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Diagnosis and Management of Infantile Hemangioma

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Harms Risk <strong>of</strong> Bias Assessment Form<br />

RefID: __________________<br />

Reviewer:____________________<br />

Question Yes No Unclear Comments<br />

1. Are any important harms<br />

or adverse events that<br />

may be a consequence<br />

<strong>of</strong> the<br />

intervention/exposure<br />

missing from the results?<br />

(RTI cohort)<br />

2. Were the harms<br />

predefined using<br />

st<strong>and</strong>ardized or precise<br />

definitions? (mcharms)<br />

Pre-defined indicates that the harms<br />

that were expected are explicitly<br />

defined prior to the collection <strong>of</strong> these<br />

expected events. For example, if<br />

bleeding is listed as a harmful event,<br />

the criteria by which they determine<br />

the bleeding (i.e. body location, type,<br />

or amount <strong>of</strong> blood loss that counts<br />

as an event, etc) should be specified.<br />

St<strong>and</strong>ardized classification <strong>of</strong> harms<br />

can be derived from any <strong>of</strong> the<br />

following:<br />

1) reference to st<strong>and</strong>ard terminology<br />

or classifications <strong>of</strong> harms from a<br />

recognized external<br />

organization(s)(such as government<br />

regulatory or health agencies.<br />

Examples <strong>of</strong> st<strong>and</strong>ardized<br />

terminology for harms includes,<br />

WHO-ART, MEDra, HTA report on<br />

the Measurement <strong>and</strong> Monitoring <strong>of</strong><br />

Surgical Adverse Events)<br />

2) previously explicitly defined<br />

classifications <strong>of</strong> harms in the<br />

literature, or<br />

3) based on pre-specified clinical<br />

criteria, or<br />

4) pre-specified laboratory test (may<br />

not need to have a specific cut-<strong>of</strong>f<br />

level specified in all cases)<br />

In some instances only<br />

some <strong>of</strong> the harms identified<br />

in a study will be precisely<br />

defined. In this case, there<br />

must be some judgement if<br />

the nature <strong>of</strong> the harms not<br />

pre-defined.<br />

3. Are all pre-specified<br />

harms reported? (RTI<br />

case series)<br />

4. Did the author(s) use<br />

STANDARD scale(s) or<br />

checklist(s) for harms<br />

collection? (mcharms)<br />

IF #2 is<br />

NO, this is<br />

unclear<br />

B-3

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