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Table 3 Grading of recommendations assessment, development, and evaluation

From: Effect of exercise training on heath, quality of life, exercise capacity in juvenile idiopathic arthritis: a meta-analysis of randomized controlled trials

Outcomes

No of

studies

Certainty assessment

No of patients

Certainty

Study design

Risk of bias

Inconsistency

Indirectness

Other

considerations

IG

CG

CHAQ

4

RCT

Not serious

Serious (-1)

Serious (-1)

NO

124

117

⊕⊕⊖⊖

Low

QoL

3

RCT

Serious (-1)

Serious (-1)

Serious (-1)

NO

81

79

⊕⊖⊖⊖

Very Low

EPM

2

RCT

Serious (-1)

Serious (-1)

Serious (-1)

NO

62

61

⊕⊖⊖⊖

Very Low

VO2peak

3

RCT

Serious (-1)

Serious (-1)

Serious (-1)

NO

81

79

⊕⊖⊖⊖

Very Low

6MWT

2

RCT

Not serious

Serious (-1)

Serious (-1)

NO

70

65

⊕⊕⊖⊖

Low

HRrate

2

RCT

Not serious

Very serious (-2)

Serious (-1)

NO

39

33

⊕⊖⊖⊖

Very Low

Pain

3

RCT

Not serious

Serious (-1)

Not serious

NO

89

83

⊕⊕⊕⊖

Moderate

  1. Note 6MWT, six-minute walk test. AE, aerobic exercise. CG, control group. CG, control group. CHAQ, Childhood Health Assessment Questionnaire. EPM, Pediatric Escola Paulista de Medicina Range of Motion scale. HRmax, max heart rate. IG, intervention group. IG, intervention group. QoL, Quality of Life. RCT, randomized controlled trial. RCT, randomized controlled trial. RE, resistance exercise. VO2peak, peak oxygen consumption. GRADE Working Group grades of evidence: High quality: we are very confident that the true effect lies close to that of the estimate of the effect. Moderate quality: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different. Low quality: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect. Very low quality: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect