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Table 2 The evidence quality for thiazide diuretics reducing the incidence of kidney stones and 24-h urinary calcium level

From: Use of thiazide diuretics for the prevention of recurrent kidney calculi: a systematic review and meta-analysis

Quality assessment

No of patients

Effect

Quality

Importance

No of studies

Design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

UCa of thiazide diuretics

Placebo

Relative (95% CI)

Absolute

Thiazide diuretics VS placebo in 24-h UCa

 4

Randomized trials

No serious risk of bias

No serious inconsistency

No serious indirectness

Seriousa

None

145

171

SMD 18.59 lower (25.11 to 12.08 lower)

Moderate

Important

Thiazide diuretics VS placebo in incidence of new kidney stones

 8

Randomized trials

No serious risk of bias

Seriousb

No serious indirectness

Seriousa

None

52/286 (18.2%)

119/285 (41.8%)

418 fewer per 1000 (from 418 fewer to 418 fewer)

Low

Critical

  1. UCa urinary calcium
  2. aThe sample size is not large enough and the event rate is not high enough
  3. bThe outcome of 2 studies is no effect