Table 3.

Newcastle-Ottawa Quality Assessment Scale for cohort studies.

Author, YearSelection (4 stars)Comparability (2 stars)Outcome (3 stars)Score (9 stars)Risk of Bias
Alemao 201738★★★★★★★★8Moderate
Arts 201535★★★★★★★7Moderate
Arts 201636★★★★★★★7Moderate
Crowson 201233★★★★★★★★★9Low
Crowson 201740★★★★★6High
Crowson 201734★★★★★6High
Finckh 201237★★★★★★★7Moderate
Ljung 201832★★★★★★★★★9Low
Navarini 201831★★★★★★★7Moderate
Solomon 201539★★★★★★★★8Moderate
Urowitz 201641★★★★★★★★8Moderate
  • Risk of bias was assessed using the Newcastle-Ottawa scale. Studies were judged on 3 broad perspectives: the selection of study groups, the comparability of the groups, and the ascertainment of the outcome of interest for cohort studies. A study is awarded stars for items within each category for a maximum of 9 stars. We rated studies as low risk of bias if they received 9 stars, moderate risk of bias if they received 7 or 8 stars, and high risk of bias if they received < 7 stars.