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16 The findings from our study are consistent with those of an earlier study by Moja et al 17 who compared the assessment methodological quality in 809 Cochrane reviews and 156 systematic reviews in paper-based journals published between 1995 and 2002.
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Relying on a checklist for the assessment of methodological quality of the identified studies was dispensable, because the identified studies were almost weak in methodological quality at all.
However, there is still inconsistency among researchers on how study quality is defined, and several terms have been used interchangeably in the literature (i.e. quality assessment, methodological quality, risk of bias, critical appraisal, trial quality).
Regarding the assessment of methodological quality of each trial, further validated tools that could assess the actual performance or biases of each trial should be developed.
Effective data were extracted after the assessment of methodological quality of the trials.
Agreement between the two reviewers for the assessment of methodological quality was evaluated using the Cohen's kappa statistic [20].
The assessment of methodological quality is described in Table 1.
We therefore considered that the assessment of methodological quality was especially important.
The assessment of methodological quality is of great importance to systematic reviews.
The assessment of methodological quality of randomised controlled trials (RCTs) was performed using the Cochrane risk of bias assessment tool.
This scoring scheme covers aspects of internal and external validity for the assessment of methodological quality [ 15].
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