VariablesStudy ParticipationStudy AttritionPrognostic Factor MeasurementOutcome MeasurementStudy ConfoundingStatistical Analysis and Reporting
High risk of biasSpecialized population (ie, pregnant, elderly) or subset of very ill patients onlyIncomplete outcome ascertainment (some patients still hospitalized)Unclear definition for prognostic factorsOutcome not definedNo multivariate analysis performedSelective reporting of results, no clear analytic strategy
Moderate risk of biasOnly inpatientsComplete ascertainment but >10% loss to follow-upPost hoc selection of cut pointsUnclear definition
Low risk of biasInpatient and outpatientComplete ascertainment and <10% loss to follow-upTypical cutoffs used, clearly definedClear and reproducible definitionMultivariate analysis reportedFull reporting, analytic strategy clearly described