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Table 2

Overview risk of bias for studies on the effect of surgery compared to conservative care for neck pain

Items
Author123456789101112Total
Birnbaum [12]?????+?1
Cesaroni and Nardi (RCT) [16]++?+++?++?7
Lofgren [13]?++??+?3
Mayer [14]+???+?2
Persson [15] (RCT)+?+???+?3
Heffez [19]?++??+?3
Kadanka [18,21] (RCT)+??+?++?4
Matsunaga [20]?+?????1
Nardi et al. [17]??+??????1

+ yes (low risk of bias), no (high risk of bias), ? unclear

Criteria items: 1, Was the method of randomization adequate?; 2, Was the treatment allocation concealed?; 3, Was the patient blinded to the intervention?; 4, Was the care provider blinded to the intervention?; 5, Was the outcome assessor blinded to the intervention?; 6, Was the drop-out rate described and acceptable?; 7, Were all randomized participants analyzed in the group to which they were allocated?; 8, Were the groups similar at baseline regarding the most important prognostic indicators?; 9, Were co-interventions avoided or similar?; 10, Was the compliance acceptable in all groups?; 11, Was the timing of the outcome assessment similar in all groups?; 12, Selective outcome reporting?

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