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Table 3 GRADE assessment of outcome measures

From: The impact of vitamin D supplementation on glycemic control and lipid metabolism in polycystic ovary syndrome: a systematic review of randomized controlled trials

Quality assessment

No of patients

Effect

Quality

Importance

No of studies

Design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

New Comparison

Control

Relative

(95% CI)

Absolute

Changes in fasting blood glucose (Better indicated by lower values)

 

11

randomised trials

serious1,2

no serious inconsistency

no serious indirectness

serious3

none

308

276

-

MD 2.91 lower (4.78 to 1.04 lower)

⊕⊕OO

LOW

IMPORTANT

 

Changes in insulin (Better indicated by lower values)

 

10

randomised trials

serious1,2

no serious inconsistency

no serious indirectness

serious3

none

229

234

-

MD 1.98 lower (3.32 to 0.64 lower)

⊕⊕OO

LOW

IMPORTANT

 

Changes in triglycerides (Better indicated by lower values)

 

9

randomised trials

serious1,2

no serious inconsistency

no serious indirectness

serious3

none

216

206

-

MD 11.01 lower (16.42 to 5.61 lower)

⊕⊕OO

LOW

IMPORTANT

 

Changes in total cholesterol (Better indicated by lower values)

 

9

randomised trials

serious1,2

no serious inconsistency

no serious indirectness

no serious imprecision

none

216

206

-

MD 11.69 lower (15.56 to 7.82 lower)

⊕⊕⊕O

MODERATE

IMPORTANT

 

Changes in VLDL-cholesterol (Better indicated by lower values)

 

5

randomised trials

serious2

no serious inconsistency

no serious indirectness

serious3

none

135

137

-

MD 2.64 lower (4.5 to 0.79 lower)

⊕⊕OO

LOW

IMPORTANT

 

Changes in HDL-cholesterol (Better indicated by lower values)

 

9

randomised trials

serious1,2

no serious inconsistency

no serious indirectness

no serious imprecision

none

216

206

-

MD 5.85 lower (10.28 to 1.42 lower)

⊕⊕⊕O

MODERATE

IMPORTANT

 

Changes in LDL-cholesterol (Better indicated by lower values)

 

9

randomised trials

serious1,2

no serious inconsistency

no serious indirectness

serious3

none

216

206

-

MD 0.21 lower (0.81 lower to 1.22 higher)

⊕⊕OO

LOW

IMPORTANT

 
  1. Abbreviations:CI: Confdence interval; GRADE: Grading of Recommendations Assessment, Development, and Evaluation; MD: Mean diference
  2. 1 Lack of allocation concealment
  3. 2 Lack of blinding
  4. 3 Wide confdence interval