder in this federal financing agency, and few would be willing to bite the hand that feeds them.
The limited findings of this systematic review are difficult to generalise to athletes who compete in wheelchair court sport, because almost all study participants had complete SCI with trunk impairment defined according to the ASIA score [41].
Studying peer review is difficult due to the confidential nature of the process, but sociologist Kyle Siler of the University of Toronto in Canada and colleagues were able to examine the peer-review history of 1008 articles that were submitted to three elite medical journals: Annals of Internal Medicine, The BMJ, and The Lancet.
For another, the reviewing of submitted manuscripts in many cases results in improvement of the final publication [32]; this kind of usefulness of peer review is difficult to quantify, however.
Due to limited comparability between studies, the results of this review were difficult to interpret.
The incidence of MEs in this review is difficult to compare between studies because different methodologies and different definitions were used.
Third, due to the small number of included papers and the lack of statistically significant differences, the results of this review are difficult to interpret.
However, comparisons across the seven studies selected in this review were difficult because of methodological variations in definition of attrition, sample composition, and the factors considered potential predictors.
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CEO of Professional Science Editing for Scientists @ prosciediting.com