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Table 1 Risk of bias assessments for each individual study and for each direct comparison against placebo

From: Using the contribution matrix to evaluate complex study limitations in a network meta-analysis: a case study of bipolar maintenance pharmacotherapy review

Comparison

Study

N

Risks of bias

RoB of each study and of comparison

Sequence generation

Allocation concealment

Blinding of participant

Blinding of therapist

Blinding of assessor

Incomplete outcome data

Selective reporting

Definition of recurrent mood episode

Sponsorship

PLB vs LIT

Melia 1970

11

U

U

L

L

L

U

L

H

H

H

Cundall 1972

13

U

U

L

L

L

L

U

H

U

M

Prien 1973a

31

U

U

L

H

L

L

H

H

L

H

Prien 1973b

205

U

U

L

H

L

L

H

H

L

H

Dunner 1976

40

U

U

L

L

L

L

H

H

U

H

Fieve 1976

53

U

U

L

L

L

L

L

H

L

M

Bowden 2000

185

U

U

L

L

L

L

L

L

L

L

Bowden 2003

116

U

U

L

L

L

L

L

H

L

M

Calabrese 2003

242

U

U

L

L

L

L

L

H

L

M

Amsterdam 2010

53

U

U

L

L

L

L

L

L

L

L

Weisler 2011

764

L

L

L

L

L

H

L

L

L

M

PLB vs VPA

Pooled

          

H

Bowden 2000

281

U

U

L

L

L

L

L

L

H

M

PLB vs LTG

Pooled

          

M

Calabrese 2000

182

U

U

L

L

L

L

L

H

H

H

Bowden 2003

129

U

U

L

L

L

L

L

H

H

H

Calabrese 2003

292

U

U

L

L

L

L

L

H

H

H

Koyama 2011

103

U

U

L

L

L

L

L

H

H

H

PLB vs IMP

Pooled

          

H

Prien 1973a

26

U

U

L

H

L

L

H

H

L

H

Kane 1982

12

U

U

L

L

L

L

L

L

L

L

PLB vs LIT + IMP

Pooled

          

H

Kane 1982

13

U

U

L

L

L

L

L

L

L

L

PLB vs ARP

Pooled

          

L

Keck 2007

161

U

U

L

L

L

L

L

L

H

M

PLB vs OLZ

Pooled

          

M

Tohen2006

361

U

U

L

L

L

L

L

L

H

M

Vieta 2012

266

U

U

L

L

L

L

L

L

L

L

PLB vs QTP

Pooled

          

M

Weisler 2011

808

L

L

L

L

L

H

L

L

H

H

Young2012

585

U

U

L

L

L

L

L

L

H

M

PLB vs RisLAI

Pooled

          

H

Quiroz2010

275

L

L

L

L

L

L

L

L

H

M

Vieta 2012

267

U

U

L

L

L

L

L

L

H

M

PLB vs PAL

Pooled

          

M

Bewaerts 2012

300

L

L

L

L

L

L

L

L

H

M

LIT vs VPA

Pooled

          

M

Bowden 2000

278

U

U

L

L

L

L

L

L

H

M

Calabrese 2005

60

U

U

L

L

L

L

L

L

L

L

Geddes 2010

220

L

L

H

H

L

L

L

H

L

H

LIT vs CBZ

Pooled

          

H

Coxhead 1992

31

U

U

L

L

L

L

L

H

H

H

Kleindienst 2000

171

L

L

H

H

H

H

L

U

L

H

Hartong 2003

53

U

U

L

L

L

L

L

L

H

M

LIT vs LTG

Pooled

          

M

Bowden 2003

105

U

U

L

L

L

L

L

H

H

H

Calabrese 2003

292

U

U

L

L

L

L

L

H

H

H

LIT vs IMP

Pooled

          

H

Prien 1973a

31

U

U

L

H

L

L

H

H

L

H

Kane 1982

9

U

U

L

L

L

L

L

L

L

L

Prien 1984

78

U

U

L

H

L

L

L

L

L

M

LIT vs LIT + IMP

Pooled

          

H

Kane 1981

75

U

U

L

L

L

L

H

L

U

M

Kane 1982

10

U

U

L

L

L

L

L

L

L

L

Prien 1984

78

U

U

L

H

L

L

L

L

L

M

LIT vs LIT + VPA

Pooled

          

M

Geddes 2010

220

L

L

H

H

L

L

L

H

L

H

LIT vs LIT + OXC

Pooled

          

H

Vieta 2008

55

L

U

L

L

L

L

L

L

H

M

LIT vs OLZ

Pooled

          

M

Tohen2005

431

U

U

L

L

L

L

L

L

H

M

LIT vs QTP

Pooled

          

M

Weisler 2011

768

L

L

L

L

L

H

L

L

H

H

VPA vs LIT + VPA

Pooled

          

H

Geddes 2010

220

L

L

H

H

L

L

L

H

L

H

VPA vs VPA + ARP

Pooled

          

H

Woo 2011

83

U

U

L

L

L

H

L

L

H

H

LTG vs ARP + LTG

Pooled

          

H

Carlson 2012

351

U

U

L

L

L

L

L

L

H

M

IMP vs LIT + IMP

Pooled

          

M

Kane 1982

11

U

U

L

L

L

L

L

L

L

L

Prien 1984

72

U

U

L

H

L

L

L

L

L

M

OLZ vs RisLAI

Pooled

          

M

Vieta 2012

263

U

U

L

L

L

L

L

L

H

M

Pooled

          

M

  1. L low risk of bias, M moderate risk of bias, H high risk of bias, U unclear risk of bias
  2. References to studies can be found in the original paper [4]
  3. ARP aripiprazole, CBZ carbamazepine, FLX fluoxetine, IMP imipramine, LIT lithium, LTG lamotrigine, OLZ olanzapine, OXC oxcarbazepine, PAL paliperidone, PLB placebo, QTP quetiapine, RisLAI risperidone long-acting injection, VPA valproate